Both men and women can see deep creases forming across their forehead as they age. Even when happy and relaxed, these vertical lines can make the face look tired, angry, and much older. These tissue changes result from repetitive muscle movements pulling on the skin, genetics, and diminished skin elasticity. The brows often become heavy. For some people, this can mean impaired vision, as the heavy tissues begin to pool over the eyes.
Endoscopic Eyebrow Lift
An endoscopic brow lift, sometimes referred to as brow lift, is a surgical procedure designed to reposition heavy eyebrows that are squeezing the eyes. The technique may improve the appearance of frown lines, or folds that may appear vertically between them.
Compared to the traditional eyebrow lift procedure, which involves an incision running from ear to ear along the hairline, the Aesthetic Surgery Center’s endoscopic procedure provides excellent results with minimal access incisions. Using a tiny camera placed under the skin, known as an endoscope, the surgeons can release the taut, wrinkled forehead tissues. These are then elevated for a softer, smoother eyebrow line. Since there are fewer incisions, the recovery time is faster than with a traditional forehead lift; and there are fewer risks as well.
The Benefits of the Endoscopic Eyebrow Lift
The endoscopic eyebrow lift procedure is designed to raise forehead tissues which have descended, opening up the crowded eye area, thereby refreshing one’s facial features. The technique is beneficial as it not only restores a youthful look to the face, but it lifts the brows and upper eyelids, creating a well-rested appearance.
An endoscopic eyebrow lift will:
- Lift the brow for a more alert and awake appearance
- Reduce hooding over the eyes
- Soften vertical frown lines between the eyebrows
- Provide a rested expression
- Anchor the brow for long-term results
What to Expect in a Endoscopic Eyebrow Lift Consultation
Prior to arranging an endoscopic eyebrow lift procedure at the Aesthetic Surgery Center, a consultation will be scheduled with Dr. Agarwal, Dr. Maloney, or Dr. Gill. During this one-on-one appointment, the surgeon will come to understand your aesthetic needs. The doctor will perform an examination of your facial tissues and review your medical history. Finally, the endoscopic eyebrow lift will be explained in detail. At this time, it will be determined if an eyebrow lift is the right procedure for you, and if so, a personalized surgical plan will be created.
The Ideal Endoscopic Eyebrow Lift Candidate
Almost anyone unhappy with droopy hooded eyebrows and upper eyelids may benefit from the Aesthetic Surgery Center’s endoscopic eyebrow lift. The ideal candidate should be in good health, fully understand the eyebrow lift procedure, and have realistic expectations for their results. While many eyebrow lift patients are over the age of 50, the procedure is often beneficial for those younger patients who have genetically low eyebrows.
Most people can find excellent results with the endoscopic eyebrow lift technique alone. However, the endoscopic eyebrow lift can be combined with additional techniques for a more complete facial rejuvenation. Procedures that are often used with the endoscopic eyebrow lift include a facelift, rhinoplasty, or blepharoplasty. At the consultation appointment, the surgeons at the Aesthetic Surgery Center will suggest any techniques that may further enhance the endoscopic eyebrow lift results.
Endoscopic Eyebrow Lift Procedure
The Aesthetic Surgery Center’s endoscopic eyebrow lift involves four to five very small incisions, each about half an inch in length, usually placed above the hairline. Then, a very small camera, or endoscope, will be inserted under the skin through an incision, while a precision elevator is placed through another. The doctor will then lift the forehead tissues from just under the hairline to the level of the brow. Dr. Maloney, Dr. Agarwal, or Dr. Gill will then adjust the sagging muscles of the forehead, responsible for frowning, as well as lift the eyebrows to a more pleasant height. Once the desired changes have been made, the surgeon will anchor the remaining tissue and muscles, ensuring long lasting results. Performed under twilight anesthesia, the endoscopic eyebrow lift usually takes one to one and a half hours to complete.
Endoscopic Eyebrow Lift Recovery
Patients should expect their endoscopic eyebrow lift recovery to take one to two weeks. Mild to moderate bruising is common, and may extend below the lower eyelids. Pain after the procedure is mild, although patients often notice tightness across their brow, from ear to ear, as well as a headache for the first 2 days. Swelling and redness may be seen for the first several days. Using an ice bag, at 20-minute intervals, and sleeping with the head raised on several pillows, can help to alleviate the majority of swelling.
Makeup can be worn in three days. Most patients are feeling well enough to return to work in less than a week. Heavy lifting and vigorous exercise should be postponed for about 3 weeks. At one of the follow-up appointments, normally seven to ten days after surgery, the progress of recovery will be determined, as well as the length of restrictions on activities.
To ensure an efficient eyebrow lift recovery:
- Stop smoking, as it can cause delayed wound healing. If not permanently, at least cease smoking for the two weeks before and two weeks after your procedure.
- Discuss your current medications with your surgeon, including any vitamins and supplements. This will help to prevent unexpected, excessive bleeding.
- Pick up any prescribed medications from the pharmacy prior to the day of your procedure.
- Set up a comfortable, quiet place to rest after your endoscopic browlift.
- Stock up on ice packs or bags of frozen vegetables, to place on your forehead and control any swelling.
Endoscopic Eyebrow Lift Risk and Complications
The endoscopic eyebrow lift procedure at the Aesthetic Surgery Center is considered an extremely safe procedure. All outpatient surgeries are performed at a fully accredited surgical facility in Naples. There is, however, always the rare chance that complications may occur after the eyebrow lift procedure. These can include but are not limited to bleeding, infection, nerve injury, and scarring. By choosing to have the endoscopic eyebrow lift with an experienced surgeon such as Dr. Agarwal, Dr. Maloney, or Dr. Gill, patients ensure that their procedure will be performed with the utmost skill and safety precautions.
Contact the Aesthetic Surgery Center at 239-594-9100 with your endoscopic eyebrow lift questions, or to schedule a consultation appointment with Dr. Agarwal, Dr. Maloney, or Dr. Gill. We have an additional location on Marco Island for patient convenience.
Cheek Implants and Endoscopic Brow Lift
Endoscopic Eyebrow Lift FAQs
How do I know if I am a candidate for an endoscopic brow lift?
An individual consultation with one of our Plastic Surgeons, Dr. Agarwal, Dr. Maloney, or Dr. Gill, 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?
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 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.