Should I have an open or endoscopic forehead lift?
It’s astounding that some surgeons insist on performing the open forehead lift after it was essentially replaced by the endoscopic forehead lift in the early 1990s. The closed forehead lift, or endoscopic forehead lift, is just as effective if not more so than the traditional yet outdated open forehead lift, with added benefits: faster healing time, no long term numbness of the scalp, no hair loss, and no scar arching over the head from one ear to another. The open forehead lift, also known as the coronal forehead lift, is undoubtedly oversurgical – the effects can be unnaturally excessive and it leaves a long, unsightly scar often accompanied by permanent numbness.
Some excuse this scar because it can be “hidden” under the hair, but the problem here is that the human eye and brain are amazingly capable of discerning the unnatural patterns of hair growth that result from this surgery. Even with a carefully designed, beveled incision through the hairline’s edge that allows hair to grow through the scar, the eye perceives something amiss. The hair is not as dense here, and for those opting for micrografted hair in this area, be warned that the uncontrolled compression and lack of random placement is easy for the eye to notice. Lacking the relevant technical experience, others may not be able to describe what they are seeing, but they will think to themselves that something isn’t quite right about your hairline. Those in favor of open forehead surgery argue that it is superior because it doesn’t push back the hairline. However, it is nearly always better to push the hairline back a tiny five milimeters than to have an altered hairline and huge scar that even the best of surgeons cannot render natural in appearance.
The results of an endoscopic forehead lift last just as long as the open forehead lift, with the added advantages of faster healing, no hair lass, an extremely low risk of numbness, and no visible scarring.
What’s the difference between an open and closed forehead lift?
In short, the open forehead lift places the hairline slightly lower but creates an unnatural-looking hairline. The endoscopic or closed forehead lift places the hairline subtlely higher while retaining a natural pattern in the hairline. The endoscopic forehead lift offers faster healing time and far fewer complications because it is a minimally invasive technique, whereas the open forehead lift can be categorized as oversurgical. Recovery from the endoscopic forehead lift is 5 times faster than the open forehead lift. The endoscopic forehead lift presents a larger learning curve for surgeons and takes longer to perform until mastered, so some have been resistant to transitioning to this superior method.
How long does a forehead lift last?
As with any cosmetic surgery, an endoscopic forehead lift will set back your aging clock, restoring and extending a youthful appearance, but it cannot completely stop the clock, and gravity and sun exposure will continue to affect you. You can expect your results to be long lasting and benefit you for five to ten years after surgery. Even when the effects start to diminish, you can be guaranteed that you’d look much worse had you never undergone this procedure. Thus an endoscopic forehead lift can be seen as twofold in purpose: it immediately improves the aesthetic appearance of your face, and it prevents you from looking excessively aged in the future.
Am I a candidate for an endoscopic forehead lift?
As we always say, only a personal consultation can tell you for sure, but some good indications of requiring a forehead lift are heavy brows, deep-set or hidden eyes, and wrinkled or sagging forehead skin. In some cases Microdroplet™ BOTOX® treatment or eyelid surgery may be more appropriate, as each of these procedures can affect similar areas. This really depends on the severity of your issue and other individual circumstances. The only way to know for sure is to obtain an individualized consultation from a highly qualified cosmetic surgeon who will examine you and then talk with you about your goals and concerns.
If you had a forehead lift years ago and the effects have worn off, you can receive another if a consultation with a qualified doctor demonstrates that one is necessary. Even if your last forehead lift was coronal, you may still benefit from a closed forehead lift today.
We cannot overemphasize the fact that what is best for one person may not be best for you. While reading reliable information is certainly beneficial, it can never replace the advice obtained from a face-to-face appointment with an actual doctor.
How can I find a doctor who performs endoscopic forehead lifts?
You must directly ask potential surgeons if they perform endoscopic forehead lifts. Also be sure to inquire as to which they perform – open or closed forehead lifts. If they routinely administer the open forehead lift, you should be suspicious. There are a very few exceptional situations for which the open procedure is most appropriate, but the best surgeon will tell you that these cases are rare and that he or she provides many more closed than open forehead lifts. Find a surgeon who recognizes the superiority of the effective, minimally invasive closed forehead lift.
Dr. Steinsapir is such a doctor who understands the importance of administering an endoscopic forehead lift instead of a coronal one. He constantly seeks solutions that involve minimal down time, maximum comfort, and the most natural results for his patients. Dr. Steinsapir’s forward-thinking leadership is not new – in fact, he has been a lead performer of the small incision endoscopic forehead lift since 1990. People from Beverly Hills, Los Angeles, and all over the world routinely travel to his practice to receive the best cosmetic eyelid and forehead treatments available. Contact us today to schedule a consultation and have your questions and concerns addressed with honesty, care, and expertise.