Dr. Schwartz performs all-endoscopic browlifts.
Browlift surgery has changed quite a bit in the past, probably 10 years. In that time, we have developed endoscopic techniques for browlift surgery, which has a number of advantages. The biggest advantage is that it avoids the necessity for a long incision that used to go across the top of the head, whether it was in the hairline or behind the hairline, because in using that incision, although it is really easy, it is probably easier to do that open approach, that procedure created numbness behind the incision line. So by using telescopes through three small incisions behind the hairline, which are really 1-2 cm incisions and then a small incision on each side in the temporal area of the scalp, we can insert endoscopes and instruments, do the surgery by watching on a video camera and find the nerve bundle on each side of the upper brow, preserve the nerve bundle, and then do all the lifting around the nerve, so that there is no numbness, there is minimal swelling and bruising, and there are no large incisions to heal and therefore no loss of hair around the incision. As part of this endoscopic procedure, we can go down between the middle of the brows and divide the muscles that create the wrinkles and divide the muscles that create the lines in the mid forehead and achieve lifting at the same time so that someone gets the desired cosmetic result of the elevated brow that also improves the upper lid and often we do not have to do upper lid surgery when we do a browlift, but it achieves these things while also alleviating or reducing a lot of the wrinkles and ageing signs between the brows and the forehead.