Causes of a Constricted Eye Appearance: Forehead Sagging. Can It Be Improved with Endoscopic Forehead Lift Surgery?

If you often hear that your forehead and eyebrows are sagging, making your eyes look constricted or tired, you may want to consider a forehead lift.

In particular, some people choose an endoscopic forehead lift, which requires only a small incision inside the hairline.

Let’s take a look at how an endoscopic forehead lift is performed, who it is recommended for, and the recovery process.

In the past, forehead lift surgery was typically performed with a long incision along the hairline, which created a significant burden in terms of scarring and recovery.

By contrast, an endoscopic forehead lift uses five small 1–2 cm incisions inside the hairline, and the surgeon lifts the sagging tissue while checking the inside with an endoscopic camera.

By minimizing the incision, the concern about scarring is reduced, and the procedure is performed while observing the structures more precisely with the endoscope.

With the effects of an endoscopic forehead lift,

when the eyes look constricted because of sagging eyebrows and forehead, the forehead and eyebrows are lifted, naturally raising the drooping eyelids and improving the constricted eye appearance;

when the eyebrows have dropped downward, especially when the tail of the eyebrow has sagged, making the expression look stern or older, lifting the eyebrows softens the impression;

it can help reduce wrinkles caused by excessive movement of the forehead and glabellar muscles;

and even if the eyelids appear droopy from the outside, if the cause is eyebrow ptosis, simply performing double-eyelid surgery may lead to an unnatural result or overcorrection, but a forehead lift can provide a more natural improvement.

There are various reasons for choosing an endoscopic forehead lift instead of eye surgery.

Rather than the unnatural results sometimes seen with traditional full-forehead lifting, it is finely adjusted to match the shape of the eyebrows and eye area, providing a natural upper-face lifting effect.

If the eyes look constricted and tired, but the distance between the eyes and eyebrows is too narrow to make eye surgery difficult, an endoscopic forehead lift can create a more open eye appearance.

It also improves both eyelid drooping and eyebrow ptosis at the same time, resulting in a more natural eye appearance.

However, caution may be needed in cases of severe loss of skin elasticity, very high eyebrow position, or a large amount of scarring and altered anatomy due to previous surgery.

Therefore, the decision should be made after 충분한 상담 with a board-certified plastic surgeon.

An endoscopic forehead lift helps improve multiple concerns at once, such as eyebrow sagging, forehead and glabellar wrinkles, a constricted eye appearance, and a heavy-looking upper face.

Although the procedure itself is relatively complex, if performed by an experienced specialist, you can expect a high level of satisfaction while reducing the burden of scarring.