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Customized Endoscopic Male Forehead/Eyebrow Lift
Jack E Feist1, Ridhima Guniganti1, Christopher J Compton1
1Department of Ophthalmology and Visual Sciences, University of Louisville School of Medicine, Kentucky Lions Eye Center, Room 210 301 E. Muhammad Ali Blvd., Louisville, KY, 40202-1594, USA.
Aesthetic Plastic Surgery
|August 13, 2025
Summary
Customized endoscopic forehead lifts (FEL) are necessary for nearly 20% of men due to unique anatomical challenges. This approach significantly enhances patient satisfaction in male forehead rejuvenation.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Facial Rejuvenation
Background:
- Male forehead/eyebrow lift (FEL) presents unique challenges including higher hairlines, thicker skin, and stronger muscles.
- Standard techniques may not adequately address the specific anatomical considerations in male patients.
Purpose of the Study:
- To demonstrate a 20-year experience with customized endoscopic forehead/eyebrow lift (FEL) techniques in male subjects.
- To evaluate the efficacy and patient satisfaction of tailored endoscopic FEL for male facial rejuvenation.
Main Methods:
- A retrospective chart review of consecutive male subjects undergoing endoscopic FEL between 2007 and 2022.
- Customization of the endoscopic FEL technique based on hairline, skin thickness, wrinkles, and desired lift magnitude.
- Analysis of surgical approaches including scalp incisions and fixation techniques for different forehead zones, alongside patient satisfaction scores (VAS).
Main Results:
- Out of 895 FEL procedures, 107 (13.2%) were performed on males (mean age 47.9).
- Customized endoscopic FEL was utilized in 21 (19.6%) of male patients, employing specific incisions for different forehead zones.
- High patient satisfaction was reported, with a mean visual analogue score (VAS) of 97.5.
Conclusions:
- A significant percentage of male patients (nearly 20%) benefit from customized endoscopic FEL techniques.
- Tailored endoscopic FEL approaches are effective in addressing male-specific anatomical features, leading to high patient satisfaction.
