The endoscopic brow lift is a procedure that can restore a youthful, refreshed look to the area above your eyes. Drooping brows and horizontal lines and furrows are corrected, conditions that can make a person appear angry, sad or tired.
The tissues that cause furrowing or drooping of the brow are removed or altered to smooth the forehead, raise the eyebrows and minimize frown lines. Your plastic surgeon uses an endoscope, a viewing instrument that allows the procedure to be performed with minimal incisions.
At Tarola Plastic Surgery in Murfreesboro, TN, we offer this technique to help patients achieve natural-looking results. Our approach focuses on precision and subtle enhancement, so you look like a refreshed version of yourself rather than appearing overdone.
What is Endoscopy?
Endoscopy is a surgical technique that involves the use of an endoscope, a special viewing instrument that allows a surgeon to see images of the body’s internal structures through very small incisions.
An endoscope consists of two basic parts: A tubular probe fitted with a tiny camera and bright light, which is inserted through a small incision; and a viewing screen, which magnifies the transmitted images of the body’s internal structures. During surgery, the surgeon watches the screen while moving the tube of the endoscope through the surgical area.
It’s important to understand that the endoscope functions as a viewing device only. To perform the surgery, a separate surgical instrument, such as a scalpel, scissors, or forceps, must be inserted through a different point of entry and manipulated within the tissue.
What Can an Endoscopic Brow Lift Treat?
Drooping Brows
Lowered brows can create a heavy, hooded look over the eyes and make you appear tired or older than you feel. This can also affect your ability to apply makeup evenly on the upper eyelids. Brow lifting surgery can elevate the position of the brows to open up the eye area and create a more refreshed, alert appearance.
Forehead Wrinkles and Creases
Deep horizontal lines across the forehead often form due to repetitive muscle movement and loss of skin elasticity over time. These lines can become more pronounced with age and contribute to an older or more stressed appearance. Adjusting the forehead’s underlying structure reduces the muscle activity that causes these wrinkles, leading to smoother skin.
Frown Lines
Vertical creases between the eyebrows, sometimes called glabellar lines, can deepen over time, and create a permanent furrowed or tense look. An endoscopic lift can target these muscles to soften the appearance of frown lines while preserving natural movement. The result is a smoother, more relaxed look.
Brow Asymmetry
If differences in brow height or shape are making your face look uneven or drawing attention away from your eyes, a brow lift procedure can correct these variations by lifting and reshaping the brows to create better balance. Some people naturally have uneven brows, while others may develop asymmetry due to muscle imbalances or aging. Our adjustments are customized to your natural features, so the results look harmonious with the rest of your face.
The Benefits of Endoscopic Brow Lifts
Incision Size and Placement
One of the biggest advantages of this technique is how small the incisions are. Instead of a long incision across the scalp, a few tiny incisions are placed just behind the hairline. These are positioned so they stay hidden within the hair and are nearly invisible once healed.
Recovery Time
Healing after an endoscopic eyebrow lift is often quicker than other techniques. Since the incisions are smaller, there’s usually less swelling and discomfort. While everyone heals at their own pace, this approach allows for a faster return to normal routines with minimal disruption.
Results
A well-performed brow lift should make you look refreshed, not surprised or overdone. The forehead appears smoother, the eyes look more open, and the overall expression softens. Since the adjustments are made through small incisions, the results blend seamlessly with your natural facial structure.
How to Prepare for Your Endoscopic Brow Lift
Getting ready for a surgical brow lift starts with a consultation, where we’ll go over your medical history, discuss your goals, and make sure this is the right approach for you. If you smoke, you’ll need to stop several weeks before surgery since smoking can interfere with healing. Certain medications and supplements, like blood thinners or anti-inflammatory drugs, should also be paused before surgery to reduce the risk of bruising.
In the days leading up to your procedure, make sure you have everything set up for a smooth recovery. Arrange for a ride home after surgery, and have soft foods, comfortable pillows, and any prescribed medications ready. Since you won’t be able to lift heavy objects or bend over right away, it helps to set up your space so everything you need is within easy reach. On the day of surgery, wear a button-up shirt so you don’t have to pull anything over your head.
How the Endoscopic Brow Lift Procedure Works
The endoscopic forehead lift: Typically, an endoscopic forehead lift requires the same preparation steps as the traditional procedure: the hair is tied back and trimmed behind the hairline where the incisions will be made.
