Eyebrows naturally drop with age, which can create a tired or concerned appearance. Many patients come to Dr Terrence Scamp to explore options for an eyebrow lift to address this change. 

Our practice provides brow lift (endoscopic) surgery options of all types. The endoscopic brow lift is a modern and less invasive approach compared to traditional methods. This technique uses small incisions and specialised equipment to achieve refined results.

This article outlines the endoscopic brow lift process—from the initial consultation to recovery. It provides an overview of surgical options, candidacy, preparation, and recovery expectations.

Understanding Endoscopic Brow Lift Surgery

Brow lift techniques have advanced over the last several years, and the endoscopic brow lift represents one option for facial rejuvenation surgery. This technique may help improve the appearance of the brow with reduced scarring compared to older methods.

What Is an Endoscopic Brow Lift?

The endoscopic brow lift is a surgical procedure that uses specialised equipment. A tiny camera (endoscope) and small surgical instruments allow for several small incisions, each less than 2.54 centimetres long, hidden within the hairline. This technique enables the repositioning of brow tissues while aiming to maintain a natural look.

Comparing Surgical Options

Patients often inquire about different brow lift options. The endoscopic technique may offer certain benefits when compared to traditional methods, including:

• Smaller incisions and potentially reduced scarring
• Reduced recovery time in some cases
• Less forehead tissue disruption
• Greater precision during surgery
• A lower likelihood of numbness in some patients

Who Is a Candidate for the Procedure?

Candidacy for an endoscopic brow lift is determined through an individual assessment. Patients who may benefit from the procedure often have:

• Good overall health and realistic expectations
• Noticeable brow drooping or forehead wrinkles
• No significant scalp conditions
• A non-smoking status or willingness to temporarily stop smoking
• Healthy skin elasticity

During a consultation, facial structure, skin quality, and surgical goals are assessed. Factors such as age, skin type, and previous facial surgeries contribute to determining whether this procedure is suitable.

Preparing for the Procedure

Proper preparation can contribute to a smoother recovery. Below are key considerations before undergoing an endoscopic brow lift.

Important Considerations and Risks

As with any surgical procedure, an endoscopic brow lift carries certain risks. Potential complications include:

• Scarring
• Bleeding and hematoma
• Nerve injury
• Infection
• Changes in skin sensation

These risks will be discussed in detail during the consultation to ensure that all necessary information is provided before proceeding.

Pre-Surgery Checklist

A thorough pre-operative plan can support the healing process. Considerations before surgery include:

• Undergo a full medical evaluation to determine suitability for the procedure
• Reviewing medical history and current medications with the surgeon
• Arrange for transportation on the day of surgery
• Fill prescriptions in advance
• Prepare a comfortable recovery area at home
• Ensuring access to ice packs for post-surgery care
• Wear loose, comfortable clothing on surgery day

Recommended Read: 5 Reasons to Have a Support System During Plastic Surgery

Lifestyle Adjustments Needed

Certain lifestyle changes may improve healing. Smoking should be discontinued at least six weeks before surgery, as it can affect wound healing. Medications that increase bleeding risk should also be avoided, including:

• Aspirin
• Anti-inflammatory drugs
• Herbal supplements

The surgeon will provide specific guidance on when to discontinue these medications.

Mental Preparation Tips

Mental preparation is also important. We recommend that patients:

• Plan the recovery period carefully – this typically involves taking one to two weeks off work
• Arrange for someone to stay with them during the first night post-surgery
• Keep the head elevated while resting in the initial recovery period

Post-operative instructions will be provided to guide the recovery process effectively.

The Day of Surgery

Endoscopic brow lift procedures are performed in a fully equipped surgical facility.

What to Expect

On the day of surgery, patients are brought to a pre-operative area for preparation. The procedure typically lasts about one hour, though this may vary if it is combined with other treatments.

