With an endoscopic brow lift, are holes drilled into the skull?

Access points for an endoscopic browlift are all very similar; however, the method of fixation may change depending on the surgeon.  Specific retaining ligaments are released to move the brow to its new position, which is either fixated by stitches, or by small sheets that are similar to "carpet tacks."  In order to secure either of these, small partial-thickness holes are drilled into the skull.  I recommend seeking a Board-Certified plastic surgeon to accurately examine you and formulate a surgical plan tailored to your wishes.  Good luck!

Endoscopic brow lift fixation points are similar but the method of fixation varies from surgeon to surgeon. For example, small drill tunnel hole can be placed in the outermost portion of the skull with sutures that are passed through it, removable or dissolvable screws to which  stitches are attached or stitching the fibrous tissue over the bone. All of these methods work well.

Although some endoscopic techniques do require small holes to be drilled in the skull bone there are also other techniques that do not require this maneuver. Make sure you discuss the various options in detail with your surgeon before making a final decision.

Some surgeons use a special surgical drill to make tiny openings in the skull for an endoscopic forehead lift, but it can be done with sutures, as well.

In many cases a hole will be drilled in the outer layer of the skull in order to anchor a suture, endotine device or another fixation device. The skull is composed of two layers and is thick. An experienced surgeon can perform this maneuver safely. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon