After Multiple Surgeries, This Patient Calls the Endoscopic Brow Lift the “Most Satisfying”—With a Midface-Shortening Effect Too!
Rejuvenation & Sagging Treatments / Endoscopic Forehead Lift / Endoscopic Brow Lift / Forehead Lift

What Is an Endoscopic Brow Lift?
“Even after having multiple procedures around my eyes, my overall appearance somehow didn’t seem to change.”
“Although my features should look more refined, my expression still appears somewhat harsh.”
Concerns like these may be caused not by the eyelids alone, but by the overall balance of the upper face.
This case features a woman in her 20s who had previously undergone multiple incisional procedures.
She ultimately chose an endoscopic brow lift and described the result as “the most satisfying so far.”
Additionally, approaching the area through the forehead offers the welcome secondary benefit of making the midface appear shorter.
Before-and-After Photo: Endoscopic Brow Lift (1 Month Postoperative)

Case Information: Woman in Her 20s / Endoscopic Brow Lift
- Procedure: Endoscopic brow lift
- Age and Gender: Woman in her 20s
- Concern: Wished to soften the harsh appearance around her eyes
Preoperative Concern: A Lingering Sense of Imbalance Despite Multiple Procedures
The patient had previously undergone multiple procedures around the eyes. However, the harsh appearance around her eyes remained.
She came to us because she felt that she somehow looked intimidating.
The examination revealed several contributing features.
- Slightly lowered eyebrows
- A short distance between the eyes and eyebrows, creating a heavy expression
- A somewhat flat forehead, making the visual center of the face appear lower
In other words, the impression was caused by insufficient visual space in the upper face.
Why We Chose an Endoscopic Brow Lift
The patient had already undergone procedures on her eyelids and double-eyelid folds.
We therefore proposed an approach that would refine her appearance by improving the overall balance of the upper face.
An endoscopic brow lift requires only four small incisions concealed within the hairline.
An endoscope is used to carefully lift the deeper tissues.
The key is to lift not only the skin but also the underlying supporting tissues. This helps maintain the results and creates a natural-looking outcome.
Scar Locations for a Hairline Incision and an Endoscopic Brow Lift

All incisions are concealed within the hair, so the scars remain inconspicuous even when the hair is swept back.
Postoperative Changes: A Softer Overall Appearance
Before-and-After Photo: Endoscopic Brow Lift (1 Month Postoperative) — Front View

The eyebrows were raised slightly and naturally, creating a well-balanced amount of space between the eyes and eyebrows. This alone gave her expression a noticeably softer appearance.
The impression around her eyes changed from simply “beautiful” to “soft and feminine,” bringing out the refined elegance of a mature woman.
Before-and-After Photo: Endoscopic Brow Lift (1 Month Postoperative) — Oblique View

Before-and-After Photo: Endoscopic Brow Lift (1 Month Postoperative) — Profile View

Notice the change in her smile as well. Her smile now appears natural, relaxed, and gentle, without looking artificial or overdone.
Before-and-After Photo: Endoscopic Brow Lift (1 Month Postoperative) — Neutral Expression and Smiling

An Unexpected Benefit: A Shorter-Looking Midface for the Impression of a Smaller Face
When the eyebrows are elevated through an endoscopic forehead lift, the midface (from the eyebrows to the base of the nose) appears relatively shorter. This shifts the visual center of the face upward, creating the impression of a smaller face.

Many patients worry that the procedure might make the midface look longer. In reality, it tends to appear shorter. The improved facial balance also creates a more refined appearance.
In addition, a gentle curve is restored to the forehead. A rounded forehead is another key to a youthful, feminine appearance.
A Patient Who Has Undergone Multiple Procedures Says: “This Has Been the Most Satisfying”
This patient had previously undergone several procedures around the eyes.
Even after taking those experiences into account, she told us, “The endoscopic forehead lift has given me the highest level of satisfaction.”
Perhaps precisely because she had undergone multiple procedures, she was able to clearly appreciate the benefits of an approach targeting the upper face.
Recovery Progress and Time After an Endoscopic Brow Lift (Before Surgery → 1 Week → 1 Month)

Swelling and bruising typically peak 2–3 days after surgery. Most of these symptoms subside within about one week.
The sutures are removed one week after surgery. By one month, the results generally settle into a natural-looking appearance.
You may shower and wash your hair from the day after surgery. Makeup may also be applied from the following day. Because all incisions are concealed within the hair, you can return to your daily routine without worrying about them being noticeable.
Potential Risks
- Temporary numbness or bruising may occur.
- The bone-tunneling fixation technique minimizes the risk of regression.
- Infection, hair loss, and hypertrophic scarring are extremely rare, but may occur.
- Temporary hair loss around the incision sites may occur for approximately one month.
Recommended for Those Who:
✔ Have undergone multiple eye-area procedures without achieving a noticeable change in their overall appearance
✔ Have a short distance between the eyes and eyebrows, making it difficult for eye makeup to stand out
✔ Have a flat forehead or feel that their face appears elongated
✔ Are often told that they look intimidating or stern
✔ Want a naturally more refined appearance
✔ Also want their midface to appear shorter
Final Thoughts
The ideal eye-area appearance cannot be achieved by treating the eyelids alone.
Today, treatment should be considered in terms of the entire upper face, including the eyebrows, forehead, and underlying bone structure.
An endoscopic brow lift leaves inconspicuous scars and can naturally enhance your overall appearance.
It is particularly recommended for those who feel, “I have had double-eyelid surgery, but something is still missing,” or who want a naturally more refined appearance.
If you are interested, please feel free to discuss your concerns with us during a consultation.