Endoscopic Forehead Lift Surgery: Simultaneously Improving Drooping Eyebrows and Forehead Wrinkles

As we age, skin elasticity decreases, forehead wrinkles deepen, and the eyebrows droop, often making the eyes look smaller or giving a tired impression.

At this point, there can be limits to injectable procedures such as Botox or fillers alone,

so endoscopic forehead lift surgery, which directly corrects the muscles and ligaments to provide a fundamental lifting effect, can be a more satisfying alternative.

Endoscopic forehead lift surgery uses a small 1–2 cm incision inside the scalp and an endoscopic device to magnify the area and directly pull up the forehead muscles and skin layer. With the use of an endoscope, the incision range is minimized, exposed scar visibility inside the scalp is low, and compared with the older open forehead lift surgery, bleeding, swelling, and recovery burden have been greatly reduced.

In addition, it does not simply pull the skin, but finely adjusts the frontalis muscle, corrugator muscle, and other muscles that cause wrinkles, allowing for a more natural and long-lasting lifting effect.

Forehead lift surgery using an endoscope allows for a precise field of view even with minimal incisions, making it possible to carefully distinguish the muscle layer and nerves and improve safety. By correcting the eyebrow position, the eyes can appear more open and clearer, creating a more refreshed look.

In addition, depending on the pulling force, customized procedures are performed according to the patient’s needs, such as a natural and gentle lifting effect or a refined and refreshing lifting effect. For forehead wrinkle correction and drooping eyebrow concerns, even people in their 20s who are relatively young may sometimes have thick eyelids or a narrow distance between the eyes and eyebrows, making double-eyelid surgery difficult; in such cases, endoscopic forehead lift surgery can also provide various improvement effects.

If you are having trouble choosing between forehead wrinkle correction and endoscopic forehead lift surgery because of forehead wrinkles, forehead wrinkle correction mainly focuses on improving sagging centered on the skin layer, whereas endoscopic forehead lift surgery corrects the muscles and ligaments together to improve drooping eyebrows, glabellar wrinkles, and forehead wrinkles at the same time. Rather than a simple skin lift, it restores the structural balance of the entire forehead and, as a fundamental upper-face lifting surgery, can create a more refreshed and younger-looking overall image.

However, the procedure method may vary depending on the patient’s skin condition, degree of sagging, and needs. For a more accurate diagnosis, it is important to visit a clinic and select the most appropriate procedure through sufficient consultation with a board-certified plastic surgeon.

Endoscopic forehead lift surgery is recommended for the following people.

• People with deep forehead wrinkles and a strong-looking impression
• People who are worried because drooping eyebrows make their field of vision narrow or their eyes feel heavy
• People who feel dissatisfied because repeated Botox procedures do not last long
• People who want to look naturally younger with less visible scarring
• People who want an overall lift of the upper face area
• People who want a more open eye area but have a narrow distance between the eyes and eyebrows, making eye surgery difficult

In the early stage after endoscopic forehead lift surgery, adequate rest is recommended to reduce swelling. Heat packs should not be applied to the surgical area, and it is better to apply them only to the eyes. Light face washing and showering are possible, but shampooing should be done after the 4th day after surgery, excluding the surgical area, without bending the head down.

Full shampooing is possible from the day after stitches are removed, and the area should be dried completely so that the surgical site does not stay damp.

Use of saunas, Korean steam rooms, alcohol, and smoking is possible after about 4 weeks, and light walking is allowed, but exercise that places strain on the surgical area is possible only after one month.

​