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Endoscopic forehead lift: is it effective?

Antonio de la Fuente1, Ana B Santamaría

  • 1Plastic Surgery Unit, Hospital Ruber Internacional, Madrid, Spain.

Aesthetic Surgery Journal
|April 1, 2009
PubMed
Summary

Endoscopic forehead lifts provide lasting brow elevation. Achieving a tension-free lift through extensive dissection and tissue release is key to preventing postoperative brow descent and ensuring satisfactory surgical outcomes.

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Area of Science:

  • Plastic Surgery
  • Facial Aesthetic Surgery

Background:

  • Postoperative brow descent can compromise forehead lift results.
  • Understanding the causes of brow descent is crucial for successful outcomes.

Purpose of the Study:

  • To describe causes of postoperative forehead descent.
  • To detail endoscopic forehead lift techniques.
  • To identify key factors for long-lasting results.

Main Methods:

  • Endoscopic forehead lift performed on 207 patients.
  • Subperiosteal dissection with extensive tissue release (periosteal, galeal, retro-orbicularis fat pad).
  • Selective myotomies and neurotomies for a tension-free lift, with tissue suspension until adhesion.

Main Results:

  • Achieved average initial brow lift of 10-12 mm (lateral) and 6 mm (medial).
  • Results remained stable in most patients at 12 months.
  • Minor relaxation (2-4 mm) observed in some patients after 4-6 weeks, with no further progression.

Conclusions:

  • Endoscopic forehead lift is an effective surgical technique.
  • A tension-free lift, achieved via adequate dissection and tissue release, is critical for success.
  • This method yields satisfactory and durable results.

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Last Updated: Jun 24, 2026

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Published on: August 15, 2025