THE FOREHEAD LIFT PROCEDURE
The original forehead lift technique is called the "open browlift". It involves making an incision across the top of the scalp, behind the hairline, from the top of one ear across to the other. If the hairline has receded, the incision can be placed along the actual hairline, which can, in effect, lower the hairline. The endoscopic brow lift has become the most commonly used technique. Rather than making a long scalp incision, the surgeon makes 3 to 5 much smaller incisions behind the hairline. A camera device and the endoscope is used to visualize the operative site. The forehead and brow regions are then freed-up as would be done with the open technique. The brow can then be lifted to an optimal position. It is secured in position typically with small, dissolvable devices called endotines, which are anchored to the bone and hold the forehead in place during the healing period. They gradually dissolve over 8-9 months, but the brow position is maintained, usually for many years. These surgeries are typically performed under a light, general anesthesia, or occasionally under local anesthesia with IV sedation.