One of the most advanced surgical methods in this field is the endoscopic forehead lift. In this technique, the surgeon makes small incisions that can be easily concealed (usually along the hairline or within the hair) and inserts endoscopic instruments to lift the forehead muscles and skin.
What are the advantages of endoscopic forehead lift surgery compared to open forehead surgery?
These advantages include:
● Very minimal scarring, which is usually hidden within the hair
● Short operation time (about 1 hour)
● Suitable for mild to moderate lifts
Who is a good candidate for endoscopic forehead lift surgery?
● People with thin to medium skin
● Those with mild to moderate eyebrow drooping
● Individuals with superficial forehead lines
● Those who expect a mild to moderate
Who is NOT a good candidate for endoscopic forehead lift surgery?
● Individuals with thick skin (especially men)
● Those with severe eyebrow drooping
● People with deep and extensive forehead wrinkles
● Those who desire a dramatic and long lasting result
● Individuals with naturally long foreheads who do not want it to appear longer
Two important points before choosing the endoscopic forehead lift method
Point 1
● The longevity of results with an open forehead lift is generally greater than with an endoscopic lift. In the open technique, excess skin can be removed, forehead height can be reduced, and combined techniques can be used options that are not possible with the endoscopic forehead lift.
Point2
● With an endoscopic forehead lift, a slight increase in forehead height usually occurs. Therefore, this method is not suitable for individuals with a long forehead, and an open forehead lift is a better option for them.
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What is forehead lift surgery and what is it used for?
A forehead lift is a cosmetic procedure performed to reduce or eliminate forehead wrinkles (often along with correcting eyebrow drooping) and rejuvenate the upper part of the face. This method is especially suitable for individuals who have deep lines and skin sagging in the forehead area, causing them to appear tired, angry, or older than their actual age.
Many people assume that a forehead lift is the same as a brow lift, while these two procedures despite some similaritieshave different goals and techniques.
However, many individuals who are candidates for a forehead lift choose to undergo a brow lift at the same time to achieve a more natural, balanced, and longer lasting result.
How important is the forehead in facial aesthetics and expressions?
The forehead forms the upper part of the face and, due to its proximity to the eyes, is one of the most critical facial areas in overall appearance and emotional expression.
When we are surprised, laugh, frown, or experience stress, the forehead and eyebrows are among the first areas to react. Over time, these repeated muscle movements lead to the formation of wrinkles that initially are dynamic appearing only with eyebrow movement but eventually become static lines that remain visible even when the face is at rest.
Understanding different forehead skin types and their impact on the appearance of wrinkles
Very thick skin:
This skin type is often oily and resembles thick cardboard or packaging board. The wrinkles that form on this type of skin are usually deep but fewer in number. Despite having fewer lines, the depth of these wrinkles can give the person a harsher appearance. In some men who genetically have eyebrow drooping, deep forehead lines may appear as early as their 20s
Thin skin:
Similar to thin paper or tissue, this type of skin is very sensitive to movement. Even slight muscle activity creates numerous fine lines. These wrinkles are usually superficial, but they can make a person look older than their actual age. Many fair skinned individuals, especially in Europe, fall into this category.
Medium thickness skin:
This skin type lies between the two previous categories, with wrinkles of moderate depth and number. People in this group show the most varied responses to different treatment methods. Many individuals with wheat colored skin, especially in Iran, fall into this category.
Two methods for forehead rejuvenation, according to one of the top facial cosmetic surgeons in World
The forehead can be rejuvenated (lifted) using two approaches: non surgical and surgical. Before considering surgery, it is important to understand that in medicine, priority is always given to minimally invasive or non surgical methods.
As the saying in our culture goes:
“A knot that can be untied by hand should not be untied with teeth.”
In the early stages, when forehead wrinkles are still dynamic, the best treatment is Botox injections. This substance temporarily weakens the forehead muscles, smoothing the skin and preventing the wrinkles from deepening.
In addition to Botox, depending on the skin type and individual needs, dermal fillers (gel) or fat injections can be used to restore lost volume and create a smoother forehead appearance. However, it should be noted that non surgical methods are effective only for a few years, and the natural aging process of the forehead continues and can never be fully stopped.
Over time, when these treatments are no longer effective especially when wrinkles have become static and deep, and eyebrow drooping is noticeable surgical forehead lift, either via the open method or endoscopic technique, can be considered.
Final words on choosing the appropriate method for forehead rejuvenation
If your forehead wrinkles are still superficial or eyebrow drooping is mild, non surgical methods such as Botox or filler injections can be a suitable option.
If you are seeking a natural result with minimal invasiveness, an endoscopic forehead lift is a noteworthy choice.
However, if these methods do not meet your expectations, and you are looking for a more significant lift, correction of severe drooping, and long lasting results, an open forehead lift may be your final choice.
Dr. Akbar Bayat
Board certified facial plastic surgeon (Europe)



