Procedure | Surgical
Endoscopic Brow Lift
An endoscopic brow lift uses small cameras during surgery to increase visualization for the surgeon while reducing the size of incisions, giving patients smaller scars and a shorter recovery time. Removing excess sagging skin, and repositioning underlying muscles and tissues. Endoscopic brow lift surgery has gained widespread acceptance, is minimally invasive, and heals faster than traditional brow lift surgery. This leads to a sizable correction of a heavy or sagging brow and restores a more youthful contour to the upper third of the face. Like other methods of brow lifts, an endoscopic brow lift leads to a more youthful appearance by correction of a heavy or sagging brow.
Before the procedure
• Routine blood and radiological investigations will be done.
• Patients may be advised to shampoo their hair with antibacterial soap/shampoo the night before the surgery.
• Hair does not need to be shaved.
During the procedure
• An endoscopic brow lift is performed under general anesthesia or local anesthesia.
• Multiple small incisions usually (3- to 5-cm incisions) are made just behind the hairline, through which the endoscope is inserted.
• Brow tissue is gently released and elevated.
• Excess tissue is removed.
• The muscles are elevated and anchored to the bone using anchors made of small screws titanium of 2 mm width, which do not cause permanent damage.
• The incisions are sutured and dressed.
• A small surgical drain may be inserted.
After the procedure:
• Antibiotics may be necessary.
• Patients are advised to rest with their head elevated for two weeks.
• Patients are usually discharged the same day or 24 hours after surgery, and the drain may be removed as well.
• The dressing may be removed after 48 hours.
• Patients can shower and wash their hair after 48 hours, using mild shampoos prescribed by the surgeon.
• Medicated ointments is may prescribe to apply on the wounds.
• Temporary bruising and swelling around the forehead and eyes may occur.
• Wound healing takes approximately two weeks.
Expect some bruising and swelling. You may be instructed to consume antibiotics.
Recovery is typically shorter, however, the initial wound healing may take up to 14 days and several months for complete recovery.
Many patients feel comfortable returning to their normal activities after 1 week post operative.
Results are permanent and noticeable immediately. Scars will generally heal and are barely visible.
In the first few weeks after surgery, the brows may appear to be excessively elevated, but this will settle with time. The final brow results may take four to six months to appreciate.
Do note that natural aging can overtake.
Complications from this procedure are rare. They include:
• Alopecia (loss of hair).
• Scarring.
• Numbness.
• Swelling and bruising.
• Hematoma (collection of blood).
• Seroma (collection of fluid).
• Mispositioning or change in shape of the brow.
• Recurrence of brow ptosis.
• Forehead contour irregularities.
• Temporary or permanent paralysis of the forehead muscle.
• Injury to the eyes.
