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The following is information regarding endoscopic browlift which is important to review, understand and discuss with family and/or friends before choosing to proceed with this surgery.

GOALS OF ENDOSCOPIC BROWLIFT: The purpose of endoscopic browlift is to correct drooping eyebrows and, where necessary, to reduce forehead creases. In any given patient these goals may be only partially met.

LIMITATIONS TO THE PROCEDURE: Endoscopic browlift surgery is designed to be done through multiple small vertical incisions at or just behind the hairline. Through these small incisions the muscles in the central area of the forehead creases are reduced to diminish their activity. In addition, the supporting layer of the forehead skin is tightened to elevate the eyebrow position. The procedure is not designed to remove deep creases which are the result of muscular activity. In particular, the transverse or horizontal creases in the forehead twill not be removed. Deep forehead creases in general will be somewhat diminished, but not removed. Eventually through the effects of aging, gravity and residual muscular activity the eyebrow position will become lower.


ALTERNATIVES TO THE PROCEDURE: In some patient the degree of eyebrow descent is so severe that endoscopic browlift procedures cannot completely improve the brow position. In these patient's, incisions behind the hairline which allow more radical repositioning of the eyebrows might be recommended. The procedure itself will not remove redundant upper eyelid skin or reduce fatty deposits around the eyes. In some patients forehead wrinkling, if not severe, can be treated with laser resurfacing or chemical peels. In some patients the general appearance around the eyes can be improved with eyelid surgery alone without eyebrow repositioning. As this is an elective procedure, no treatment is an option which will obviously result in no change in the appearance of the eyes and/or eyebrows.

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