Endoscopic Brow Lift
The use of small telescopes or endoscopes utilize fiber-optic technology and TV monitors to magnify the operative field. The use of endoscopes allows for better visualization and aid in the surgical procedure.
The use of endoscopes has revolutionized many specialties in medicine. One of the main advantages of endoscopic brow lift surgery is smaller incisions, in contrast to traditional larger coronal incisions. Smaller incisions may lead to faster recovery, less bruising, less swelling, less hair loss, less discomfort and less scarring. The procedure utilizes four 1.5 em incisions on the top of the scalp and two on the side. During this operation, the muscles of frowning called the Corrugator and Procerus muscles are sectioned under direct endoscopic vision. Once the tissues are released, they are anchored using small bio-absorbable screws. Elevation of the brows helps restore the aesthetic balance of the upper face and eyes. The goal is to achieve a natural, soft, and rested appearance.
Who Benefits From A Brow Lift
The patient usually presents with concerns of upper eyelid heaviness. Some complain of having a tired, sad or even an angry look, while some might just complain of excessive heaviness over the eyes. Many patients do not realize the role of heavy brows. The brow drooping or “ptosis” may be seen as a result of the natural aging process, inheritance, or a combination of both. The goal is to achieve a softer, rested and natural look.
Facial analysis is approximately 90 minutes. The goal of a brow lift is to look natural and refreshed while avoiding an artificial, unnatural and operated “surprised” look.
Procedure & Recovery
The surgery is performed in the operating room. The procedure takes approximately 90 minutes. In most cases we utilize IV sedation or “twilight” sleep anesthesia. After the surgery, the patients have a head dressing which is removed the following morning. There is no need for drains or tubes. The incision lines are placed behind the hairline and the sutures are removed in 7 days. In most cases, patients are usually able to return to the public in about 7 to 10 days. Most swelling resolves in the first 2 weeks and minimal bruising is sometimes seen. The results are long lasting and compare favorably to the older and more invasive techniques. Dr. Adler has been performing endoscopic brow lift operations for over 10 years.