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Face Endoscopic Forehead Lift

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During a forehead lift, the plastic surgeon corrects forehead wrinkling and, if indicated, simultaneously elevates the eyebrows through the removal or re-positioning of excess forehead skin.

Who Could Benefit?

  • A man or woman with sagging eyebrows.
  • An individual who appears fatigued because of droopy eyebrows.
  • An individual with severe forehead wrinkling.

The Goals

There are several types of browlifts. However, the ultimate goals are the same for every patient: a more youthful eyebrow shape and location, and forehead skin with less or no wrinkling.


Most patients require only local anesthesia and IV sedation, but some request general anesthesia. Your surgeon places the incisions behind, at, or below the hairline, and the incisions might be short or long depending on the specific goals of your surgery and the location of your hairline prior to the procedure.  For patients who desire their scars located well behind the hairline, Dr. Perrotta or Pellegrino utilize the endoscopic approach.

There are different types of brow lifts, but essentially, Dr. Perrotta or Dr. Pellegrino will surgically release the entire eyebrow or only its outer half from the underlying bony structures, which will enable the eyebrow or its outer half to migrate upward.  He will then secure the forehead and eyebrow to their new locations  with sutures.  They tend not to trust clips or endotines that other surgeons might use.  Lastly, the incisions are closed and covered with soft, comfortable dressings.


The patient goes home with his or her head wrapped in dressings, which are usually removed several days after surgery. In most cases, drains are not utilized.

Initial discomfort is controlled with oral medication.

Sutures at or in front of the hair-line are removed in 3-6 days.

Sutures or staples behind the hair-line are removed in approximately 1-3 weeks.

Most swelling and bruising is gone in 7-10 days.


Additional procedures that may enhance the result are Lower and/or Upper Eyelid Lift, Face Lift, or other facial procedures or implants.


This procedure usually is considered cosmetic and therefore not covered by insurance. The patient is responsible for payment. On occasion, health insurance will pay for the surgery, provided the eyebrow ptosis (droopiness) interferes with the patient’s vision.


The suitability of a forehead lift for an individual is determined during the office consultation. All procedures have risks. Minor complications occur occasionally. Major complications are rare.