Frontotemporal Brow lift With Suspension to Frontal Bone

Abstract

Brow position is a key feature to define a fresh and youthful appearance of the periorbital region. Frontotemporal brow lift implies the elevation of both the medial brow and lateral brow and can be performed through an open (coronal), endoscopic, or combined approach. While endoscopic brow lift has the advantage of minimal incisions compared with the open coronal approach, it requires specific equipment, a longer learning curve, and has been associated with high recurrence rates. Herein, the authors’ technique for frontotemporal brow lift is presented, an approach that includes complete access under direct vision to the lateral brow and glabellar area, through 2 limited frontotemporal incisions and a novel method of 3-vectoring suspension to the frontal bone. It has proved to be predictable with long-lasting results.