Endoscopic forehead lift in patients with male pattern baldness.
OBJECTIVE
The presence of male pattern baldness poses a significant challenge when attempting to optimize treatment of the upper third of the face. The purpose of this study is to demonstrate and discuss results of the endoscopic forehead lift in patients with male pattern baldness.


METHODS
This was a retrospective case series done in an academic medical center. Eleven patients with male pattern baldness (Norwood class IV-VII) underwent endoscopic forehead lift for forehead creases and brow ptosis.


RESULTS
All patients achieved smoothing of the forehead and elevation of the brow with no scalp anesthesia at 1 month postoperatively. All patients were pleased with the healing of their incisions in midline, paramedian, and temporal regions. Alloplastic fixation devices used were visible postoperatively in 2 patients initially.


CONCLUSIONS
The endoscopic forehead lift is a suitable approach for treating the upper third of the face in the presence of male pattern baldness. The use of alloplastic fixation devices may be used in this patient population, but other fixation methods should be considered.
Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Indiana University School of Medicine, Indianapolis, IN 46290, USA. tshipchandler@hotmail.com
Taha Z
TZ
Shipchandler
Babar
B
Sultan
Patrick J
PJ
Byrne
D000368:Aged; D000505:Alopecia / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D005138:Eyebrows; D005500:Follow-Up Studies; D005546:Forehead / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015361:Rhytidoplasty / Q000379:methods*; D012535:Scalp / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome