Endoscopic brow lifting enables to lift the forehead, eyebrows and eyelids by limiting the scope of the incisions, usually by preserving tissue sensitivity. After applying a local anesthetic the plastic surgeon makes a few ( 3 to 5 ) small incisions of about 1 to 2 cm behind the hairline. The surgeon then introduces an endoscope (optical fibre lens) through these small openings, which is connected to a camera and a computer screen. This way it is possible to view the procedure performed with special instruments that enable to preserve the nerves, lift the skin, as well as reduce the force of the muscles responsible for the wrinkles that cover the forehead. Then the skin of the forehead and eyebrows is placed in its new position and the incisions are closed.
Immediately following the procedure, one can actually observe a smoother forehead and significant elevation at the eyelid level. It is the natural contractile properties of the skin that makes it possible to lift the skin of the forehead, eyebrows and upper eyelids without having to remove any skin or make an incision from one ear to the other along the hairline. This kind of procedure is necessary when an endoscope is not used.
What Are the Benefits of the Procedure?
This technology has been developed with the aim to reduce traumas of the skin (less scarring), nerves and hair by minimizing the loss of cutaneous sensitivity and the loss of hair. Bleeding and swelling are also reduced. Overall, there is less convalescence time required.
Is This a Solution for Me?
Browlifting is an appropriate procedure if you have falling eyebrows, heavy upper eyelids or deep wrinkles between the eyebrows. This particular technique is mostly used on patients between 40 and 65 years of age. But it can also be applied to younger patients when the conditions are favourable.
If would like to find out in advance what a browlift would do for your appearance, simply place your hands above the eyebrows and on both sides of the eyes, and gently push the skin upward. The anticipated result is a smoother arch of the eyebrows and a younger look.
Are You Considering a Browlift?
Each time you are considering a procedure, whether it is for medical or cosmetic reasons, choosing the right surgeon is of utmost importance. Not only should your surgeon be perfectly knowledgeable about the medical and technical aspects of his or her profession but they also need to possess the skill and artistic taste in the case of cosmetic procedures.
During the consultation, your surgeon will evaluate the structure of your face, the condition of your skin and scalp so as to determine a surgical strategy. A complete medical history will be established so that your surgeon might make a proper evaluation and take into consideration any factor that might increase or modify the risks involved in surgery.
In the case of elective surgery, sound health and realistic expectations are of the essence. You will be given a detailed explanation of the procedure itself, the anesthesia methods available, the care to provide after the procedure, as well as all the risks and costs involved.
The state-of-the-art endoscopic techniques now available greatly reduce the incisions required and make them invisible after the healing process. Your surgeon will be able to help you select the procedure most adapted to your individual situation.
Frequently Asked Questions about Browlifting (Endoscopy)
What are the procedure’s limitations?
Even if the skin is taut and the eyebrow lifted, excess skin may persist on the upper eyelid. A blepharoplasty (eyelid surgery) procedure will complete the correction. Similarly, although the forehead’s fine lines have been smoothed out, they will also benefit from complementary corrective techniques such as injectable implants. One of the benefits derived from brow lifting is to partially and sometimes completely diminish the muscles’ function responsible for frowning and for wrinkles of the glabellar area (between both eyebrows). Botox® can be used if necessary when the muscular function is restored.
What can I expect after the procedure?
Dressings will have to be changed the day following the procedure, at which time you will also be able to wash your hair. It is possible to apply make-up as of the second day. If a procedure was done on the eyelids at the same time, you will need to wait for 7 days to elapse, i.e. until the sutures have been removed. Swelling and bruises will disappear 10 to 14 days following the procedure. Then there will remain only minor modifications to achieve the final desired look.
Are the results permanent?
As with any other cosmetic procedure aimed at lessening the effects of ageing, endoscopic brow lifting does not claim to stop the natural ageing process. Nevertheless, it is seldom necessary to have to use the technique a second time when the procedure obtained optimum results.
More Information about Endoscopic Brow lifting Endoscopy)
Endoscopic brow lifting can produce significant cosmetic results. The success of the procedure is the result of an excellent trust relationship between the patient and the surgeon, of realistic expectations and sound medical expertise.
Feel free to contact Dr. Élise Bernier and her team for more information on this and other techniques.