An endoscopic brow lift is a minimally invasive procedure that elevates sagging eyebrows, smooths forehead wrinkles, and reduces frown lines. When aging creates an angry, tired, or drooping appearance in the upper face, this procedure offers rejuvenation.
Dr. Gregory Fedele is certified by the American Board of Plastic Surgery and is an active member of the American Society of Plastic Surgeons. For more than 25 years, he has been a leading surgeon in Cleveland, Ohio. Dr. Fedele’s practice includes a team that utilizes the latest surgical techniques and extensive surgical training to produce the results you desire.
If you are ready to enhance your look, contact us online or call our office at (216) 464-1616 to schedule your personal consultation.
About Endoscopic Brow Lifts
An endoscopic brow lift is a novel technique that corrects eyebrow drooping, also known as brow ptosis, and softens the lines and wrinkles that form on the forehead and in between the brows. (1) This procedure is minimally invasive and carries fewer risks than the standard coronal brow lift method. It uses small, hidden incisions and a tiny camera (endoscope) to precisely reposition the underlying forehead muscles and tissues for a more youthful appearance. An endoscopic brow lift is ideal for patients who are struggling with mild to moderate sagging in the upper face, horizontal forehead lines, descending brows, or deep “11 lines” between the brows.
Benefits
Patients benefit from an endoscopic brow lift through:
- Contouring the brows
- Elevating sagging skin
- Subtly opening the eyes
- Smoothing forehead lines and deep creases
- Enhancing facial symmetry
- Minimally invasive techniques with shorter recovery times
- Achieving greater confidence with their rejuvenated look
Candidates
The ideal candidate for an endoscopic brow lift is generally in their 30s to 60s and has mild to moderate brow sagging. This procedure is also ideal for patients who are seeking a minimally invasive treatment with smaller incisions and a faster recovery that delivers significant rejuvenation. Additionally, prospective patients should be in good overall health, free of any underlying conditions that may affect the safety of the procedure, and ideally be a non-smoker or willing to quit for an extended period.
Personal Consultation
During your personal consultation, Dr. Fedele will evaluate your medical history and examine the degree of ptosis in your upper face/forehead. He will also ask you about your goals for your results. After collecting all of the necessary information, Dr. Fedele will create a personalized treatment plan to address your unique concerns. Dr. Fedele wants this meeting to be informative, so he encourages you to ask any questions you may have. Before scheduling your procedure, you should feel confident and excited.
To explore your endoscopic brow lift options, contact us online or call our office at (216) 464-1616 to schedule your consultation today.
Preparation
To effectively prepare for your procedure, Dr. Fedele may recommend that you follow certain guidelines to ensure a smooth and effective outcome. These may vary, but often include:
- Pause the use of blood-thinning medication and supplements
- Cease all nicotine use
- Arrange transportation home and any necessary assistance
- Pick up any prescribed pain medications or antibiotics before your procedure
- Take time away from your career or other responsibilities to recover unburdened
You may receive additional instructions, depending on your specific treatment details and medical history. It is important that you closely adhere to all instructions to optimize your procedure and results.
Procedure
Dr. Fedele will begin your procedure by cleansing the area and marking your incision sites. You will receive the appropriate anesthesia to ensure your comfort throughout the procedure. Dr. Fedele will make very small incisions hidden in your hairline and on either side of your head. Through these incisions, he will insert the endoscope to visualize the underlying structures. With specialized, thin instruments, he will lift the forehead skin, excise redundant tissue, and create a smoother look.
Recovery
First 48 hours
Immediately after your procedure, you can expect to see some swelling around your forehead. The area may also feel tender, which is completely normal. During this time, it is important to elevate your head while resting, at least for the next week, to minimize swelling. Dr. Fedele encourages you to participate in light walking to help with blood circulation. However, you should avoid heavy lifting and strenuous activity. You should also refrain from washing your hair until after the third day. When you do resume washing your hair, do so as directed and make sure to be extra gentle.
