What it is
The brow is the frame of the upper face. As its supporting tissues relax, the brow drifts downward — especially at the outer corner — pressing tissue toward the eye and deepening a heavy, tired expression. An endoscopic brow lift releases and repositions the brow to a natural height through small incisions behind the hairline, guided by a tiny camera (the endoscope). When the cheek has also descended, a midface lift elevates it to support the lower lid and restore fullness.
Brow lift vs. eyelid surgery
This is the most important distinction on this page. A heavy upper eye can come from a low brow, from excess eyelid skin, or both. Removing eyelid skin when the real problem is a descended brow only pulls the brow lower — the wrong operation. Lifting the brow first often reduces how much eyelid skin needs to be removed. The two are therefore planned together, and sometimes performed together with upper blepharoplasty.
Who is a candidate?
- A low or flattened brow, particularly heaviness at the outer corner (lateral hooding).
- A habit of raising the forehead to lift the brows, with deep horizontal forehead lines.
- A descended midface, flattened cheek, or deepening groove below the lower lid.
- Good general health and realistic expectations about a subtle, structural change.
The technique
Several short incisions are hidden behind the hairline. Through them, the endoscope lets the brow and forehead tissues be released and lifted with precision, then secured at the new height. The midface, when addressed, is elevated through the same concealed access or in combination with eyelid incisions. There is no long scalp incision, hair is preserved, and elevation is deliberately measured — enough to refresh, never enough to startle.
The brow should look like it did ten years ago, not like it is being held up.