Is An Endoscopic Browlift Reversal Possible?
Q: Dr. Eppley, 3 years ago I had an endoscopic brow lift. I didn’t like my hairline to be elevated so 2 years later I had a reversal done, with the same method. The surgeon released the forehead by making 2 incisions hidden in the hairline. But the surgery failed as my hairline is in the same position.
Would a second surgery help to bring my hairline and brows back down ? And why can’t it be entirely successful ? If it is possible to bring the hairline up, it should be possible to bring it back down?
Thank you for your time
A:What is not obvious in an endoscopic browlift is the extent of subperiosteal tissue release that is done underneath those two incisions. An endoscopic browlift reversal is possible but the key is that the entire scalp must be mobilized and then secured in a more forward position. It is very similar to that of a frontal hairline advancement…minus the frontal hairline incision. In short you had inadequate scalp mobilization and lack of any means of soft tissue fixation.
Dr. Barry Eppley