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How long do the results of an endoscopic brow lift last?

Q:

How long do the results of an endoscopic brow lift last?

A:

For most patients, it is expected that the results should last 10-12 years, although we have not been performing the procedure for quite this long, so the actual track record is yet to be established. However, given the tremendous benefits of this procedure when compared to the previously utilized open coronal brow lift, I can think of very few of my patients who would need or would actually choose to have an open lift when all of the risks and benefits of the two operations are compared.

A:

The endoscopic lift was developed in 1992 and was presented at the annual meeting of the American Society of Plastic Surgery that year in Washington DC and published the following year. In the beginning the results were not uniformly good but over time it has become a standard and effective procedure with good results in properly selected patients. I agree with the 10 to 12 year average length of time in terms of the longevity of  results which gradually deteriorate over time. I have seen some patients with only a 2 to 3 year result and I have one patient who is 15 years out and has had no need for relifting. A patients skin type and tissue integrity (i.e. elasticity) can be a actor as well as whether the surgeon uses fixation of the lift which seems to extend the result. 

A:

Hairline vs. Scalp Lift – A hairline brow lift is a procedure performed on patients that have ample hair, but have a high or long forehead. For this type of patient, it is a very good operative procedure. A transcoronal browlift is done on patients who have deep frown lines and a normal brow height. In general, these operative procedures are only reserved in these situations. Most of the time, I perform a minimally invasive, endoscopic brow or and endotemporal browlift.

A:

Longevity of Endoscopic Browlift – The longevity of an endoscopic browlift only may be several years versus an endotemporal may last 5-7 years. A transcoronal or hairline browlift can last 10 years or longer. This is dependent on the type of procedure the patient desires. I prefer pure endoscopic for the younger patients that do not require a lot of brow elevation just desire correction of the corrugator. Endotemporal procedures provide more temporal elevation in middle aged patients. Transcoronal procedures are for maximal elevation of the brow, correction of the deep frown lines and a short brow.

A:

 

erforming a limited incision lateral browlift that does not require the use of an endoscope. The relatively short incision is hidden behind the temporal hairline, and no incisions are required in the scalp directly above the eyes. The advantage is as follows: this approach allows me to not only redrape the lateral brow (conservatively!) in a higher position, but it also allows me to reposition the skin and soft tissues of the lateral periorbital area in an upward direction, producing a more complete rejuvenation of the periorbital area. Additionally, through this same incision I can perform suspension of the midface (cheek) if that is part of the surgical plan.

Rejuvenation of the brow by means of a lateral browlift will also, in most cases, improve the appearance of the upper eyelids. When the lateral brow is repositioned above the orbital rim, the vertical elevation may eliminate the appearance of wrinkled or 'crepey' upper eyelid skin. If the lateral upper lid skin is 'hooded' over the lateral corner of the eye, this improves as well. While upper blepharoplasty (upper lid skin excision) is often performed in concert with a lateral browlift, for many patients the upward positioning of the brow eliminates the need for skin excision.

 

A:

I feel good for the patient if their result is stable at 5 years. The skin is in these situations is the variable that cannot be controlled. Skin relaxes over time unless it is removed. We normally don't respect skin in the cases. That being said I feel endoscopic brow lifts are very good precedures for brow repositioning and stabilization.

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