As aging facial muscles and skin lose tone, excess forehead skin is pulled downward by gravity, crowding the eyebrows. Lacking the supple elasticity characteristic of youth, the heavy excess skin pushes the eyebrows lower over the eyelids, making the skin of the eyelids wrinkle, as well. Frowning causes additional lines that form between the eyebrows. Over time, these frown lines can become quite noticeable, giving a perpetually angry or worried appearance. There is a natural tendency to use the forehead muscles to hold the eyebrows up so the brow and eyelid skin do not obscure vision, but this continual effort can cause deep furrows to form in the forehead. Dr. Mack and Dr. Mueller perform the endoscopic brow lift to relieve deep furrows in the forehead, brows, and eyelids. This surgery helps relieve the angry or worried appearance caused by frown lines between the eyebrows.
The primary advantage of selecting an endoscopic brow or forehead lift is the ability to place smaller scalp incisions behind the hairline, which are minimally invasive compared with larger incisions used in coronal or direct brow lifts. The endoscopic procedure minimizes the complications sometimes associated with a coronal brow lift, such as scarring, hair loss, and numbness of the posterior scalp. This revolutionary surgical procedure is used to elevate the eyebrows, smooth the forehead, and reduce the effects of muscle contraction in the area between the eyebrows. It can be combined with other facial plastic surgery operations such as eyelid surgery, facelift surgery, and laser skin resurfacing, depending on the patient’s desired results.
After the patient is comfortably anesthetized, several small incisions are made behind the hairline of the scalp, allowing an endoscope access to the area to be treated. Despite the small incisions, the endoscope provides continuous visualization of the surgical field. When appropriate, the muscles between the eyebrows can be reduced to minimize further the frown lines that form in this area. The hairline is not altered during endoscopic browlift surgery, ensuring a natural appearance. In addition, the minimally invasive incisions lead to less swelling and bruising during the healing process, accelerating healing.