Endoscopic Brow Lift
A modern and less-invasive Brow Lifting technique, tightening the skin on your forehead and lifting your brow to its original position
Endoscopic Brow Lift surgery is an increasingly popular method for making the patient look more youthful, lifting the brow in a less-invasive way that means that there are smaller incisions and less scarring, along with a faster recovery time.
Sagging of the eyebrows and a development of wrinkles about the forehead are normal parts of the aging process. However, the degree to which we experience these varies from person to person. The degree to which these signs of aging affect us emotionally also vary, and while they may not bother some people at all, other people find it deeply distressing to be starting to look old.
Because of the relative size of the forehead, it can certainly be very noticeable, and in fact, other than the eyes, no feature of the upper face is quite so prominent.
As the eyebrows droop, your appearance is affected in several ways. Firstly, the extra weight of the sagging eyebrows can create a hooded look to the eyes. The lower position of the brow makes many patients look angry or tired. And because many people suffering from this condition find themselves constantly raising their eyebrows to compensate, it can also encourage deep wrinkle to develop on the forehead.
Endoscopic Brow Lift techniques can address all of these problems, helping you to look the age you feel, rather than the age you actually are.
Am I a good candidate for an Endoscopic Brow Lift?
If you have become aware of a sagging of your eyebrows, and it is creating a worried, tired, sad or angry appearance to you expression, even when you are feeling fine, then you may be a candidate for an Endoscopic Brow Lift.
The best candidates for this particular cosmetic surgery procedure are generally between 40 and 60 years of age; younger patients will usually do better to think about Temporal Brow Lift surgery, while for older patients Endoscopic Brow Lifting will probably not give sufficient results, and a traditional Brow Lift may be more appropriate.
With all these procedures, general good health is a pre-requirement. Additionally, Brow Lift surgery may not be appropriate if you suffer from problems such as dry eyes, which may be made worse by the procedure, or if you have an excessively high hair line, as Endoscopic Brow Lift surgery will make your hair line even higher.
How does an Endoscopic Brow Lift differ from a Traditional Brow Lift?
Where a traditional Eyebrow Lift involves significant incisions under the hair line, Endoscopic Brow Lift surgery uses much smaller incisions, through which the surgeon will tighten and lift the brow.
How is the surgery performed?
With the patient under a general anaesthetic, the surgeon makes between four and six small incisions, under the hairline. These incisions are typically around just one centimeter, and it is through these that your surgeon will perform the Brow Lift procedure.
Using an endoscope, a fibre-optic tube fitted with a tiny video camera and light, the surgeon is able to view and operate on the internal structure of the brow without the need for the large transverse incision used in traditional Brow Lift surgery.
While viewing the procedure on a monitor, your surgeon will manipulate and modify the forehead’s underlying muscles and soft tissues, restoring your eyebrows to their original position and smoothing out wrinkles, before closing the incisions with stitches or staples.
What are the benefits of an Endoscopic Brow Lift?
Benefits to the patient in having Brow Lift surgery performed endoscopically are essentially that smaller incisions are necessary in order for the procedure to be performed.
Smaller incisions reduce the degree of scarring, and also reduce the probability of hair loss at the incision sites. There is a lower chance of infections, and a faster recover time for the patient.
When a mid-facelift is being performed at the same time, it is also possible for the surgeon to use the same incision points for both procedures.
In addition to raising the brow, an Endoscopic Brow Lift can also reduce Glabella Lines, the frown lines formed between the eyebrows that can create an undesirably stern appearance.
What are the risks of Endoscopic Brow Lifting?
Because of the way that Endoscopic Brow Lift surgery is performed, using smaller incisions, the risks associated with traditional Brow Lifting procedures are reduced. Nonetheless, the risks remain, and as well as it being your surgeon’s responsibility to explain them to you, it is also your responsibility to make every effort to understand them a fully as possible, before surgery.
Endoscopic procedures are less invasive, but they are not non-invasive; and all invasive surgeries do present risks to the patient. Infection is always a possibility, even with the best cosmentic surgeons, and damage to muscle and nerve, sometimes permanent, can be a reality.
Problems related to anaesthesia can sometimes occur, as with all types of surgery. Hair-loss is occassionally reported, at the incision sites, and excessive bleeding is a possibility.
The patient also needs to be aware that cosmetic surgery procedures do not always produce the results that they hoped for. Disappointment with the results is always possible, especially if the patient opts for surgery, without having realistic expectations.
One specific risk of Endoscopic procedures in general is due to the nature of performing endoscopically. It does take a great deal of skill and experience for your surgeon to perform “remotely”, as he will have to coordinate his operation with images on a screen. Without a direct view of the procedure, surgery can be a challenge for a less-experienced surgeon, and even the best surgeons sometimes, although rarely, have to abandon the Endoscopic method, and revert to traditional, open surgery.
How long does it take to recover after surgery?
You should plan on taking things easy for a week or so after surgery. Some numbness, itching, swelling and discomfort are too be expected. Pain will be controlled with medication, and swelling can be reduced by keeping the head elevated in the early stages of your recovery.
Endoscopic patients often feel ready to return to work within a week, although it is advisable not to return before that. For the first three weeks, try to avoid any strenuous physical activities.
Sometimes, for the first few weeks the eyelids will not fully close, which may be uncomfortable, and irritating for the eyes. This will only be a temporary inconvenience, and is nothing to get unduly concerned about.
Generally, patients are out-and-about in public within two weeks, and most bruising and swelling should have subsided by this point,and any remaining will be easily covered up with a little make-up.
Recovery will be complete by six months after your surgery.
As with all procedures, you can make your recovery period easier and more successful by following your surgeon’s instructions after surgery.
Can I combine a Brow Lift with other procedures, such as Eye Bag Removal surgery?
Brow Lift Surgery is frequently combined with other rejuvenation surgeries, and can be, and often is performed alongside Eyelid Surgery. Combining procedures in this way can sometimes create the most dramatic improvements, taking years off your appearance.
However, whether this is necessary should be discussed with your Brow Lift surgeon. Patients sometimes find that the appearance of their eyelids is improved as a result of their Brow Lift, and your surgeon’s years of experience should help him to tell how much the appearance of your eyelids will or will not be affected without actually undergoing eyelid surgery.
Are the results permanent?
The effects of a Brow Lift are long-lasting, but your surgeon should make sure you are aware that the effects of an Endoscopic Brow Lift are not permanent.
Brow Lifting surgery can turn back the clock, but it will not stop it altogether. After surgery, your skin will continue to age, and over time, wrinkles will continue to develop.
After Brow Lift surgery, you will have some degree of control over the aging process, and by changing some aspects of your lifestyle, you can slow down the aging process. Giving up smoking, avoiding strong sunlight, and taking care with your diet are all factors that will affect the extent to which your skin ages.
What are the alternatives?
There are various different types of Brow Lift surgery, which have different benefits and disadvantages. In addition to traditional Brow Lift surgery, Coronal Brow Lift surgery can sometimes be an appropriate option, and for many younger patients, a Temporal Brow Lift can be a better choice.
Another option is the use of Botox, the extremely popular treatment for wrinkle reduction. This will not give exactly the same results of a Brow Lift, and the Botox injections will need to be topped-up every six months or so, to maintain the results.
How much does it cost to get Endoscopic Brow Lift surgery?
In the US costs for an Endoscopic Brow Lift can range from around $6,500 to $12,000. As with all elective procedures, prices are often of great importance to prospective patients, and so may patients choose to travel abroad for this, and many other surgical procedures.
Prices can be significantly lower in other countries around the world, and countries such as India, Malaysia, Singapore and Thailand are all much cheaper. For US residents, particularly popular are South and Central America, and Mexico, Peru, Argentina and Ecuador are very attractive locations for medical tourism.
Needless to say, some cosmetic surgeons in these counties are better than others, just like in the US. Saving on the costs of cosmetic surgery is great, but not at the expense of your health, so if you are considering surgery abroad, do make sure that you do your homework, and research the clinics you are considering properly.
Done properly, getting surgery overseas can give you access to a standard of care and expertise that may well be outside of you budget at home, but the consequences of getting surgery with a less experienced surgeon should convince you of the need to use only a reputable medical tourism referral service.