Endoscopic Brow Lift

An endoscopic brow lift uses small cameras during surgery to increase visualization for the surgeon while reducing the size of incisions, giving patients smaller scars and a shorter recovery time. Like other methods of brow lifts, an endoscopic brow lift leads to a more youthful appearance by correction of a heavy or sagging brow.

see all Forehead procedures
at-a-glance

Endoscopic Brow Lift

avg. recovery
1 weeks
permanence
Is permanent
application
Not Applicable
invasiveness
13
surgical
Yes
cost
$4000 - $7000

About the Procedure

The endoscopic brow lift is a surgical procedure used to create a more refreshed, youthful appearance in the upper third of the face by removing excess sagging skin around the forehead and repositioning underlying muscle and tissue. This leads to a sizable correction of a heavy or sagging brow and restores a more youthful contour to the upper third of the face. The use of endoscopes improves visualization during surgery but produces minimal scarring, unlike a coronal brow lift, making the endoscopic brow lift a commonly utilized technique. This procedure ranges from $4000-7000. During the endoscopic brow lift, several small incisions of approximately 3-4 cm in length are made 2cm behind the hairline recession at a location that is determined by the outer corner of the eye and the temporal line in the skull. Incisions are made to allow for access to the region. A thin tube known as an endoscope is then inserted through one of the resulting incisions. Attached to the end of the endoscope is a small camera, which allows the surgeon to clearly see the muscles and tissue underneath the forehead. Then the surgeon will use a secondary tool such as a bone tunnel or fixation device to lift the forehead skin into a separate incision. Excess tissue and fat is then removed. If necessary, the muscles are then realigned and the eyebrows may be placed at a higher level.

The goal of an endoscopic brow lift is to rejuvenate the face above the eyes by removing excess sagging skin, and repositioning underlying muscles and tissues. Brow lifts can "lift" sagging brows, eliminate deep furrows and smooth the forehead area skin.

Concerns

Endoscopic Brow Lift addresses concerns such as:

Recovery Notes

Recovery from an endoscopic brow lift is typically shorter than more invasive forehead surgeries, however initial wound healing will take 10-14 days and several months for complete recovery. Many patients feel comfortable resuming normal activity 1 week postoperatively. The head will be wrapped in bandages and tubes may be present to drain excess fluid. To keep swelling at a minimum sleep inclined, do not engage in strenuous activity, and use cool compresses but not directly on operated areas.

Ideal Candidate

The ideal candidate for an endoscopic brow lift has furrows or frown lines in the forehead area caused by stress, muscle activity, or inherited conditions such as a low, heavy brow or furrowed lines above the nose. This procedure is most often done on people ages 40 to 60, to reduce the visible signs of aging.

Not Recommended For

An endoscopic brow lift is not recommended for women with high hairlines or balding men. This procedure is also not recommended for patients with a history of male pattern baldness.

Side Effects

Side effects from an endoscopic brow lift may include scarring, swelling, hair loss, bleeding, pain, hyperesthesia, numbness, temporary or permanent scalp paraesthesia, and elevation of the frontal hairline.

Pros
  • permanent
  • hidden incision
  • good access to forehead muscles
  • short operative time
  • minimal closure time
  • less invasive
Cons
  • elevation of frontal hairline
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