What to Expect from Your Brow Lift Surgery
The main difference among the various options for forehead lifting is in the placement of the incision. The original technique is the coronal incision, which is made slightly behind the natural hairline. An alternative is the pre-trichial incision. This is similar to the coronal incision except that the mid-portion of the incision is made directly at the hairline. This incision generally heals favorably and has the advantage of lowering the hairline. The disadvantage could be noticeable scarring. An option is to place the incision within the midforehead creases. This is primarily used in men with deep pre-existing forehead lines.
The newest approach is endoscopic surgery. Four to five small one-half-inch to one-inch incisions are placed just behind the hairline. Through these the forehead and brows are released and elevated with special instruments. This technique is less invasive and results in a smaller chance of temporary scalp numbness. Dr. Ferguson performs over 90% of his browlifts this way. This procedure takes less than one hour to perform. It is most commonly performed in our facility with local anesthetics. It is usually combined with other procedures.