Rather than making one long incision as in a traditional brow lift, your plastic surgeon will make three, four or five short scalp incisions, each less than an inch in length. An endoscope, which is a pencil-like camera device connected to a television monitor, is inserted through one of the incisions, allowing the surgeon to have a clear view of the muscles and tissues beneath the skin.
Using another instrument inserted through a different incision, the forehead skin is lifted and the muscles and underlying tissues are removed or altered to produce a smoother appearance. The eyebrows may also be lifted and secured into their higher position by sutures beneath the skin’s surface or by temporary fixation screws placed behind the hairline.
What to Expect After Your Endoscopic Brow Lift
Endoscopic brow lift patients may experience some numbness, incision discomfort, and mild swelling. Incision site pain is usually minimal, but can be controlled with medication, if necessary. Endoscopic forehead lift patients usually experience less of the itching sensation felt by patients who have had the classic forehead lift. The stitches or staples used to close the incisions are usually removed within a week and the temporary fixation screws within two weeks.
When the lift is complete, the scalp incisions will be closed with stitches or clips and the area will be washed. Gauze and an elastic bandage may also be used, depending on your surgeon’s preference.
Getting Back to Normal
Although you should be up and about in a day or two, plan on taking it easy for at least the first week after surgery. You should be able to shower and shampoo your hair within two days, or as soon as the bandage is removed.
Most patients are back to work or school in a week to 10 days. Endoscopic patients may feel ready to return even sooner. Vigorous physical activity should be limited for several weeks, including jogging, bending, heavy housework, sex, or any activity that increases your blood pressure. Prolonged exposure to heat or sun should be limited for several months.
Most of the visible signs of surgery should fade completely within about three weeks. Minor swelling and bruising can be concealed with special camouflage makeup. You may feel a bit tired and let down at first, but your energy level will increase as you begin to look and feel better.
Your New Look
Most patients are pleased with the results of an endoscopic forehead lift. Often, patients don’t realize how much their sagging forehead contributed to the signs of aging until they see how much younger and more rested they appear after the lift.
Although a forehead lift does not stop the clock, it can minimize the appearance of aging for years. As time passes, you may want to repeat the procedure.
FAQs About the Endoscopic Brow Lift
How Long Does the Procedure Take?
The surgery typically takes about one to two hours, depending on the adjustments being made. Since this technique uses small incisions and special instruments, it requires precise movements to reposition the underlying tissues. If you’re combining it with another facial procedure, like eyelid surgery, the total time will be longer. After surgery, you’ll spend some time in recovery before heading home the same day.
When Will I See Results?
Some changes will be noticeable right away, but swelling can temporarily mask the final outcome. As the swelling fades and the tissues settle, your brows will take on their final, more lifted position. While the skin will continue to age, the results of this procedure are long-lasting.
Am I a Good Candidate for Endoscopic Brow Lift?
If you have sagging brows, forehead wrinkles, or deep frown lines that make you look tired or older than you feel, a brow lift procedure may be a good option. Ideal candidates are in good overall health, don’t smoke, and have realistic expectations about the outcome. This method works well for those with mild to moderate brow sagging and good skin elasticity. If your forehead skin is very loose or you have significant sagging, we may discuss other options to achieve the best results.
Endoscopic vs. Traditional Brow Lift: Which Is Right For Me?
An endoscopic lift is best for patients looking for a less invasive approach with smaller incisions and a shorter recovery time. It works well for moderate brow sagging and fine lines. A traditional brow lift, which uses a longer incision along the hairline, is sometimes better suited for those with significant excess skin or deeper forehead wrinkles.
About Our Services
At Tarola Plastic Surgery in Murfreesboro, TN, we specialize in cosmetic and reconstructive procedures to enhance natural beauty while maintaining facial harmony. Dr. Nicholas Tarola, a board-certified plastic surgeon, brings years of expertise in facial, breast, and body procedures. His training at Jefferson Medical College and Vanderbilt University Medical Center has equipped him with advanced surgical techniques that prioritize both aesthetics and function. Our approach focuses on precision, patient safety, and natural-looking results.
Reverse Signs of Aging With the Endoscopic Eyebrow Lift in Murfreesboro, TN
An endoscopic eyebrow lift can smooth forehead creases, lift sagging brows, and create a more refreshed, natural-looking appearance with minimal incisions. At Tarola Plastic Surgery in Murfreesboro, TN, this technique is performed to enhance facial harmony while preserving natural expression. To schedule a consultation, call (615) 624-8914 or contact us through our online form.
