Coronal brow lift
Once the gold standard in forehead lifting, coronal brow lift involves removing a strip of scalp from ear to ear and removing the frown line. Then, the doctor pulls forehead skin-tight, causing elevation of the brows and diminished forehead wrinkles. Overall, the coronal brow lift achieves excellent results. However, the resulting scar across the scalp (from ear to ear) and the development of new techniques reduced the popularity of this method. Despite the complications with the “open” brow lift, some surgeons still use this approach as their preferred method of brow lifting. If you don’t mind the resulting scar, you might choose this procedure. On the other hand, if you do not desire a large scar, choose an endoscopic brow lift.
Endoscopic brow lift
Developed in the early 1990s, an endoscopic brow lift has the advantages of natural, long-lasting results with minimal scarring. The surgeon makes 5 small hairline incisions (1-2 cm each). This allows for elevation of the brows and resection of the frown muscles. Your skin and scalp stay without any removal. Two small, absorbable screws hold everything in place. Those screws disappear in a year. Suture removal happens in a week. Overall, recovery lasts 1-2 weeks. Since the endoscopic brow lift requires special training, choose a surgeon who has completed a special course in this technique. After performing endoscopic brow lifts for over 12 years, I believe this approach offers a superior, long-lasting aesthetic result with the least amount of complications.
We perform this procedure via an upper blepharoplasty incision. Also, it involves fixation of the brow with a bio-absorbable implant. This allows the patient to have an upper eyelid lift and brow lift in the office without the need for an endoscope. Sometimes we remove frown muscles with this approach. However, forehead lines will not be affected. Overall, the procedure takes less than 1 hour and has a 1-week recovery. Complications include movement of the fixation device. Currently, I use this technique in certain brow lift cases.
Feather lift/Thread lift
A newer, less invasive method of brow lifting involves the placement of sutures from the brow to the hairline. At the moment, these methods are undergoing intensive research. Some concerns include movement of the stitches and lack of longevity. Click here for more information.
Seeking forehead improvements? Choose a surgeon who has the training and sophisticated techniques needed to achieve results. In Cincinnati, Dr. Kurtis W. Martin has a 12-year experience of extraordinary results in performing forehead rejuvenation.