eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Cosmetic Surgery

Endoscopic Forehead Lift: Follow-up

Author: Keith A LaFerriere, MD, Clinical Professor, Fellowship Director, Department Otolaryngology-Head and Neck Surgery, University of Missouri at Columbia
Coauthor(s): Matthew A Kienstra, MD, Clinical Faculty, Department of Otolaryngology/Head and Neck Surgery, University of Missouri; Director, Facial Trauma Services, St John's Health System; Consulting Physician in Facial Plastic Surgery, St John's Clinic; Timothy F Kelley, MD, Assistant Clinical Professor, Department of Otolaryngology-Head and Neck Surgery, University of California at Irvine Medical Center
Contributor Information and Disclosures

Updated: Jul 10, 2009

Outcome and Prognosis

The outcome of this procedure is usually satisfactory, and most patients with realistic goals are happy with the results. Long-term follow-up studies are scarce; however, in the authors' experience, good results usually last for years. Because this procedure has been performed only since 1994, only 5- to 6-year follow-up results are available at this writing. In most cases, results can still be appreciated 5-6 years after the procedure.

Future and Controversies

The endoscopic brow and forehead approach is also being used to rejuvenate the upper part of the face in the malar and midfacial region. Extension of the techniques of endoscopic forehead and brow lifting will undoubtedly involve access to other regions of the face.

Controversies related to this procedure are discussed above and generally involve fixation techniques, planes of dissection, and the extent of forehead and brow release.

 


More on Endoscopic Forehead Lift

Overview: Endoscopic Forehead Lift
Workup: Endoscopic Forehead Lift
Treatment: Endoscopic Forehead Lift
Follow-up: Endoscopic Forehead Lift
Multimedia: Endoscopic Forehead Lift
References
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References

  1. Vasconez LO, Core GB, Gamboa-Bobadilla M, Guzman G, Askren C, Yamamoto Y. Endoscopic techniques in coronal brow lifting. Plast Reconstr Surg. Nov 1994;94(6):788-93. [Medline].

  2. Puig CM, LaFerriere KA. A retrospective comparison of open and endoscopic brow-lifts. Arch Facial Plast Surg. Oct-Dec 2002;4(4):221-5. [Medline].

  3. Dyer WK Jr., Yung RT. Botulinum toxin-assisted brow lift. Facial Plast Surg. Aug 2000;8(3):343-54.

  4. Byrne PJ. Efficacy and safety of endotine fixation device in endoscopic brow-lift. Arch Facial Plast Surg. May-Jun 2007;9(3):212-4. [Medline].

  5. Honig JF, Frank MH, Knutti D, de La Fuente A. Video endoscopic-assisted brow lift: comparison of the eyebrow position after Endotine tissue fixation versus suture fixation. J Craniofac Surg. Jul 2008;19(4):1140-7. [Medline].

  6. Romo T 3rd, Sclafani AP, Yung RT, McCormick SA, Cocker R, McCormick SU. Endoscopic foreheadplasty: a histologic comparison of periosteal refixation after endoscopic versus bicoronal lift. Plast Reconstr Surg. Mar 2000;105(3):1111-7; discussion 1118-9. [Medline].

  7. Beer GM, Putz R, Mager K, Schumacher M, Keil W. Variations of the frontal exit of the supraorbital nerve: an anatomic study. Plast Reconstr Surg. Aug 1998;102(2):334-41. [Medline].

  8. Dayan SH, Perkins SW, Vartanian AJ, Wiesman IM. The forehead lift: endoscopic versus coronal approaches. Aesthetic Plast Surg. Jan-Feb 2001;25(1):35-9. [Medline].

  9. Foustanos A, Zavrides H. An alternative fixation technique for the endoscopic brow lift. Ann Plast Surg. Jun 2006;56(6):599-604. [Medline].

  10. Hwang IP, Pratt DV, Jordan DR. Cerebrospinal fluid leakage during endscopic forehead lifting. Am J Ophthalmol. Oct 1999;128(4):531-2. [Medline].

  11. Morgan JM, Gentile RD, Farrior E. Rejuvenation of the forehead and eyelid complex. Facial Plast Surg. Nov 2005;21(4):271-8. [Medline].

  12. Nassif PS, Kokoska MS, Homan S, Cooper MH, Thomas JR. Comparison of subperiosteal vs subgaleal elevation techniques used in forehead lifts. Arch Otolaryngol Head Neck Surg. Nov 1998;124(11):1209-15. [Medline].

  13. Newman JP, LaFerriere KA, Koch RJ, Nishioka GJ, Goode RL. Transcalvarial suture fixation for endoscopic brow and forehead lifts. Arch Otolaryngol Head Neck Surg. Mar 1997;123(3):313-7. [Medline].

  14. Ramirez OM. Why I prefer the endoscopic forehead lift. Plast Reconstr Surg. Sep 1997;100(4):1033-9; discussion 1043-6. [Medline].

  15. Sullivan MJ. Male brow surgery. Facial Plast Surg. Nov 1999;7(4):421-9.

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Further Reading

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Keywords

endoscopic forehead lift, forehead lift, brow lift, face lift, endoscopic brow lift, endoscopy, endoscopic face lift

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Contributor Information and Disclosures

Author

Keith A LaFerriere, MD, Clinical Professor, Fellowship Director, Department Otolaryngology-Head and Neck Surgery, University of Missouri at Columbia
Keith A LaFerriere, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, and Missouri State Medical Association
Disclosure: Nothing to disclose.

Coauthor(s)

Matthew A Kienstra, MD, Clinical Faculty, Department of Otolaryngology/Head and Neck Surgery, University of Missouri; Director, Facial Trauma Services, St John's Health System; Consulting Physician in Facial Plastic Surgery, St John's Clinic
Matthew A Kienstra, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, and American Rhinologic Society
Disclosure: Nothing to disclose.

Timothy F Kelley, MD, Assistant Clinical Professor, Department of Otolaryngology-Head and Neck Surgery, University of California at Irvine Medical Center
Timothy F Kelley, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery and American Academy of Otolaryngology-Head and Neck Surgery
Disclosure: Nothing to disclose.

Medical Editor

Jennifer P Porter, MD, Assistant Professor, Department of Otorhinolaryngology, Division of Communicative Science, Chevy Chase Facial Plastic Surgery
Jennifer P Porter, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and Texas Medical Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Dean Toriumi, MD, Department of Otolaryngology, Associate Professor, University of Illinois Medical Center
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown; Axis Three Corporation Ownership interest Consulting; Omni Biosciences Ownership interest Consulting; Sentegra Ownership interest Board membership; Syndicom Ownership interest Consulting; Oxlo  Consulting; Medvoy Ownership interest Management position

 
 
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