Forehead Lift
Q:
How long do the results of an endoscopic brow lift last?
A:
For most patients, it is expected that the results should last 10-12 years, although we have not been performing the procedure for quite this long, so the actual track record is yet to be established. However, given the tremendous benefits of this procedure when compared to the previously utilized open coronal brow lift, I can think of very few of my patients who would need or would actually choose to have an open lift when all of the risks and benefits of the two operations are compared.
Q:
I have been to two different plastic surgeons for a consultation on a brow lift. They agree on the fact that I need a brow lift but they disagree on the procedure. One has suggested an endoscopic brow lift and the other a coronal brow lift. I am 46 and have low eyebrows but not a significant amount of loose skin on my forehead. The coronal lift seems very invasive but I have heard that the endoscopic lift doesn't work as well. What are the statistics?
A:
Your experience is not unusual and often very good plastic surgeons may recommend different techniques that can provide the same or similar results. In terms of your anatomy, one technique may be better suited for you than the other. Your plastic surgeon will consider your features and expectations, as well as the associated risks and benefits. Both endoscopic and open (coronal) lifts address the problem of low eyebrows. Some surgeons prefer the endoscopic approach, while others argue that the endoscopic lift does not seem to elevate high enough or stay quite as long as an open lift. Clinical studies have supported the effectiveness of both techniques. The open lift may be particularly effective in treating horizontal forehead wrinkles. Be aware that either procedure may slightly elevate your forehead and hairline. For most patients, this is not a significant concern.
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