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CLASSIC FOREHEAD LIFT SURGERY: CORONAL TECHNIQUE

The coronal brow lift, often considered the predecessor of modern brow
rejuvenation procedures, is the oldest and most traditional method in
this field. Some patients might feel concerned about opting for an
older technique, thinking, “I don’t want an old method; isn’t
there something new?”

First and foremost, don’t be afraid of classic aesthetic surgery
techniques. Just as a classical music piece is performed and
appreciated around the world centuries later, or a painting created
300 years ago still holds its multimillion-dollar value, some classic
techniques in plastic surgery are just as valuable.

The coronal brow lift surgery begins with an incision within the
hair-bearing scalp, running horizontally across the scalp. Through
this incision, the tissue is released downwards towards the eyebrows,
lifted upwards, and any excess tissue is removed. The procedure is
completed with sutures placed within the hair-bearing scalp, hidden
from view.

This technique is particularly indicated for patients with advanced
forehead aging, significantly drooping eyebrows, severely wrinkled
forehead skin, and a forehead height of less than 6 cm. By forehead
height, we refer to the vertical distance between the eyebrows and the
hairline.

The coronal brow lift permanently addresses the sagging of the
forehead, eyebrows, and eyelids caused by gravity. It reduces forehead
lines and is a quick procedure, often completed in under an hour,
without requiring endoscopic surgery equipment.

Compared to more limited procedures like endoscopic brow lifts, temple
lifts, or isolated brow lifts, the coronal brow lift is undoubtedly
more effective. It is typically performed in cases where these less
extensive procedures would be inadequate. Recurrences, such as the
eyebrows drooping again or forehead wrinkles persisting, are much
rarer after a coronal brow lift. Although it leaves a long scar, this
scar is usually hidden within the hair-bearing scalp and often goes
unnoticed in social settings. You can think of it as trading a visible
deformity for an invisible scar.

The downside is that the scar within the hair-bearing scalp doesn't
always heal as perfectly as we’d like. Sometimes, the scars can
widen, hair loss can occur, and the scar might become noticeable,
especially when swimming, at the beach, or at the hair salon. Another
disadvantage is the frequent occurrence of sensory disturbances behind
the incision, such as numbness, itching, or tingling. Therefore, this
technique is not suitable for people with thinning hair, such as male
patients. Additionally, because the forehead is stretched during the
procedure, it can lengthen and widen, making it unsuitable for
individuals with an already broad forehead and high hairline. In these
cases, the coronal technique can further widen the forehead and create
a more masculine appearance in female patients. Another potential
disadvantage is that, if applied aggressively, this technique can
raise the eyebrows excessively.

However, for candidates who have advanced forehead aging and severe
eyebrow drooping, the benefits provided by this technique often make
it a reasonable choice despite these drawbacks.

Finally, it’s important to note that while the coronal brow lift
reduces facial expressions and expression wrinkles, it does not
eliminate them. Patients with hyperactive facial expressions may
continue with Botox injections after the surgery to manage wrinkles
between the eyebrows and crow’s feet.

If you would like more detailed information about coronal brow lift
surgery and to find out if this technique is suitable for you, please
feel free to contact us.

 

 

 

 


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