Weeks 2-3
Dr. Fedele will schedule a follow-up appointment during this time to remove your sutures and check your progress. Most of your bruising and swelling will subside, and you will likely feel comfortable returning to your job and daily routine. With Dr. Fedele’s clearance after three weeks, you can begin resuming all normal, non-strenuous activities.
Weeks 3-6
As you approach your final weeks of recovery, it is common to feel numbness, tingling, or itching across your forehead and scalp. As the tissues begin to settle, your final results will become more evident. With Dr. Fedele’s approval, you may resume strenuous activities.
Endoscopic Brow Lift Results
Your final results will begin to appear in the following months as swelling begins to fully subside. Your eyebrows will appear elevated, your forehead will be smoother and less wrinkled, and there may be a subtle lift above the eyes.
Corresponding Procedures
Blepharoplasty
A blepharoplasty, or eyelid lift, is a surgical procedure that targets the upper and/or lower eyelids to remove the excess puffiness and “bags” from under the eyes or lift the look and contours of the eyelids. This procedure creates a rejuvenated appearance to the upper face, brightens the eyes, accentuates a more alert and aware expression, and, in some cases, clears peripheral vision obstructions. It is often paired with a brow lift when the ptosis is not contained to the brows and forehead, and there is sagging in the eyelids themselves.
Rhinoplasty
A rhinoplasty, or “nose job,” alters the internal structures of the nose to change its physical appearance. This procedure can serve aesthetic or functional purposes, or both, all at once. A rhinoplasty can sculpt the nasal profile, improve the nasal passageways to alleviate breathing problems, and correct asymmetry caused by injury or previous surgery.
Otoplasty
An otoplasty, or ear surgery, helps improve the appearance of overprominent ears. By reducing protrusion, otoplasty makes the ears blend seamlessly with surrounding features. Patients often undergo this procedure if their overly large or protruding ears impact their confidence.
Cost of Endoscopic Brow Lifts in Cleveland, OH
The cost of your endoscopic brow lift will vary depending on the degree of your brow ptosis, your ultimate goals, the specific details of your procedure, whether you include any other procedures in your plan, and a handful of other factors. Dr. Fedele or an expert team member will provide a detailed cost outline during your personal consultation.
To make your goals more accessible, financing options are available for patients who qualify. Contact us online or call our office directly at (216) 464-1616 to schedule your personal consultation and learn more about the costs associated with the endoscopic brow lift.
FAQ
What is an endoscopic brow lift?
An endoscopic brow lift is a procedure that elevates sagging eyebrows, smooths forehead wrinkles, and reduces frown lines to rejuvenate the upper face. It differs from traditional brow lift techniques as it uses a tiny camera to visualize the underlying structures of the forehead, allowing surgeons to make shorter incisions and perform a less invasive procedure.
Are the results from an endoscopic brow lift permanent?
An endoscopic brow lift is designed to provide long-lasting results, but it does not stop the aging process. The tissues of the forehead will continue to be affected by gravity, aging, and other factors over time.
How much does an endoscopic brow lift cost?
Dr. Fedele will provide a detailed cost outline for your procedure during your personal consultation. The cost of your endoscopic brow lift will reflect the scale of your concerns, your goals, the specific techniques Dr. Fedele uses, and more.
Can I combine any other treatments with an endoscopic brow lift?
Yes, you may combine other treatments, such as other facial treatments, with an endoscopic brow lift to achieve a comprehensive facial rejuvenation. One of the most popular combination treatments for these procedures is blepharoplasty, which directly addresses the upper and/or lower eyelid regions to open up the eyes and address sagging.
Where are the incisions for an endoscopic brow lift?
These incisions will likely be within the hairline to ensure they remain hidden after healing. One of the benefits of the endoscopic technique is that the incisions are exceptionally small compared to other techniques.
References
- Chiu ES, Baker DN. Endoscopic Brow Lift: A Retrospective Review of 628 Consecutive Cases over 5 Years. 2003;112(2):628-633. doi:https://doi.org/10.1097/01.prs.0000071042.11435.2e
- De Jong R, Hohman MH. Brow Ptosis. PubMed. Published 2021. https://www.ncbi.nlm.nih.gov/books/NBK560762/