[Facelift Surgery] Endoscopic Forehead Lift or Brow Lift: Which Case Am I?

Hello.

This is April 31 Plastic Surgery.

Today, we will take a look at endoscopic forehead and brow lifts.

What is an endoscopic forehead/brow lift?

April 31 Plastic Surgery forehead lift

The answer is in the name.

It is a surgery that uses an endoscope and minimal incisions to lift the forehead and brows.

What effects does the surgery have?

The effects are varied.

① As low-positioned eyebrows are lifted upward, the face changes to a brighter impression.

② Because the temporal area at the sides of the head is also included in the lifting range, wrinkles around the eyes can be improved.

③ If the muscles that create a frowning expression between the eyebrows are especially strong, combining the procedure with a treatment that weakens those muscles can improve glabellar lines.

④ As the habit of using the forehead to open the eyes decreases after the lift, forehead wrinkles are reduced. If there are deep horizontal forehead lines, additional dissection may also be used to smooth them out.

⑤ There are changes in the eyelids. As previously hidden double eyelids become visible, the crease becomes larger and the bulky volume of the upper eyelid is improved.

How is an endoscopic forehead/brow lift performed?

Step 1: Incision

Incision

First, to insert the endoscope, small vertical incisions are made—three or five, depending on the case—and hidden within the hair.

Through these ports, the forehead and brow tissues are lifted using endoscopic instruments.

These days, when surgeons operate inside the abdomen, unless it is absolutely necessary, they use a laparoscope through small openings instead of large incisions.

You can think of this as using the same principle.

Step 2: Dissection and fixation

Dissection and fixation

Depending on the case and the area, dissection is performed either beneath or above the periosteum.

The periosteum is the tough, thin tissue attached to the forehead bone.

April 31 Plastic Surgery endoscopic forehead lift: subperiosteal dissection

If the skin and periosteum are pulled together by dissecting beneath the periosteum, stretching of the skin can be minimized while the tissue can be lifted firmly. If dissection is performed above the periosteum, it is effective for smoothing wrinkles visible on the skin.

Is a forehead lift only for older people?!

No.

Because it is a lifting surgery, many people mistakenly think that, like a facelift, a forehead lift is only for older patients. However, anatomically, even from the teen years, some people can have deep, pronounced forehead wrinkles or have heavy, thick forehead and brow tissue that droops down.

In such cases, an endoscopic forehead lift can be very effective.

Endoscopic forehead lift vs. open forehead lift vs. brow lift under the eyebrow What are the differences and pros and cons?

There are three representative surgeries that provide similar effects in the upper face.

Endoscopic forehead lift, open forehead lift

An endoscopic forehead lift can lift the front and sides of the brows and forehead overall with minimal incisions.

An open forehead lift requires a large incision around the hairline, but it is a good option when the forehead is wide and forehead shortening is needed.

Brow lift under the eyebrow

A brow lift under the eyebrow can be a good option when tissue sags downward below the eyebrow, making the double eyelid crease smaller or causing the upper eyelid to look bulky.

I went for double eyelid surgery but was recommended a forehead lift

Endoscopic forehead/brow lift surgery is now widely known, so some people come to the clinic already familiar with it. However, many people who say that their eyelids are drooping, that opening their eyes feels difficult, or that they often hear they look sleepy, usually think that double eyelid surgery alone will solve the problem.

If the forehead tissue has descended significantly, trying to address it with double eyelid surgery and ptosis correction can require a large amount of skin removal, and the distance between the eyebrows and eyelashes may become even shorter, creating a harsher appearance.

When the distance between the eyes and eyebrows is narrow: it may appear harsh

If the forehead and brows are lifted, even when double eyelid surgery is performed, it is possible to reduce the amount of tissue removed and create a natural, bright impression.

Who is an endoscopic forehead/brow lift recommended for?

April 31 Plastic Surgery forehead/brow lift surgery

Because this surgery has many benefits, after checking your own condition, we recommend consulting with a specialist.

Endoscopic forehead/brow lift recommended for:

✔ People with sagging eyelid tissue and bulky upper eyelids ✔ People concerned about sleepy-looking eyes and a dark impression ✔ People concerned about forehead, glabellar, and eye-area wrinkles ✔ People who strain to open their eyes by using their forehead

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