Long-Term Evaluation of Endoscopic and Pretrichial Open Forehead Lifts: A Morphometric Analysis

Background: The aim of this study was to evaluate and compare the long-term (average, 6 years; range, 3 to 11 years) follow-up results of both the endoscopic and pretrichial open forehead lift. Both the amount of eyebrow elevation and patient satisfaction (FACE-Q questionnaires) were analyzed. Methods: Preoperative and postoperative eyebrow positions of 65 patients were measured. Both eyebrow sides were measured at three different points. Thirty-two patients completed the FACE-Q questionnaires (10 domains, Dutch translation). Results: Both the endoscopic and the pretrichial open forehead lift raised the eyebrow significantly at all measured points for each eye. This elevation effect was maintained significantly after long-term evaluation (average, 6 years; range 3 to 11 years), with no significant difference reported between techniques. After both procedures, patients were satisfied or strongly satisfied according to the FACE-Q questionnaires. Conclusion: Both the endoscopic forehead lift and the pretrichial open forehead lift raise the eyebrow significantly, and both have a long-term effect with either satisfied or strongly satisfied patients, as evaluated according to the FACE-Q questionnaire. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.