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Short-Term Outcomes of Endoscopic Brow Lifting Without Depressor Resection.
Rui Han Liu1, Minjee Kim1, Robin W Lindsay1
1Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Harvard Medical School, Massachusetts Eye and Ear, Boston, Massachusetts, USA.
The Laryngoscope
|August 18, 2025
Summary
Endoscopic brow lifts effectively elevate brows by 2-3mm with a low complication rate. This technique offers reliable, significant improvements in brow position, comparable to direct methods.
Area of Science:
- Plastic Surgery
- Ophthalmology
- Facial Rejuvenation
Background:
- Aging leads to brow ptosis, affecting facial aesthetics.
- Endoscopic brow lift is a minimally invasive technique to address brow position.
Purpose of the Study:
- To detail the functional endoscopic brow lift technique.
- To evaluate outcomes of endoscopic brow lifts over an 8-year period.
Main Methods:
- Retrospective chart review of 312 endoscopic brow lifts (2016-2023).
- Analysis of brow height changes using ImageJ software.
- Assessment of complication and revision rates.
Main Results:
- A 2-3mm average increase in medial, central, and lateral brow height bilaterally.
- Low complication rate (0.6%) and revision rate (1.9%).
- No significant change in inter-brow distance.
Conclusions:
- Endoscopic brow lifts provide reliable and significant improvements in brow position.
- The technique demonstrates a minimal risk profile.
- Outcomes are comparable to direct brow lift techniques.

