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Which Brow Lift Suits You Best?

by | Feb 5, 2013 | Blog, Browlift

If you’ve done any research on the brow or forehead lift and what it involves, you know that there are different types of brow lifts. These different techniques can be used to achieve almost the same results as far as the brow lift goes, but with different effects on your appearance, either now or later. Endo-coronal brow lifts, hairline or trichophytic brow lifts and endoscopic brow lifts are three terms that you’d have commonly encountered in your research. These are the three techniques that Dr Marcells uses in his practice.

How do you know which type of brow or forehead lift is right for you? This blog post compares and contrasts these three different techniques. It will also discuss factors Dr Marcells takes into consideration when recommending a specific procedure to a patient seeking a brow lift.

If you want more information on brow lifts, you can find this information in our Brow Lift article in the treatment section of this website. The article also briefly explains the three types of brow lifts detailed here.

Open Brow Lift or Endoscopic Brow Lift?

Brow lifts can be achieved with open techniques, typically with long incisions, or endoscopically, with much smaller incisions.

Dr Marcells does not use a standard coronal brow lift technique but prefers a fusion of the endoscopic and coronal procedures which provides the benefits of the coronal browlift with a smaller incision.

With open techniques the incisions are made near the top of the head hairline or sides of the head. During endoscopy procedures, the operation is performed using tiny instruments inserted into the forehead area through the small incisions, aided by using a camera to project the operation onto a computer screen.

In Dr Marcells’ experience, open procedures have fewer post-surgical complications than endoscopic brow lifts. He prefers the open brow-lift techniques—endo-coronal or trichophytic brow lifts—over endoscopic lifts because he believes they are extremely effective for upper-face rejuvenation. When these procedures are performed correctly, they result in high rates of patient satisfaction. His conclusions are also supported by peer-reviewed published research, some of which show that open methods have fewer complications.

Endo-Coronal Brow Lift

What it is and what it does

The coronal brow lift is the classic brow lift technique. It is also the gold standard against which results of other brow lifts are compared. It elevates the eyebrows and smoothes the forehead, producing longer lasting results than other techniques.

The endo-coronal brow lift is achieved through an incision placed in the scalp just behind the hairline. The scar will be in the scalp a little behind your hairline, leaving no visible scars on your face. Because the brow lift is achieved by removing excess skin from the area with hair, you will lose strips of hair. Your hairline is also going to be moved up about half an inch as a result.

Best suited for

The endo-coronal brow lift is best suited to men and women with thick hair. Women who wear a fringe and other hairstyles that cover the top of the forehead will find this technique ideal.

It is not recommended for men with male pattern baldness or anyone with a receding hairline.

Hairline or Trichophytic Brow Lift

What it is and what it does

The trichophytic or hairline brow lift is also a modified version of the coronal brow lift. In this procedure the wavy line incision is hidden at the forehead and hairline junction. The skin that is removed comes from the forehead, causing no direct hair loss. A trichophytic brow lift does not raise the hairline, overcoming the key disadvantage of the endo-coronal brow lift. Dr Marcells makes a bevelled incision at the hairline, which allows the hair to regrow naturally through the incision location and hide any signs of surgery.

In some cases, it is even possible to move the hairline forward to create a more youthful appearance.

Best suited for

The trichophytic brow lift is a great choice for smoothing out deep horizontal forehead lines. It is best suited to women with tall foreheads and high hairlines. Women who wear their hair with a fringe or other hairstyles that cover the forehead area will also find this to be a good fit.

The trichophytic technique is especially valuable for those seeking revision procedures, particularly if the hairline has already been elevated to or above an acceptable level.

Endoscopic Brow Lift

What it is and what it does

The endoscopic brow lift elevates the brow without removing any skin.

Endoscopic techniques use multiple small incisions hidden behind the hairline. An endoscope or tiny camera device is inserted inside the forehead through the incisions. It uses high-resolution telescope technology to project the internal images onto a screen. The brow lift is performed using very small instruments that are also inserted inside via the incisions. The forehead is repositioned, then secured in an elevated position and stabilised.

The greatest advantage of the endoscopic brow lift is that the several tiny incisions are all hidden in the scalp behind the hairline.

Best suited for

The endoscopic brow lift is a good option for people who are in their 30s and have minimal droopiness in the forehead area.

Male and Female Differences

The brows are structured differently in men and women. Men have lower and thicker eyebrows. They have relatively flat foreheads and a bony protrusion (brow ridge) above their eyes. Women have thinner eyebrows, placed higher above the eyes. They tend to have curvier foreheads and no prominent bony ridges.

Not only do these differences lead to different appearances, they also mean that the techniques need to be tailored for people of different sexes.

Ideally, in a woman, the aim is to have the outer third of the brow lie 5 to 10 cm above the bony rim. This slight raising or arching towards the end looks better in females. In males, by contrast, the outer third of the brow should lie alongside the orbital rim. Raising the outer end can make a man look feminine.

Brow Lift Personally Tailored for You

As well as the differences between the sexes, there tends to be a lot of individual variation in brow structure. Beyond the limitations caused by the underlying skull formation, your facial plastic surgeon also has to deal with the effects of ageing, skin and muscle loosening and gravity.

In performing a brow lift, therefore, Dr Marcells tailors the chosen brow lift technique to suit your individual needs and is focussed on achieving the best possible outcome for you.

For more information

If you need more information or wish to make an appointment with Dr Marcells, please contact us on 1300 555 095, email or using the ‘book consultation’ feature of this website.

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Meet Dr Marcells

MBBS (Syd), FRACS (ORL-HNS)
Past President – Australasian Academy of Facial Plastic Surgeons

Dr George Marcells is known for excellence in facial plastic surgery and is considered a true master of rhinoplasty. He performs advanced surgical techniques to restore balance and harmony to the face and can also resolve functional issues such as breathing difficulties.

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