The endoscopic forehead lift has gained a solid position in the treatment of drooping eyebrows.
However, this technique has its limitations in patients with:
a) A high forehead.
b) Extremely low placed eyebrows, or substantial agility of the skin around the eyebrows usually at a senior age.
In these cases a subcutaneous forehead lift (via an incision in the hairline) will give a better result. In some cases, a limited eyebrow lift with a small scar in the edge of the eyebrow is sufficient (see chapter 2).
With the subcutaneous lift the skin of the forehead and the eyebrows are repositioned relative to the underlying muscles. Skin is removed so that the height of the forehead remains unchanged or is slightly shorter. The latter is often aesthetically preferable. The scar is positioned within the hairline.
With the endoscopic lift the eyebrows, the forehead skin and the muscle in the forehead will be detached from the bone and will be moved upwards. This slightly raises the hairline, so that the forehead will be higher. The scars will be hidden in the hair.
Both methods have their advantages and disadvantages so these will be carefully weighed on an individual basis in order to get the best result.