Procedure information

An endoscopic forehead and eyebrow lift is aimed at rejuvenating the upper portion of the face. As we age, the tissue in this area of the face loses its elasticity and tone, resulting in:

  • drooping eyebrows; 
  • development of horizontal and vertical lines on the forehead and between the eyebrows;
  • wrinkles in the outer corners of the eyes (“crow’s feet”); 
  • pronounced excess skin in the area of the upper eyelids.

But sometimes low-set brows and the resulting “permanent frown” are unique features of the individual person. In this case, the patient contacts the surgeon with the aim of having him perform an image operation as opposed to a rejuvenating one. Eliminating these age-related changes or individual peculiarities can be achieved through a forehead- and eyebrow-lift. 

What are the advantages of an endoscopic forehead- and eyebrow-lift compared to the classical face-lift? 

An endoscopic forehead- and eyebrow-lift is distinctive for its low level of trauma and shorter rehabilitation period. During the operation, the surgeon uses special equipment that makes it possible to cause less trauma to the tissue and reduce the negative consequences of the operation to the presence of a few tiny and barely-noticeable scars in the scalp area. Among other things, this low scar visibility makes it possible to recommend this rejuvenating operation for people with thin, fine hair - or no hair at all. 

What are the indications and contraindications for a forehead- and eyebrow-lift by the endoscopic method?

An endoscopic forehead- and eyebrow-lift is indicated for patients with:

  • excess (sagging) skin above the eyes;
  • drooping (ptosis) of one or both eyebrows;
  • drooping (ptosis) of tissue in the cheekbone area; 
  • noticeable expression lines on the forehead and furrow

A restricting factor for an endoscopic eyebrow- and forehead lift is a high and (or) protruding forehead of the patient, due to the technical difficulties in performing the operation that this can entail. These patients are more frequently indicated for an open coronal lift of the forehead and brows.

The operation is contraindicated for patients with a number of acute and chronic diseases.

How is an endoscopic forehead- and eyebrow-lift performed?

During a forehead-lift, a few small incisions are made in the scalp for the insertion of the endoscope (a miniature TV camera connected to a video monitor that lets the surgeon see everything occurring in the surgical zone) and other special instruments. They provide the constant visual control needed to lift the eyebrows into the required position. The facial tissue is secured in the connective tissue and the visca. Upon completion of the lift, the incisions in the skin are closed with sutures or staples that are removed 8-10 days later. 

With the help of a forehead-lift, it’s possible to lift the sagging eyebrows to the desired height, smooth the forehead tissue, eliminate deep wrinkles in the furrow, and improve the shape of the cheekbones with a minimal number of incisions. 

A forehead- and eyebrow-lift can be combined with an open lift, a neck-lift, eyelid surgery, lipofilling, and the insertion of facial implants.

Сomments by the plastic surgeon S.Shvyrev: "Some people are predisposed to premature sagging of the eyebrows.  In these situations, the most common procedure is temporal-orbital endoscopic forehead surgery, aimed at improving the position of the eyebrows. The operation has a rather stable, long-lasting effect; that said the incisions in the scalp area will be minimal and unnoticeable to others. A less intrusive but no-less-effective method of correcting the position of the eyebrows is “ligature surgery,” which is performed through punctures on the outside of the eyebrows.”

What is the rehabilitation period like after a forehead- and eyebrow-lift? What are the possible complications?

A temporary reduction may be observed in the sensitivity of the scalp and forehead skin, which usually subsides in 1-2 months. A slight weakness of the forehead muscles may also be observed as a result of the pressure from edematous tissue. This symptom disappears in a few days after the operation.

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