Types of Brow Lift Surgery
There are several different types of brow lift surgery and all of them can correct a furrowed or wrinkled forehead. They differ in the locations of incisions, the size of the incisions, and in how much correction to the forehead they can provide. The decision of which one is best for you is one that should be made by you and your surgeon together.
Here are some brow lift procedures and techniques:
- Endoscopic Brow Lift: This type of brow lift is more likely to be used on younger individuals who may not need much change in their appearance, but who have furrowing that makes them look as if they are continually scowling. Usually your surgeon will make four short incisions behind your hairline, where they will be hidden by your hair. A tiny camera called an endoscope and tiny operating instruments are inserted through these incisions. The surgeon can weaken muscles that cause a scowling appearance and can lift the forehead, but may not be able to alter muscles that cause horizontal lines on the forehead. Excess skin is usually not removed with an endoscopic brow lift. The disadvantages of using an endoscopic technique are that large changes in the brows and forehead may not be possible and that there is a greater chance the brows and forehead will droop again in the future than with other types of brow lifts.
- Endoscopic Technique with Suture Suspension: The only difference from the basic endoscopic brow lift is the use of permanent suture material to suspend muscles and tissue in the desired position. This is accomplished either by suturing directly through the muscle or suspending the muscles with sutures from tiny screws secured to the skull. These screws may be removed later or may be slowly absorbed by the body.
- Full Coronal Brow Lift: The coronal brow lift is the type that has been in use the longest. In this type of brow lift, the surgeon makes an incision behind the hairline from one ear to the other. The surgeon can move or alter the brow muscles that cause lines on the forehead and also can remove excess skin or scalp. The most significant advantage to this type of brow lift is that it rarely needs to be repeated—the results are lasting. However, you may experience numbness on the top of your head around the incision. The procedure also raises the hairline, which can be a problem if you already have a high forehead. If you are a man with a receding hairline, the scar could be visible eventually.
- Subcutaneous Brow Lift: This type of lift is not as commonly used as other brow lift types. Here, the incision is made across the top of the forehead, just at the hairline. The rest of the surgery is like the coronal lift. Excess skin can be removed. The hairline stays where it is and usually numbness does not occur. However, the scar can be visible, and you may need to wear your hair brushed forward or wear bangs after this type of surgery. Some surgeons claim the use of a slanted incision in this brow lift technique leaves less of a scar.
- Temporal Brow Lift (also called a lateral lift or lateral brow lift): This type of brow lift uses incisions placed in the hairline at the temples. The skin and underlying tissues are pulled to the side and diagonally up and away from the center of the face. Excess tissue or skin can be removed. This type of lift can smooth out small wrinkles in the forehead, around the eyes and in the area between your eyebrows at the top of your nose (the glabella). A temporal brow lift can also be used to restore a firmer look to the face by lifting and tightening the skin around the cheeks. It is less invasive than a coronal technique. It is best for people whose brows droop at the outside corners, since it does not move the center or middle of the brows. However, if too much pulling is done, you could be left with an odd "cat's eye" or exotic appearance.
- Temporal Brow Lift (also known as lateral brow lift) with Suture Suspension: This technique is similar to the temporal brow lift, but it uses permanent sutures to suspend muscle and tissue in the desired position.
- Corrugator Excision: This is a procedure that can be done in conjunction with a brow lift to keep you from furrowing your brow and glabella. This procedure involves the removal of the corrugator muscle to create a desired effect.