The forehead lift is a remarkable procedure that corrects several problems at once. Patients who have sagging eyebrows (most will also have redundant upper eyelid skin) are the best candidates for a forehead lift. Many of the upper facial wrinkles that are temporarily improved with Botox injections are permanently improved with the forehead lift. These include the frown lines (between the eyebrows), the crow's feet wrinkles (in the temple area) and the horizontal forehead wrinkles.

The primary problem in aging of the upper face is descent of the forehead. The frown muscles are brow depressors and act to pull the brows down. Associated with a low eyebrow position are redundant upper eyelid skin as well as heavy crow's feet wrinkles. The frontalis (forehead muscle) counteracts the brow depressors and struggles to keep the eyebrows in a higher position. Frequent contraction of the frontalis causes deep horizontal forehead wrinkles.

Dr. Langdon uses the elegant surgical technique developed by Dr. Niconar Isse. Dr. Isse is a Los Angeles plastic surgeon who pioneered least invasive endoscopic surgery for aesthetic applications. The endoscope is a sophisticated miniature optical telescope that gives the surgeon a "beneath the skin" view on a video monitor. Small incisions are made in the scalp just above the hairline to allow placement of the endoscope and of surgical instruments. The brow depressor muscles are inactivated and the forehead tissue is loosened to enable lifting. In the forehead, the lifting occurs naturally through normal action of the frontalis (forehead) muscle. Unlike other techniques for forehead lifting, with Dr. Isse's method there is no need for artificial fixation using screws or other devices. In the temple, as in a face-lift, the fascia is pulled to a higher level using sutures.

Please take a look at some of Dr. Langdon's actual patients before and after Endoscopic Forehead Lift. Notice the improvement in eyebrow position, upper eyelid skin redundancy, and wrinkles. Just click on an image to see a larger view.

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