Endoscopic Brow Lift: Anatomy, Dissection and Fixation

Endoscopic brow lifting is more than simply elevating the eyebrow. Olga Shkolna breaks the procedure down through anatomy, facial aging patterns and the relationship between brow position, upper-eyelid appearance and glabellar muscle activity.

The lecture focuses on the details that matter in the operating room: choosing the correct dissection plane, understanding where the facial and supraorbital nerves are at risk, releasing temporal retaining structures, selecting instruments and planning fixation. Operative footage demonstrates how the surgeon identifies tissue layers, advances the dissector and evaluates brow elevation before final fixation.

The discussion also covers glabellar muscle management, postoperative taping, suture and fixation options, alopecia prevention around scalp incisions, delayed hematoma and temporary changes in brow movement. Clinical before-and-after cases show how temporal lifting can be combined with blepharoplasty, lipofilling or broader facial rejuvenation — and where a more limited approach may be enough.

The Q&A adds useful real-world nuance: absorbable versus permanent fixation, alternatives to specialized endoscopic equipment, timing after botulinum toxin injections and practical decisions that often differ from textbook descriptions.