Cosmetic Surgery

Endoscopic Brow Elevation

When the eyebrows begin to sag as part of the aging process, it can make you look older than your actual years. This sagging creates droopy eyelids and forehead wrinkles, and it prevents your eyes from being seen as much as when you were younger. An Endoscopic Browlift (brow elevation) is a procedure that can correct the sagging and bring your eyes out of hiding.

If you feel that your brows have begun to sag, and you want to look younger, you may be an excellent candidate for Endoscopic Browlift Elevation in St. Louis. This procedure can:

  • Reduce sagging skin of the upper eyelid.
  • Make your eyes look naturally larger.
  • Soften frown wrinkles between your eyes or across the top of the nose, creating a smoother forehead.
  • Correct abnormalities of eyebrow shape or position.
  • Create a more symmetrical look to your eyes and eyebrows.

Your Consultation

When you arrive, you will need to provide a medical history, as we need to know about major illnesses and problems such as heart disease and hypertension. Prior surgery, especially facial surgery, is important. Medication history, including medications or supplements that thin the blood are vital to disclose. All over-the-counter pain/fever reducers (except Tylenol) and non-steroidal anti-inflammatory drugs (NSAID) are off limits for a week before eyelid surgery. Herbal medications such as ginkgo biloba and St. John’s Wort or high doses of fish oil, flax seed oil, or vitamin E must also be avoided.

Dr. Holds will ask you about what aspect of your eyelids bothers you and will discuss how this may relate to aging changes in nearby parts of your face. Eyebrow position is particularly important in relation to endoscopic browlift.

During your consultation, an examination is also performed to look at any eye conditions such as dry eye, which could limit or alter the surgical plan or be a concern after your procedure.

Patients undergoing endoscopic browlift benefit from preoperative Cosmetic Botox injections to relax the depressing muscles that pull the brows downward. This allows the brow to be at rest during the postoperative healing period. In some cases, the Botox treatment gives such impressive results that browlift can even be delayed.

What is Endoscopic Browlift Elevation Like?

This specific type of browlift utilizes an endoscope, which is a lighted optic instrument that is inserted into the hairline in a minimally invasive way, allowing the doctor to see the tissues under the skin of your forehead. As a result, only three to five small incisions need to be made behind the hairline where your hair will hide them.

Dr. Holds or his associates can then elevate the skin at the hairline to lift your brows and create a very natural look without damaging any of the important muscles, vessels, or nerves. This ensures that you will have full range of motion of your forehead and will not lose important sensation as a result of your surgery.

The surgery is conducted on an outpatient basis, under an anesthetic. You will be drowsy with some swelling, however, so someone will need to drive you home after your surgery is completed and also to the next day’s visit.

Recovering From Endoscopic Browlift Elevation

Recovery from this procedure is fast, and discomfort is usually minimal. You may experience some minor swelling, bruising, or pain, but discoloration can be covered with makeup. You will also receive a prescription for pain medication in case you need it. The incisions are closed with sutures that are removed in the office about a week after your procedure, and you can return to work around that time.

If you also have excessive skin in your upper eyelids causing a droopy appearance, bags under your eyes, wrinkles around the eyes, or volume loss in your face that has caused drooping, you may also opt to have Upper Eyelid Blepharoplasty, Lower Eyelid Blepharoplasty, a Midface Lift, or Fat Transfer at the same time as your Endoscopic Browlift Elevation procedure.

Call our office today at (314) 567-3567 for a consultation to find out if Endoscopic Browlift Elevation can restore your youthful appearance and enhance the beauty of your eyes.