Endoscopic brow lift is a minimally invasive aesthetic surgical procedure that rejuvenates facial expressions by lifting the brows. This procedure is performed through small incisions and an endoscopic camera in the forehead area. A low brow position can cause a tired or sad expression.
The endoscopic technique leaves fewer scars and has a shorter recovery period compared to the classic brow lift procedure. After the procedure, the forehead and eye area look more vibrant, open, and youthful. It is usually performed under local anesthesia and offers natural results.
Routine blood tests are performed before the procedure. Patients are advised to shampoo their hair with antibacterial soap/shampoo the night before or the morning of the surgery.
Endoscopic brow lift is performed under general anesthesia or with intravenous (IV) sedation and local anesthesia. Numerous small incisions are made just behind the hairline, through which an endoscope and instruments are inserted. The brow tissue is lifted upwards.
Postoperative pain can be controlled with pain relievers. Antibiotics may be necessary. Patients are advised to rest with their heads elevated for two weeks. Patients are usually discharged the same day or 24 hours after surgery. The dressing can be removed after 48 hours. Patients can shower and wash their hair with mild shampoos recommended by the surgeon after 48 hours. The surgeon may prescribe medicated ointments to apply to the wounds. Patients should not use any hair products for at least seven days. Wound healing takes approximately two weeks. Significant scarring does not occur.
Eyebrows are one of the most powerful determinants of facial expression. Even a millimeter change in the eyebrow line can make the gaze look harsher, sadder, or more tired. With age, the skin on the forehead loosens, the tissues that hold the eyebrows up weaken, and the eyebrow, especially the outer part, can move downwards. This contributes to a “sleepless” appearance because it increases shadowing around the eyes.
There is also a habit aspect. Some people constantly try to compensate for the weight around their eyes by raising their eyebrows. This can lead to more pronounced forehead lines. So, eyebrow drooping sometimes creates a domino effect: the eyebrows droop, the person compensates by raising them, and forehead lines become more prominent. Endoscopic forehead lift or endoscopic eyebrow lift aims to make this chain more balanced.
The main advantage of the endoscopic method is that the incisions are small and usually hidden within the scalp. This can provide an advantage in terms of scar visibility. Furthermore, endoscopic imaging allows for more controlled evaluation of tissues. In some individuals, the overall tightening of the forehead area, in addition to eyebrow lifting, makes the facial expression appear more open and youthful.
However, not every advantage automatically applies to every patient. For example, incision planning is considered differently in individuals with a very receding hairline. Different approaches may be necessary in individuals with severely reduced skin elasticity. Therefore, instead of a generalization like “endoscopic is always the best,” a “right method for the right person” approach is healthier.
Generally, individuals with pronounced brow drooping, especially the outer part of the brow, and a tired expression around the eyes are considered for this procedure. Age alone is not a criterion; it can be considered in the 30s due to genetic brow drooping or in the 50s due to the effects of aging. The important thing is that the position of the brow negatively affects your facial expression and that there is an anatomical condition that can be corrected with surgery.
In some individuals with excess skin on the upper eyelid, a brow lift alone may not be sufficient; sometimes it is planned in conjunction with eyelid surgery (blepharoplasty). The aim here is to achieve a more balanced result by evaluating both areas “together.” Because removing only the eyelid can make the brow appear even lower, or lifting only the brow may not solve the excess skin on the eyelid alone.
These two methods are often compared, but their goals and effects are not the same. Botox can provide a slight lift in a specific part of the brow by reducing muscle activity and soften forehead lines. However, this effect is limited and temporary. If the brow tissue has significantly drooped or there is structural laxity in the forehead area, the results achievable with Botox are often not at the desired level.
Endoscopic brow lift, on the other hand, aims for a more permanent repositioning. Here, tissues are rearranged and the brow’s position is anatomically moved upwards. In short, while Botox can be thought of as “fine-tuning,” the endoscopic method provides a more structural correction. Even how the eye area changes when the brow is manually lifted during the examination significantly indicates which option is suitable.
Endoscopic brow lift prices in 2026 generally range from $4,000 to $8,000. This price range varies depending on the services included in the surgery package. The lowest prices are usually seen in small, minimally invasive clinics, while costs may be higher in centers working with experienced plastic surgeons.
In 2003, he graduated from Istanbul University Cerrahpaşa Faculty of Medicine and received the title of Doctor of Medicine.
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