Coronal approach for rejuvenation of the eyes and forehead

Aesthetic surgeons are using the coronal forehead lift to achieve more consistent and enduring results due to a better understanding of the anatomy, dynamics, and aging process of the forehead. The varied indications for the procedure, such as soft-tissue ptosis and facial wrinkles, are discussed. The surgical technique is described, including the many controversial methods of managing the frontalis muscle. Eyeglasses and precise photography are employed to more objectively evaluate the amount of eyebrow elevation. Very gratifying results have been achieved with only minimal complications. The coronal forehead lift enhances the effects of the standard blepharoplasty and the orbicularis oculi muscle flap suspension techniques, and can be done in conjunction with a facial-cervical rhytidectomy. Presently, this is the procedure of choice in most women for rejuvenating the upper third of the face.