Isn't a Drooping Eyelid and Ptosis Correction a Brow Lift Instead of Eye Surgery?

Hello. I’m Dr. Jo Hyun-woo of 입체성형외과.

Today, I’d like to talk about a field other than facial contouring surgery.

That is the endoscopic brow lift.

Many people mistakenly think that brow lift surgery is something mostly done by middle-aged and older people because forehead wrinkles appear with aging.

Of course, it is suitable as a surgical method to improve a tired-looking appearance caused by sagging forehead skin in middle age and beyond, or when the eyebrows and eyelids also droop, leading to a drooping eye shape.

However, there are also people in their younger years for whom it may be appropriate.

For example, even after double eyelid surgery, some people still look heavy-eyed, or their expression may seem strong and severe.

At such times, through endoscopy, a small incision of about 1 cm is made inside the hairline, and the skin is dissected and lifted up to above the eyebrows. With image quality about 5 to 6 times clearer than a general endoscope, it is possible to observe nerves and blood vessels in fine detail. This minimizes damage to nerves, muscles, and soft tissue, and reduces swelling, bruising, and bleeding after surgery, helping with faster recovery.

The most important part of a forehead and brow lift is the brow muscles.

The brow muscles are made up of muscles that pull the eyebrows downward and muscles that pull them toward the forehead. Depending on the strength of these muscles, they can also create the overall facial expression as well as forehead and glabellar wrinkles.

Many people think that because it is a lift surgery, it takes a long time. However, endoscopic forehead lift surgery is performed under sedation anesthesia, and the surgery takes about 1 hour. I will explain this while showing photos of actual surgical patients.

This is the first patient, a man in his 60s. For this patient, endoscopic forehead lift surgery was performed to address forehead wrinkles and crow’s feet caused by sagging forehead skin.

The second patient is a woman in her 40s. Because drooping eyebrows and eyelids gave her a sleepy-looking appearance, endoscopic forehead lift surgery was used to readjust the position and angle of the eyebrows, improving the drooping eye shape and sleepy-looking eyes.

The third patient. These are photos of a woman in her 40s (top) and a man in his 20s (bottom). Regardless of age, both forehead wrinkles and a fierce-looking expression were improved through forehead lift surgery.

The Endotine used in forehead lift surgery is a product made from biocompatible medical material, and it is completely broken down and absorbed by the body within 9 months after surgery. It is a medical material used to lift sagging skin tissue, and its five pyramid-shaped projections strongly pull up sagging eyebrows and forehead skin, allowing for firmer fixation than conventional surgical methods.

If the procedure is performed by medical staff who are not experienced with Endotine, excessive lifting may instead cause pain, a foreign-body sensation, or an artificial look. Therefore, because this is a surgery where a specialist’s skill is important, you should choose a medical team with extensive clinical experience to minimize side effects and achieve satisfactory results. Thank you.