As the forehead muscle tone deteriorates with the aging process, gravity pulls the forehead down onto the eyes. As a result, the eyelids begin to bulge, the eyebrows hang over the eyes, and the eyes begin to narrow into slits - frown line deepen. The overall appearance is often an angry scowl.

Since 1993, the surgical option of choice for a forehead lift is the video endoscopic approach. Unlike the traditional lifting approach which requires a major incision across the head from ear to ear, the endoscopic approach requires only a few half-inch incisions. These incisions are almost invisible in the hair and a natural hair pattern is preserved.

A few words about the endopscopic procedure...
The video-endoscopic forehead and brow lift is the most revolutionary of all cosmetic procedures. Consistent, lasting, dramatic results can now be achieved. Sagging forehead muscle, dropping skin and tissue is lifted to its pre-aged position and sutured in place, the frown lines are ironed smooth. Surgery is performed through several small slit-like incisions using fiber optics. Since skin and hair need not be removed, the hair line remains in it's original position. The procedure is so precise that younger women with early brow hooding can achieve the desirable open-eyed appearance they had at age 25 without a blepharoplasty. For the first time, men with thinning hair can undergo this procedure and the surgery remains undetectable.

Endoscopic Eyebrow & Forehead Lift FAQs

How do I know if I am a candidate for an endoscopic brow lift?
An individual consultation with one of our Board Certified Facial Plastic Surgeons, Dr. Maloney or Dr. Agarwal, is the best way to determine which procedure is best suited to meet your goals. During this consultation, the surgeon will examine you, and computer imaging will be utilized to demonstrate proposed changes to you.

I am 40 years old. Am I too young for an Endoscopic Eyebrow & Forehead Lift?
Droopy eyebrows are often genetic. An Endoscopic Eyebrow/Forehead Lift can be done on someone in their late 20’s, and onwards.

How long is the recovery process?
Generally speaking, it takes one week for most of the swelling and any bruising to resolve. This can vary from individual to individual.

Are there any drains after the procedure?
No.

Do I need someone to take care of me after my Endoscopic Eyebrow & Forehead Lift?
You will need someone to help you for one day post-operatively. If a supportive friend or family member is not available, then home nursing can be arranged through our office.

What kind of anesthesia is utilized during an Endoscopic Eyebrow & Forehead Lift?
Twilight sedation is used most commonly. During this type of anesthesia, you will breathe on your own, but you will not remember anything. It is a quick acting type of anesthesia that also wears off quickly. Because you are breathing spontaneously, an endotracheal tube is usually not used.

Am I going to bruise after an Endoscopic Eyebrow & Forehead Lift?
There is a minimal amount of bruising after an Endoscopic Eyebrow/Forehead Lift. This varies from individual to individual. Because the endoscopic brow lift technique requires good visualization during the surgery, bleeding is kept to a minimal. As a result, bruising is minimized.

Are there stitches and when are they removed?
Our facial plastic surgeons use fine, delicate sutures to close all incisions. These are removed about 7-9 days post-operatively.

Where is the procedure performed?
All procedures are performed at our state-of-the-art ambulatory surgery center, Doctors Outpatient Surgery Center (DOSC). DOSC is fully certified by the Accreditation Association for Ambulatory Health Care (AAAHC).

When I can workout after an Endoscopic Eyebrow & Forehead Lift?
You will be able to resume walking exercises about 7 days post-operatively. You will be able to start running and weight training after two weeks, and advance from there.

When can I play golf after my Endoscopic Eyebrow & Forehead Lift?
Generally speaking, you can begin putting and chipping at one week and resume your full swing at two weeks.

When can I swim after an Endoscopic Eyebrow & Forehead Lift?
Assuming there is no laser resurfacing performed simultaneously with the Endoscopic Eyebrow & Forehead Lift, you can submerge your head 3 to 4 days post-operatively.

When can I color my hair?
Ideally, we recommend coloring your hair a couple of days before your Endoscopic Eyebrow & Forehead Lift. You can color it again 3 weeks post-operatively.

Is an Endoscopic Eyebrow & Forehead Lift painful?
Most patients complain of a headache for a few days post-operatively. There is temporary numbness of the forehead which can last a few days to a few months.

How long do I need to be in town after an Endoscopic Eyebrow & Forehead Lift and when can I fly again?
At the Aesthetic Surgery Center, we have many national and international patients who fly to Naples for their facial surgery. We ask that you remain in town for a full 8 days after an endocopic brow lift. After that, you are free to fly.

How long will the scars be noticeable after an Endoscopic Eyebrow & Forehead Lift?
Because all of the incisions for an Endoscopic Eyebrow & Forehead Lift are hidden in the hair bearing scalp, these are difficult to detect even as they heal.

Do I have to stop any medications before my facial surgery?
Our nurses at the Aesthetic Surgery Center will provide you with a comprehensive list of medications (both prescription and non-prescription) that are known to increase bleeding and affect wound healing after surgery. These should be stopped about 10 days pre-operatively.