Rhinoplasty and Sinus Surgery - Adjunctive Procedures - Endoscopic Browlift

II. ADJUNCTIVE PROCEDURES

II.D. Browlift

1. Endoscopic Browlift

One relatively new approach that is useful for a number of patients is the endoscopic browlift. In this approach, the procedure is performed using specially designed instruments including an endoscope, which allows the surgeon to perform a browlift through sev­eral small incisions hidden behind the hairline.b-'

The advantages of the endoscopic browlift are that the long incision used in the "coronal" and "in-front­of-the-hairline" lift (see below) is eliminated. The long incision of those browlifts is hidden by the hair, but there is always numbness (usually temporary) in the scalp behind this incision. The endoscopic browlift is a nice way to address mild to moderate brow droop­ing and is a commonly used approach, but it is not as effective when there is major brow drooping.

FIGURE 5. Endoscopic browlift and upper eyelid blepharoplasty (a,c) preoperative, (b,d) postoperative.

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