What are the incisions used in an endoscopic brow lift?

• A. 1 midline, 2 paramedian, 2 temporal
• B. 2 midline, 2 lateral
• C. 1 temporal, 1 midline, 1 lateral
• D. 2 paramedian, 2 midline

Answer: (A)

In an endoscopic brow lift, the use of incisions is strategically designed to minimize visible scarring while allowing access to the underlying tissues and structures. The correct choice indicates a combination of incisions that optimize both visibility and access during the procedure.

Having one midline incision provides an essential access point directly over the center of the forehead, allowing for central elevation of the brow tissue. The two paramedian incisions are positioned on either side of this midline incision, further facilitating access to the brow and forehead area in a way that maintains a more aesthetically pleasing outcome. The two temporal incisions offer added access to the lateral aspects of the brow and temporal area, which is important for achieving a comprehensive lift and contouring of the brow aesthetic.

This arrangement of incisions not only allows the surgeon to reposition the soft tissue and remove excess skin effectively, but it also helps in minimizing tension across the incisions, which can lead to improved healing and less visible scarring.

In contrast, options that include alternative arrangements of incisions either fail to provide adequate lateral access or do not make sufficient use of midline access and positioning, leading to less effective results in brow elevation and potentially more visible scarring.