Endoscopic Brow Lift
An endoscopic brow lift releases the ligaments and muscle pulling the forehead and eyebrows down, then lifts and fixes them through a small hairline incision guided by an endoscope. It's for people whose eyes look small, tired, or fierce not because of the eyelid itself, but because a heavy, low forehead and brow are pressing down on it.
When the Forehead, Not the Eyelid, Is the Cause
A narrow gap between the eyes and eyebrows can read as a tired or intense expression, and that's not always an eyelid problem — it's often the forehead and eyebrows sitting lower than they should. An endoscopic brow lift works through a small incision just inside the hairline, using a high-definition endoscope to carefully dissect the ligaments and the corrugator muscle (the one involved in frowning) that are pulling the brow down, then repositions the forehead and brow and fixes the lifted tissue to the bone. The incision itself is angled along the direction of the hair follicles to reduce the risk of hair loss along the scar.
Is This Right for You?
- A narrow gap between your eyes and eyebrows that makes your expression look tense or tired
- Deep forehead lines, or a habit of frowning that's left a lasting line between the brows
- Drooping skin that covers your double-eyelid line or causes irritation
- A heavy forehead that makes your eyes feel hard to fully open
- Wanting a softer, more approachable overall expression
Your Treatment Process
- 01
Analysis and design
Wrinkle pattern, eyebrow position, and skin condition are analyzed to plan the ideal lift line for your face.
- 02
Minimal incision
A small incision is made just inside the hairline, angled to follow the direction of the hair follicles.
- 03
Ligament and muscle release
Using a high-definition endoscope to stay clear of nerves and vessels, the ligaments causing the droop are released and the corrugator muscle behind frown lines is carefully addressed.
- 04
Fixation and follow-up
The lifted tissue is fixed to the bone using an FDA-cleared, absorbable fixation device, and follow-up visits check healing and swelling afterward.
Recovery
Surgery is done under sedation anesthesia and takes about an hour. Hospitalization isn't needed, stitch removal isn't required, and recovery typically takes about a week. Using a high-definition endoscope to see nerves and vessels directly helps limit unnecessary tissue disruption, which is part of why bruising, swelling, and sensory changes are kept to a minimum where possible.
Safety & Risks
As with any surgery in this area, bruising, swelling, and temporary sensory changes are the most common things patients notice, and these generally settle during the recovery period. Clinical reviews describe nerve-related issues as the complication category to watch most closely with this procedure, alongside less common wound or cosmetic-related concerns, and research specific to East Asian patients notes rare but serious possibilities such as temporary motor nerve weakness or double vision, most often transient. The angled, hairline incision is designed to limit hair-loss risk along the scar, though some scarring at the incision site is still expected. Go over your individual risk profile with your surgeon before deciding.
Frequently Asked Questions
How do I know if my issue is really my forehead and not my eyelids?+
Forehead and eyebrow position, eyelid skin laxity, and the eyelid itself are all related, which is why a single symptom isn't enough on its own to tell them apart — an in-person exam is what actually separates the two. Depending on what the exam finds, this is compared against eyelid procedures such as upper eyelid surgery or a sub-brow lift before deciding on the right approach.
What's the difference between this and a 'direct' brow lift?+
Surgical ways of raising eyebrow position are generally grouped as either a direct brow lift, which incises around or near the eyebrow itself, or an endoscopic brow lift, which works through the internal forehead structure via a hairline incision. A direct lift leaves a scar near the eyebrow, while the endoscopic approach keeps the incision hidden in the hairline. DOY JUN's procedure is the endoscopic type.
Can this correct uneven eyebrow height?+
This procedure works by rebalancing the muscles that raise and lower the eyebrow, and that rebalancing is part of how it can improve left-right symmetry as well as height. How much change is realistic for your specific eyebrows, though, is something that needs to be assessed individually during a consultation rather than assumed in advance.
Would Botox be enough for my forehead lines instead of surgery?+
Whether injections alone are enough, or surgery is worth considering, depends on the cause and severity of your lines, so this is best decided through an exam. In general, wrinkles that only show up when you move your face tend to respond more noticeably to injections than lines that are visible even at rest. Injection results are temporary and need to be repeated to maintain, while surgery involves an incision, a scar, and a longer recovery — both are worth weighing with your surgeon.
Not Sure If It's Your Eyes or Your Forehead?
Tell us what's bothering you and send a photo if you can. We'll give you an honest read on whether an endoscopic brow lift addresses it, or whether an eyelid procedure is the better fit.
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