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(Endoscopic Coronoplasty/Browplasty)

The indications

A drooping or sagging brow, infrabrow fullness, deep horizontal creases of the forehead, or a deep crease between the eyebrows can make a man or woman’s face look angry, tired or sad. These indications can accompany other signs of aging, or may present themselves as independent features. A browlift thus can be done in conjunction with other facial rejuvenation procedures or it can be an isolated procedure. A thin or receding hairline may require special techniques in order to hide the scars, but it is not a contraindication for surgery.

The procedure

The forehead or browlift repositions the soft tissues of the forehead and thereby changes the position of the eyebrows. The muscles of facial expression are also modified at the same time. The goal is to create a more youthful and alert appearance. The more conservative the lift, the less the likelihood of creating the over elevated “surprised” look.

There are several browlift techniques, but the two most common are the open coronoplasty and the endoscopic coronoplasty. The former involves making a long horizontal incision within the scalp or at the edge of the hairline depending the height of the forehead and hair density. The latter technique utilizes three to five small incisions in the scalp and the use of an endoscope to modify the muscles. There is also a temporal lift that corrects only the lateral brow. This technique is performed through an incision in the temporal scalp above the ear. The tissues are elevated and held in place with either sutures, or other fixation devices.

The type of technique used is dictated by the amount of soft tissue excess present. The endoscopic procedure is usually performed when there is only small to moderate amount of redundancy. Whereas, the open approach is utilized when there is a marked amount of sagging. Dr. Watanabe uses the endoscopic approach for the majority of his patients.

The forehead and browlifts are done on an outpatient basis with either intravenous sedation or general anesthesia.

You can expect

There are no dressings with this procedure; just antibiotic ointment on the sutures. You will need to sleep with your head elevated for at least two weeks and apply ice to your forehead and eyes for the first few days. These maneuvers help reduce swelling and discomfort. There will be bruising, but only on the eyelids. The discomfort is similar to a headache. The sutures and staples are removed in 10 days. You can resume light activity at about 7 days. There will be temporary numbness of the forehead and scalp. You may notice some asymmetry of the forehead and some thinning of the hair at the incision site but these will correct over time.

Other Options

Facelift, Eyelid lift, Chemical Peel, Laser resurfacing

A word about financing

Forehead or Brow lifts can be made very affordable through our partners at CareCredit. Visit them at Patty would be happy to answer any of your questions or assist you with the necessary paperwork.

Insurance Notes

A forehead or brow lift is considered purely aesthetic and as such is not covered by insurance.



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