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Modified Scalp Preserving Coronal Forehead Lift
Akbar Bayat1, Narges Mikaniki2, Milad Anousheh3,4
1Nikan Hospital, Tehran, Iran.
Aesthetic Plastic Surgery
|August 13, 2025
Summary
This modified coronal brow lift preserves scalp hair while providing predictable, long-lasting facial rejuvenation. The technique resulted in high patient satisfaction and minimal complications like temporary numbness or itching.
Area of Science:
- Plastic Surgery
- Facial Rejuvenation
- Aesthetic Surgery
Background:
- Classic coronal forehead lifts can lead to hair follicle loss due to scalp resection.
- Achieving predictable, low-complication, and durable results in brow lifting remains a challenge.
Purpose of the Study:
- To present a modified coronal brow lift technique designed to preserve scalp hair.
- To evaluate the efficacy and complication profile of this hair-preserving approach.
Main Methods:
- Retrospective review of 40 patients (March 2021-June 2023).
- Hair-preserving dissection performed at the deep temporalis fascia and subgalea plane.
- Fixation using suspensory sutures for brows and internal net sutures for temples/forehead.
Main Results:
- High patient satisfaction reported (52.5% completely satisfied).
- Most common complications were transient paresthesia (57.5%) and pruritus (47.5%).
- No major complications or alopecia observed at the incision site.
Conclusions:
- The modified open coronal brow lift offers predictable and stable aesthetic outcomes.
- This hair-preserving technique warrants renewed consideration for facial rejuvenation.
- Scalp preservation is a key advantage of this modified approach.
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