Answer:
There are several different types of incisions for brow lift.  Direct-just above the eyebrow which is not advised; mid-forehead- utilizing a forehead wrinkle line and is appropriate for men with a receding hairline and deep forehead rhytids; tricophytic-at the hairline which is appropriate for women with a high hairline; coronal- open incision in the hair; and endoscopic where the incisions are placed in the hair, are separated and smaller.  Endoscopic is the most common procedure performed today.  With a receding hairline either a mid-forehead of an endoscopic approach would be appropriate.

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Answer:
An endoscopic browlift utilizes smaller incisions confined to the hair and specialized instruments to elevate the forehead through these small incisions.  This results in a shorter recovery time, less numbness and less scarring.  A “regular” or open browlift is performed by placing an incision either in the mid-forehead, at the hairline or behind the hairline.  It is an effective procedure and can be appropriate in the right patient.  We perform most of our browlifts endoscopically. 

Answer:
It is possible that you would be a candidate for a mid-forehead lift, but a forehead lift of any type is designed to elevate the eyebrows, not eliminate wrinkles.  The type of forehead lift chosen depends on the height of the hairline and the level of the brow as well as other factors.  A mid-forehead brow lift is more often performed on men, but can be performed on women with a high forehead and deep wrinkles.  While a forehead lift is really performed to elevate the brow, it will improve wrinkles as well.  If the brow does not need to be elevated then the treatment for forehead lines would consist of skin care, botox, and skin resurfacing. 

Posted by Dr. Buckingham

Answer:
The lines your describing are consistent with frown lines. Even know you may not consider yourself a “frowner”, he may activate those muscles even in bright light. The first line of therapy for those lines is to use a neuromodulator such as Botox or Dysport. If he still has lines following relaxation of the muscle and a filler would be in order. Usually we will use a hyaluronic acid filler such as Restylane or Juvederm in those lines. If you continue to use a neuromodulator the filler will have excellent longevity on the order of 1-2 years.

Posted by Dr. Buckingham

Answer:
An endoscopic browlift is an excellent procedure even for men with receding hairline. The incisions can be sutured to produce a nearly invisible scar. Having said that, a mid-forehead brow lift is also an excellent option in men with horizontal forehead wrinkling. The procedure is performed by using a horizontal wrinkle to place an incision and remove skin to elevate the brow. A browlift is not to solution for forehead wrinkling however, it is the solution for depressed brows. If however the brows are low and wrinkling his present you may see some improvement in wrinkling as a side effect of browlift. A doesn’t necessarily mean that youe will not still require Botox to relieve the expressive nature of the forehead muscles.

Posted by Dr. Buckingham