A brow and forehead lift is performed using a wide variety of methods: coronal, endoscopic, trichophytic, temporal, direct, and transblepharoplasty. The best method for you will depend on several factors, including age, gender, skin texture, forehead length, hair loss pattern, and degree of dropping. But as with most of his work, Dr. Sedgh will also consider your facial symmetry and other features, as his aesthetics philosophy is centered around creating harmony with the rest of the face to achieve a graceful aging appearance.
While all of these methods can achieve the same results, it is important to take individual factors into account to ensure the quality and longevity of the outcome.
The open approach consists of several techniques, including coronal, trichophytic, temporal, and direct brow lift. It is usually accomplished by creating a long incision from one ear to the other, either along the hairline or within the creases of the forehead. The skin will then be removed or adjusted to achieve the desired results.
An endoscopic brow lift starts with short scalp incisions behind the hairline. An endoscope—a small pencil-like camera—will then be inserted into one of the incisions to examine the tissues and facial muscles. Special instruments will also be inserted to lift the skin carefully and to make the necessary alterations.
A brow and forehead lift normally take up to two hours to complete, but it will still depend on the techniques used and the severity of the patient’s case.