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An endoscopic forehead lift is a true feat of modern medical technology. It is much less invasive than surgeries were once, to achieve the same results. The endoscope and its instrumentation support this growing trend. Patients can now realistically expect less invasive surgeries, especially when it comes to cosmetic procedures. Endoscopes are used in various cosmetic and reconstructive surgeries, and the forehead lift was one of the first procedures that gained widespread acceptance.

Over the past twenty to thirty years, more surgical procedures have adapted to using endoscopic and fiber optic technology. Endoscopes were widely used as long ago as the 1970’s, by gynecologists for therapeutic and diagnostic procedures. By 1980, the technology was being more accepted for orthopedic use. As the instrumentation has improved, therapeutic procedures have become less invasive.

Endoscopes became more widely used in the 1980’s, and laparoscopic procedures became more common in the early 1990’s. Complex surgeries have gradually been transitioned to approaches that are less invasive. The first endoscopic forehead lift procedures were performed in the 1990’s as well, and shortly after that, the endoscope was more involved in plastic surgery in other body areas.

The endoscopic approach to cosmetic surgery on parts of the face came about mainly because of the ability to create an optical cavity. At the same time, newer instruments and a more advanced understanding of brow suspension added to the less invasive procedures.

A poor position of the brows can be genetic, or it may occur as part of the aging process. Just as is true with other soft tissue facial structures, the forehead area may appear lower. As you age, you lose fat from the orbital rim that extends between your eyelid and brow, making you look older.

A good candidate for an endoscopic forehead lift can present in one of several ways. The brow may appear low, and your eyes may appear heavy or tired. You may have even practiced how you’d like your forehead to look, by pulling your brow up with your hands. Some patients may have excessive skin in their upper eyelids, and they may require cosmetic eyelid surgery before they are good candidates for a forehead lift.

As your face becomes older, your optical orbits may appear less oval and more circular. In some cases, this will predispose a surgeon to tell you that you’re not a good candidate for an endoscopic forehead lift, since it might bring out the ocular area even more. If this is the case with you, your surgeon may advise you to consider a facelift and a lower eyelid procedure instead of the forehead lift.

Your plastic surgeon will also check your eyebrows and eye cavities for asymmetry that you might not even have noticed yourself. If the brows are uneven, they can make one whole orbit look lower than the other one. In such cases, your surgeon might use several surgeries including an endoscopic forehead lift or other procedures, to get the best effect.