What is an Endoscopic Brow Lift?

Listen as Dr. Sam P. Most describes the endoscopic brow lift and how it differs from the traditional or open brow lift surgical technique.

Requests for endoscopic brow lifts have almost disappeared among my patient population.  Endoscopic just means holes are made above the hairline and something is done to the brows.  that may be division or removal of various muscles, like the procerus or corrugator; scoring of muscles, like the orbicularis, or placement of suspension devices like the Endotine.  So not all endoscopic brow lifts are the same.Endoscopic brow lifts seem to be plagued with elevation of the hairline, a certain incidence of damage fo the frontal branch of the facial nerve, failure of fixation devices causing asymmetry, and often intraoperative bleeding from the temporal area because of the fascial transition (intermediate temporal fascia) in the lower temple area and midface.  In many of our patients, we are performing lateral brow lifts which spare the nerve (deep branch of the supraorbital nerve), either with or without a forehead lowering galeal advancement if the forehead needs to be lowered, ie from old coronal or endo brow lifts.There is a book chapter I wrote in the textbook Plastic Surgery on the brow and midface that goes over many of the brow lift techniques, anatomy and aesthetics on my website drbrent.com.

An endoscopic brow lift is one type of brow lifting technique. An endoscopic brow lift is performed through smaller incisions with the assistance of an endoscope to see under the skin and perform the surgery. The advantage of this technique is that avoids larger scars associated with other techniques, and generally will be easier to recover from. 
Forehead lifts and brow lifts are the same techniques with different names. There are many different types of brow lifting techniques, including endoscopic, trichophytic, coronal, direct, mid-forehead, temporal, and others. All of these techniques are designed to improve the brow position by raising the brows into a more youthful position, but the best technique will vary from one patient to another. 
The presence of deep horizontal forehead lines, the thickness of the brows, the amount of brow asymmetry, the height of the forehead, the position of the hairline, the hair color and density, and the patient's typical hairstyle are all factors that play in to determining the best technique for each individual patient. Be sure to see a surgeon that can offer you all of these options and review them with you in detail.
All the best,

Hello a endobrow lift is just a different technique used to perform a browlift. The other is the open or traditional browlift which can be done different ways. A endoscope is an instrument, like a telescope that allows surgeons to perform surgery through smaller incisions that are generally well hidden. The healing time and scarring is usually less and recovery shorter. Results are variable with either technique and dependent on surgeon skill and expectations of the patient. Thank you.  

An endoscopic brow lift has become the surgery of choice over the past decade for people wanting a robust lift with less scarring than older types of brow lift surgery. The coronal brow lift is what I suspect you are referring to in terms of a “traditional” brow lift. Coronal brow lift surgery is the most invasive, requiring an incision across the scalp from ear to ear and a strip of tissue to be removed. In contrast, an endoscopic brow lift requires only a few incisions placed in the hairline, from which the forehead skin and eyebrows are elevated. I also perform a “one centimeter incision brow lift” at my practice for people who need only a small, subtle lift. As inferred from the name, this type of surgery requires only a one-centimeter incision placed in the upper eyebrow hairs, which is closed carefully so that the scar is as minimal as possible. Which type of brow lift is best for you will depend on your individual anatomy, extent of eyebrow drooping, and recovery tolerance. I hope this helps.

An endoscopic brow lift is a type of forehead lift. The major difference from other types of forehead lifts is the location of the incisions. An endoscopic brow lift utilizes several small incisions placed behind the hairline as opposed to the one, much longer incision that is used in more traditional brow lift surgery.