Trichophytic incisio. N is specialized forehead lift incision that raises the brows and actually lowers the hairline or reduces the high forehead. This is a huge plus since every other form (including endo) of forehead/brow lift will raise the hairline at least some. The anterior hairline incision must be slightly wavy, beveled to allow hair growth through or in front of the scar, and skillfully closed for least scar!
Only if..... ... An anterior hairline incision, i.e. At the top of the forehead, is used. All other approaches have at least some raising of the hairline.
Browlift/hairline. The frontal hairline can be manipulated in traditional brow lifts which allow for skin excision. Raising the hairline is a possible consequence of the endoscopic browlift.
Depends. There are several ways to perform a brow lift and include a direct brow lift (incision within brow), trichophytic (incision at the hair line) and indirect (incision in the forehead skin). These types do not raise the frontal hairline. Coronal brow lifts and endoscopic lifts do place the incisions in the hairline but elevate the frontal hairline.
Probably not, but... All adults over a certain age are losing hair (some sooner than others). Some even have premature balding starting in their 20's. So, no matter what surgery an older adult does, he will likely have less hair this month than this month a year ago. He'll probably have less hair after any surgery than before surgery... Time doesn't stop for anyone.
Yes. The hair loss can be near the incisions, or the hair loss can be in the temple region, related to undermining & elevation of the tissues. This second type is more common in smokers. Practically speaking, though, this problem is uncommon when the tissues are handled gently.
Browlift. There are incision techniques to minimize hairless. However, hairloss is a risk when incisions are made in the hairline.
What are the different ways to have a brow lift? I've heard that a number of procedures are called "brow lift", like traditional, hairline, or endoscopic. What are they, and what's the difference between them?
Brow. Brow lift surgery is often used in conjunction with eyelid surgery for total periorbital (eye) rejuvenation. The traditional open coronal brow lift surgery involves an incision in the scalp (behind the hairline) that extends from ear to ear. The surgery produces dramatic immediate results. The drawback is that the hairline can be raised 1-2cm, which is acceptable in pateints wiht small foreheads. You will have scalp numbness behind the incision. The open trichial brow lift sugery creates an incision along the frontal hairline. The hairline will not be raised, and in fact the forehead is actually reduced, so this technique is good for high foreheads. With the endoscopic brow lift, 5 small incisions are created within the scalp. So there is potentially less scarring and less hairloss (along the incisions). There is much less scalp numbness, compared to the above open techniques. The drawback is that less brow elevation in created, and the lift may not be as long lasting as the above techniques. Http://www. Dassmd. Com http://www. Dassmd. Com/eyelid-surgery/index. Html.
When. When the eyebrows hang low over the eyes (the ridge you can feel on the top of your eye socket) and this is felt to be disturbing, then an eyebrow can be performed either on its own as part of other procedures. The traditional browlift is performed through an incision across the scalp (inbetween the hair to maintain invisibility) from temple to temple. In the presence of ahigh brow, the incision may be nearer the hair margin to prevent the surgery causing an even higher brow to result. This may produce a partially visible scar. A hairline incision is a similar procedure which is done along the hairline where the scar may have more visibility but is not dependent on how high your hairline is, these procedures are normally performed under general anesthesia or intravenous sedation. An endoscopic procedure involves 3 to 5 small incisions (about a centimeter in length) in the hair bearing region of the head. Skin of the forehead and head are raised with the aid of special instrmentation, a lght source, and video camera and brought into a new more favorable psition. This procedure can be done either under local, intravenous or general anesthesia. Newer techniques which are also effective involve combining the brow lift with correction of the upper eyelid when its skin hangs over the lid. The same incision for correction the eyelid is employed to correct the brow by using a special biodegradable device that holds the brow in place by tacking it to the forehead bone. This is also a procedure that can be performed under local anesthetic.
What are the different ways to have a brow lift? I've heard that a number of procedures are called "brow lift", like traditional, hairline, or endoscopic. What are they, and what's the difference between them? .
There. There are a number of different approaches to having a brow lift. The most straight forward is removing an ellipse of skin from the forehead itself. This obviously leaves a scar in the area so is best reserved for those with prominent forehead creases. A endoscopic browlift uses several access incisions in the hairline to allow for elevation and advancement of the forehead tissue. A traditional coronal lift uses one long incision in the hairline that travels from one temple area to the other. Excess skin is removed and the brow advanced upward. As you can see this leaves a larger scar. A similar approach is to place the incision at the edge of the hairline itself. Your surgeon can bevel the incision so that hair grows through the scar which helps to hide it.
There. There are several ways to lift the brows. They all have pros and cons and your surgeon should be well versed in all. In general, they are divided into "open" and "closed" procedures. Open procedures include the coronal (for average forehead height), trichophytic (for higher than average foreheads) and direct (placed in the middle of the forehead or over the eyebrows)... The closed procedure is done endoscopically but still has quite a few incisions in the hairline and is most useful for patients with average forehead height but is not used for high or long foreheads. All approaches, when performed by an expert, have excellent long lasting results and minimal complications.
Just. Just to add on the other answers from my colleagues. A brow lift can be achieved both surgically and non invasively. Botox can be used to perform a lifting of the brows without surgery. Surgically, there are minimally invasive more invasive procedures that can achieve lifting of the brows. The more invasive coronal approach is most invasive but has the most consistent results, it is limited to patients who do not a have a receding hairline which will expose the scar. Less invasive techniques include multiple incisions in the scalp - each only 1-3cm long through which sutures can be run to the brow region for elevation either endoscopically or without an endoscope. Then there is a trans brow technique where skin excision can be performed. Finally a transbleph technique exists which employs an incision as if the eyelid if being corrected (it can be done at the same time) and a small device is used to tack the brow up to the forehead surface.
Is an endoscopic brow lift safer than the traditional long incision method? I'm really worried about risks during surgery, especially elective ones. I'd like a brow lift and I'm wondering if an endoscopic surgery would be the safest way to go..
An. An endoscopic brow lift has a much shorter incision (actually several short incision are typically used) to the risk of injurying hair follicles and long term scalp numbness are much less. The long incision (coronal) technique still has its place in certain circumstances. Your surgeon should be able to discuss the risks and benefits of each approach and whether one is a better choice for your situation.
Hi. Hi the long incision brow lifts (coronal, tricophytic or direct) are all excellent surgical procedures in the right hands. The endoscopic lift is also a good procedure when performed for the right indications and in the right hands. In short, with an experienced surgeon, your brow lift will be the right one for you and your hairline and should give you an excellent long lasting result regardless of whether it is endoscopic or open. For more detailed information on this topic please look at my article published on this very topic entitled "the case for open forehead procedures: a review of 1004 procedures" found at http://www. Ncbi. Nlm. Nih. Gov/pubmed/19153287 cheers!
Endoscopic brow lift. Most brow lifts are done endoscopically these days. The problem is the high hairline whichshould be adressed. I would love to see apicture of the hair line. It may be done openly to excise some skin possibly.
Yes. Endoscopic browlifts, carefully done, can yield very nice results without appreciable elevation of the hairline. This is because unlike open browlifts, no scalp is removed. The balance between brow elevators and brow depressor muscles is changed so the brows rise naturally. The hairline generally does not rise significantly.
Small hairline shift. Endoscopic brow lift minimally shifts the hairline. If you want the hairline lowered with a brow lift it is possible with a pretrichial lift with an incision at the hairline. It leaves a longer scar than with an endoscopic lift and has a higher risk of long term scalp numbness.
Hairline will rise. The endoscopic browlift does raise the hairline. The question is how high your hairline already is and how much elevation is acceptable for you. I hope this information is helpful. Stephen weber, M.D. Lone tree facial plastic surgeon.