Question:
I am a woman with a high brow line. How can a forehead lift be performed on me so that my scars are not as visible?
Answer:
The biggest consideration that needs to be made with regards to brow lift surgery is whether the surgery should be performed endoscopically or open. I typically like to perform endoscopic brow lifts as I feel that the incisions are smaller, there is a lack of scalp numbness following the procedure, and most importantly, I can achieve excellent results with an endoscopic brow lift. One particular situation that I may elect to perform an open brow lift is in a female with a high hairline. The reason for this is that when the brow and forehead are elevated, the hairline will also elevate and this may give an abnormally high hairline post brow lift surgery. I can avoid this by performing a pre trichal (pre hairline) brow lift. The pre trichal approach will actually lower the hairline relative to the height of the brow and the scar is well camouflaged with the natural frontal hairline.