I would like a brow lift. I have forehead wrinkles…

Question:
I would like a brow lift. I have forehead wrinkles, and I think it would pull up my brows just a bit so that they don’t overshadow my eyes as much. I have read about the endoscopic browlift. I understand that the incision is in the hairline, but I don’t understand the procedure after that. What happens and what type of sedation is necessary?

Answer:
The endoscopic brow lift is performed by placing incisions into the scalp behind the hairline. Through these incisions small endoscopes are placed so that all surgical dissection of the forehead and eyebrow is performed beneath the skin and other layers of the forehead. Once all of the tissues are released from the skull and appropriate surgical dissection is performed, the brows will elevate to the desired surgical position. When performing endoscopic brow lifts, I use a small screw that stabilizes the brow in its newly elevated position. The screw is made of a complex sugar that is very strong for several weeks, but eventually dissolves once the brow and forehead have healed to their new rejuvenated position. The idea of using endoscopes in forehead and facial surgery is to accomplish a great deal of surgical dissection and facial aesthetic improvement through small incisions. Using smaller incisions for the brow lift helps reduce postoperative scalp numbness and decreases the time for recovery while not compromising any of the surgical results seen in an open brow lift approach.

Posted by Dr. Philip Schoenfeld