Endo Browlift- Sharp Burning/tearing Sensations Near Incisions

Hello, I am 4 weeks post an endoscopic forehead lift. During the 4 weeks I occasionally feel a sharp burning or tearing sensation near 2 of the incisions. Lately it has been more frequent and especially if I try to make any movements that normally would wrinkle my forehead (ie sneezing). My brows/lids are lower than after surgery but still a bit higher. Could sensations be endotine failure as tissue is pulling away? Is it normal for brows to have already dropped? I'm 32 y.o

Doctor Answers 7

Video on Endobrow and discussion on Tearing after browlift

This could be the give of the endotine. Also it coiud be from tension on the skin closure. Nerve regeneration could also be issue. Much of this discomfort should begin to get better. Anti inflammatories, steroids can help decrease any inflammation that is occuring. If it is the endotines giving way, a revision could be needed.

Thanks for reading, Dr Young

Bellevue Facial Plastic Surgeon
4.2 out of 5 stars 84 reviews

Sharp pain and tearing sensation after endoscopic forehead lift

  I agree with others who responded that this is likely a normal postop finding and will likely improve with time.  If the symptoms persist or worsen, it may indicate a problem with the endotine fixation. 

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon
4.8 out of 5 stars 131 reviews

Endo browlift pain

Some discomfort is normal after surgery, but if you are feeling seering pain and almost a shredding or tearing effect, it may very well be endotine failure.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

Burning or Nerve Sensations after Endoscopic Brow Lift with Endotine

Hi nycgirl78,

One month after surgery is still relatively early after plastic surgery, as healing is still occurring. Burning and nerve sensations can occur with any brow lift procedure, including Endoscopic Brow Lift with Endotine implants. These sensation generally resolve with time. Sometimes an antihistamine tablet may relieve some scalp sensations. Alternatively, some patients benefit from local anesthesia injections to help reduce nerve pain or discomfort.

Lastly, all brow lifts may settle downward a bit after the initial surgery, which is expected. Any potential "slip" of the implant is unlikely at one month after surgery. Speak to your plastic surgeon now to evaluate you and help determine appropriate options. Best of luck.

Dr. Chaboki


Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 85 reviews

Tearing sensation after endoscopic brow lift

Yes, tearing or pain after an endoscopic Brow Lift with fixation could indicate endotine failure and you should see your surgeon for follow and specific recommendations. I still prefer the Coronal Brow Lift that's self contained and does not rely on sutures, threads, hooks or metal bone screws for fixation points that can and do weaken.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Endoscopic approach for browlifts

Dear NYC girl,

Inflammation from the surgery along with nerve entrapment can cause your current problems. I would see your plastic surgeon who will likely place you on some anti-inflammatory medications. He may also suggest a drug that specifically reduces nerve inflammation.  Just be patient. It will heal with time and the appropriate medications. Just stay close to your plastic surgeon who will reassure you along the way.

Dr. Lille

Sean T. Lille, MD
Scottsdale Plastic Surgeon
4.7 out of 5 stars 31 reviews

There can be some give on the endotines.

An endoscopic forehead lift is a procedure that involves a large area.  Sensory nerves can be disrupted and lead to a variety of sensations.  There can be settling on the endotines which is why I still prefer the metal posts with staples behind them.  However, at a month, the forehead is very well healed down so that the type of settling caused by slippage on the endotines is probably past.  On the other hand, occasionally the sharp tines subjectively and objectively bother the surrounding tissue which can lead to pain when the forehead muscles contract and in some cases actual skin break down.  For this reason, it is necessary to explant a small percentage of these endotines.  Generally I attempt to wait until the second or third month before removing these.  It can be done as a smallish office procedure under local anesthesia in a well equipped office procedure room.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.