Many middle-aged patients express a desire for brighter and more defined eyes without undergoing double eyelid surgery.

In many cases, the eyelid skin begins to sag, covering the existing crease, and habitual forehead contraction develops when opening the eyes.

In such conditions, a more fundamental solution may be required rather than a simple double eyelid procedure.

Based on the presentation recently delivered at the Korean Society for Aesthetic Plastic Surgery, this article introduces the details and postoperative transformation of the endoscopic forehead lift procedure.

Q. Is it difficult to correct sagging around the eyes with double eyelid surgery alone?

Patients who present with the characteristics described above often visit a plastic surgery clinic with concerns such as having small eyes or experiencing heaviness of the eyelids that requires effort to open the eyes.

In most cases, they expect these concerns to be resolved with double eyelid surgery alone.

However, when both the forehead and eyebrows have descended, achieving the desired eye expression through double eyelid surgery alone is difficult.

If the crease is made excessively high, the upper eyelid can appear thick, and the overall impression of the face may become harsh.

For this reason, in such cases, an endoscopic forehead lift, which corrects the position of the eyebrows themselves, can provide a more fundamental and effective solution.

Q. What kind of procedure is the endoscopic forehead lift?

The concept of an endoscopic forehead lift can be clearly understood by observing the before and after photographs attached above.

This procedure involves making a small incision inside the hairline, elevating the forehead tissue, and lifting the sagging forehead and eyebrow areas.

It can be performed on a wide range of patients, from young adults in their twenties who habitually raise the forehead due to low eyebrow position, to middle-aged individuals experiencing visual obstruction caused by forehead descent.

The incision, approximately one and a half centimeters in length, is placed within the hair-bearing scalp. Because the surgery is performed precisely under endoscopic visualization, it results in minimal scarring and allows for a relatively rapid recovery.

A key component used in this procedure is a fixation device called Endotine. This implant has been approved by the FDA (United States Food and Drug Administration) and is anchored to the frontal bone to enhance and stabilize the lifting effect.

Q. What is the purpose of using an endoscope in the endoscopic forehead lift procedure?

In the endoscopic forehead lift, the endoscope serves not as a simple auxiliary instrument but as a central tool that enables highly precise surgical procedures.

Its role becomes particularly important when excising the corrugator supercilii muscle, which functions to pull the eyebrows downward.

When the corrugator supercilii muscle is released, the descended eyebrows are elevated toward the forehead, creating a more refreshed and open appearance of the eyes.

As observed in the before and after results of the endoscopic forehead lift, this process contributes to a more balanced and rejuvenated facial expression.

Because the area surrounding this muscle contains a dense distribution of delicate nerve structures, meticulous dissection is required.

The use of a full high definition endoscopic system allows the surgeon to perform the procedure safely while minimizing the risk of neural injury.

Through this advanced visualization, the endoscope plays a critical role in preventing nerve damage, while the combination of anatomical expertise and refined surgical technique ensures both precision and safety throughout the operation.

Q. Does the endoscopic forehead lift procedure seem overwhelming or difficult to undergo?

When the endoscopic forehead lift procedure is recommended, it is sometimes misunderstood as an attempt to suggest an additional or unnecessary surgery. Some individuals may hesitate, feeling that the operation seems extensive or that the cost might increase unexpectedly.

However, the true intention behind such a recommendation is different. Rather than simply enlarging the eyes, the goal is to achieve overall facial harmony and a naturally refreshed appearance. This becomes more evident when observing the before and after outcomes of the endoscopic forehead lift. Patients who experience brighter and more defined expressions after surgery often express high satisfaction, and such positive transformations represent meaningful fulfillment within the field of aesthetic plastic surgery.

Recently, a comment was posted on our clinic’s YouTube video stating that someone had experienced severe headaches after the surgery.

In response, the following clarification was provided:

“The endoscopic forehead lift is not a procedure that forcibly pulls the tissue.

The operation is performed through gentle dissection and refined lifting techniques designed to avoid irritation of the nerves, ensuring a safe and controlled surgical process.”

Such safety is made possible by the combination of extensive anatomical knowledge, meticulous surgical execution, and the precision afforded by modern endoscopic technology.

Continuous efforts will be made to deliver accurate and sincere information about procedures that enhance both facial aesthetics and functional balance.

For individuals concerned about the appearance of their eyes, reviewing before and after cases of the endoscopic forehead lift and receiving a professional consultation are strongly recommended.

This article has provided an overview of the procedure and its postoperative transformation through actual clinical results.

For additional inquiries regarding breast surgery, please contact AB Plastic Surgery at +82-01-9674-1298 or reach out via WhatsApp using the same number to receive a detailed consultation.

Writer Dr. Do Gyeong-Hyeon, AB Plastic Surgery

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