Endoscopic Forehead and Brow-Lift Surgery for Male Patients

Abstract

We describe endoscopic forehead and brow-lift surgery for male patients. The endoscopic approach to the male forehead and brow-lift differs distinctly from the female lift. One difference is the consideration for placement of the incisions with respect to male pattern baldness. Another is the elevation of the brow on the orbital rim. Men often possess deeper forehead rhytids which are resistant to flattening out. The approach described allows for an easy solution by scoring of the tissue parallel to the rhytid in the subgaleal plane endoscopically. Our endoscopic technique uses both subgaleal and subperiosteal planes in a composite dissection. With this approach, the surgeon has the ability to regulate the elevation of the brow and deal with rhytids. Our experience with this method involves five male patients aged 44–56 years. Their chief complaints were excessive wrinkles of the forehead and a scowl appearance. To date, there have been no complications including infections, hair loss, or nerve injuries. All of the scars are well camouflaged within the hairline, with good wound healing. All patients have been pleased with the results of their surgery.