• Home
  • Practice Focus
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
    • How I Do It
    • TRIO Best Practices
  • Business of Medicine
    • Health Policy
    • Legal Matters
    • Practice Management
    • Tech Talk
    • AI
  • Literature Reviews
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Career
    • Medical Education
    • Professional Development
    • Resident Focus
  • ENT Perspectives
    • ENT Expressions
    • Everyday Ethics
    • From TRIO
    • The Great Debate
    • Letter From the Editor
    • Rx: Wellness
    • The Voice
    • Viewpoint
  • TRIO Resources
    • Triological Society
    • The Laryngoscope
    • Laryngoscope Investigative Otolaryngology
    • TRIO Combined Sections Meetings
    • COSM
    • Related Otolaryngology Events
  • Search

Endoscopic Brow Lift: Safer, Easier, and Better for Patients

by Margot J. Fromer • October 1, 2006

  • Tweet
  • Click to email a link to a friend (Opens in new window) Email
Print-Friendly Version

The forehead skin is lifted, the corrugator and procerus muscles cut, and the brow repositioned. Other muscles and tissues may be released from their attachments around the orbital rim and the temple. The entire forehead is then lifted vertically and secured by small metal posts, which are removed 10 days later. The incisions are closed with sutures or clips and removed in about a week. The face is washed and either bandaged or not, depending on the surgeon’s preference. Bandages are taken off in a few days so the patient can shampoo.

You Might Also Like

  • Mini Facelifts: Newer, Safer Procedures
  • Facial Plastic and Reconstructive Surgery: New Patients, New Reasons, New Techniques
  • The Voice Lift: Should vocal fold surgery be considered a cosmetic procedure?
  • Current Controversies in Rhinologic Surgery
Explore This Issue
October 2006
Figure. Before and after photos of two patients of Dr. Ricardo Rodriguez who underwent endoscopic brow lifts.

click for large version
Figure. Before and after photos of two patients of Dr. Ricardo Rodriguez who underwent endoscopic brow lifts.

The procedure usually takes no more than an hour and a half and is done on an outpatient basis in the surgeon’s office or outpatient surgery center. The patient can resume normal activities in a week or 10 days. Total recovery takes about thee weeks, although that, of course, varies. The lift itself lasts up to 10 years-although sometimes a lot less.

Dr. Ramirez said that numbness and hair loss are temporary and usually resolve within a few weeks or months. Swelling and recovery time are relatively short. Postoperative infection and bleeding are rare but not unheard of.

The most disturbing adverse event for the patient occurs during surgery. If there are a number of complications that cannot be resolved through the small incisions, the surgeon may have to abandon the endoscopic approach and switch to an open coronal procedure. This is disappointing for the patient because he or she will wake up with a much bigger incision and many more sutures than anticipated, but it happens less than 1% of the time.

Comparison with Traditional Lift

The major difference between the traditional (coronal) brow lift and the endoscopic procedure is the size and placement of the incision. A coronal lift involves an incision that extends from ear to ear on the top of the head, or if the patient is bald or has thinning hair, a mid-scalp incision that follows the natural pattern of the skull-so the resulting scar is less conspicuous. One of the advantages is that the surgeon can raise or lower the hairline as necessary, but a strong disadvantage is noticeable broad scarring that could necessitate additional surgery.

According to Al Aly, MD, a partner at Iowa City Plastic Surgery, the coronal procedure takes out a strip of skin in order to lift and smooth the remaining skin. The endoscopic procedure separates the skin from the underlying muscles and rotates it to provide the appearance of lift.

Pages: 1 2 3 4 | Single Page

Filed Under: Departments, Facial Plastic/Reconstructive, Medical Education, Practice Focus Tagged With: brow lift, endoscopy, facial, outcomes, pain, patient safety, plastic, reconstructive, rejuvenation, surgery, techniques, treatmentIssue: October 2006

You Might Also Like:

  • Mini Facelifts: Newer, Safer Procedures
  • Facial Plastic and Reconstructive Surgery: New Patients, New Reasons, New Techniques
  • The Voice Lift: Should vocal fold surgery be considered a cosmetic procedure?
  • Current Controversies in Rhinologic Surgery

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

The Triological SocietyENTtoday is a publication of The Triological Society.

Polls

Would you choose a concierge physician as your PCP?

View Results

Loading ... Loading ...
  • Polls Archive

Top Articles for Residents

  • Applications Open for Resident Members of ENTtoday Edit Board
  • How To Provide Helpful Feedback To Residents
  • Call for Resident Bowl Questions
  • New Standardized Otolaryngology Curriculum Launching July 1 Should Be Valuable Resource For Physicians Around The World
  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment

    • Otolaryngologists Are Still Debating the Effectiveness of Tongue Tie Treatment

    • Is Middle Ear Pressure Affected by Continuous Positive Airway Pressure Use?

    • Rating Laryngopharyngeal Reflux Severity: How Do Two Common Instruments Compare?

    • 22 Symptoms Common to Patients with Superior Canal Dehiscence Syndrome

    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment

    • Rating Laryngopharyngeal Reflux Severity: How Do Two Common Instruments Compare?

    • Is Middle Ear Pressure Affected by Continuous Positive Airway Pressure Use?

    • Otolaryngologists Are Still Debating the Effectiveness of Tongue Tie Treatment

    • Complications for When Physicians Change a Maiden Name

    • Excitement Around Gene Therapy for Hearing Restoration
    • “Small” Acts of Kindness
    • How To: Endoscopic Total Maxillectomy Without Facial Skin Incision
    • Science Communities Must Speak Out When Policies Threaten Health and Safety
    • Observation Most Cost-Effective in Addressing AECRS in Absence of Bacterial Infection

Follow Us

  • Contact Us
  • About Us
  • Advertise
  • The Triological Society
  • The Laryngoscope
  • Laryngoscope Investigative Otolaryngology
  • Privacy Policy
  • Terms of Use
  • Cookies

Wiley

Copyright © 2025 by John Wiley & Sons, Inc. All rights reserved, including rights for text and data mining and training of artificial technologies or similar technologies. ISSN 1559-4939