Recommended Read: Strategies to Cope With Pre-Procedure Anxiety

Anaesthesia Process

The procedure is performed under general anaesthesia. An anaesthetist monitors the patient throughout the surgery to ensure comfort and safety.

Immediate Post-Op Period

Following surgery, patients remain in a recovery area before being discharged. Common post-operative experiences include:

Original Recovery Experience

• Light bandaging around the forehead
• Possible placement of a small drainage tube
• Some numbness and tightness in the forehead area

Swelling usually peaks 36-48 hours after surgery. These steps help manage the swelling:

• The head should remain elevated
• Apply cold compresses as directed
• Take prescribed pain medication as needed

Detailed post-operative instructions are provided before discharge. As driving is not recommended immediately after surgery, transportation arrangements should be made in advance.

Post-Surgical Considerations

Following an endoscopic brow lift, patients may observe changes in brow position. Long-term care includes maintaining a regular skincare routine and minimising sun exposure to support skin health.

Long-Term Care Guidelines

Results from an eyebrow lift can last for many years. A well-planned skincare routine may help maintain optimal outcomes. Recommended daily practices include:

• High-quality SPF for sun protection
• Regular moisturising to keep skin elastic
• Gentle cleansing around the treated area
• Applying dermatologist-recommended skincare products

Maintaining Results Naturally

Lifestyle choices play a role in preserving surgical results. A stable weight and a balanced diet rich in antioxidants can support skin health and the healing process.

Although results may be long-lasting, natural ageing continues over time. Some patients may notice the gradual appearance of fine lines or subtle changes in brow position.

Follow-Up Treatments and Touch-Ups

Regular follow-ups are part of the post-operative process to monitor healing. Some patients may choose non-surgical treatments to support results over time. These may include treatments that stimulate collagen production or improve skin texture.

Frequently Asked Questions

Risks Associated with Eyebrow Lift Surgery

Undergoing an eyebrow lift, or brow lift (endoscopic), involves certain risks and potential complications. It’s important to be aware of these before deciding on the procedure.

Common risks include:

• Anesthesia risks: Possible adverse reactions to anaesthesia
• Bleeding and hematoma: There’s a possibility of bleeding during or after surgery, which may lead to hematoma formation—a collection of blood under the skin that might require removal.
• Infection: As with any surgery, there’s a risk of infection at the incision sites.
• Scarring: While surgeons aim to minimise visible scarring, some individuals may develop raised, red, or thickened scars.
• Nerve damage: In rare cases, injury to the nerves that control eyebrow movement can result in asymmetry or loss of function.
• Hair loss: Temporary or permanent hair loss may occur around the incision sites.
• Skin sensation changes: Patients might experience temporary or permanent numbness, itching, or other changes in skin sensation.
• Facial asymmetry: There’s a possibility of uneven results, leading to asymmetry between the two sides of the face.
• Poor wound healing: Some individuals may experience delayed healing time, which can affect the overall outcome of the cosmetic surgery.

Does a Brow Lift Help Hooded Eyes?

Yes, a brow lift (endoscopic) can help improve the appearance of hooded eyes. By lifting the brow, the skin above the eyelid is elevated, which can reduce the heavy, drooping effect that often causes hooded eyes.

However, the extent of improvement depends on the severity of the hooding and the overall skin elasticity. In some cases, a combination of a brow lift (endoscopic) and eyelid surgery (blepharoplasty) may provide the best results for addressing hooded eyes comprehensively.

Consulting with a qualified plastic surgeon helps determine the most effective approach based on individual facial structure and aesthetic goals.

Dr Terrence Scamp can help you navigate the best options for your unique needs and develop a personalised plan based on your requirements.

Dr Terrence Scamp (MED0001157212) | Specialist Plastic Surgeon.

⁠Disclaimer: Any surgical or invasive procedure carries risks. Before proceeding, patients have the option to seek a second opinion from an appropriately qualified health practitioner. Individual results may vary.