Endoscopic or Direct Brow Lift?

The goal of a brow lift is not only to lift the brows but to rejuvenate the appearance of your beautiful eyes. Thanks to gravity, our foreheads start to drop as we age. This can cause our eyebrows to drop down, which causes the eyes and face to look older.


For women, the eyebrows should be slightly above the orbital rim. For men, the eyebrows should be at the level of the orbital rim. If your eyebrows are lower than this and you have developed excess skin over your upper eyelids, you may benefit from a brow lift.


At Eyelid & Facial Plastic Surgery Associates in Austin, TX, Dr. Malena Amato offers two types of brow lift procedures: endoscopic and direct brow lift. Both methods produce different results tailored to your specific needs and desired results. Here, we’ll describe both to help you better understand which option might be best for you.

What Is an Endoscopic Brow Lift?

Endoscopic brow lift surgery is the perfect option for candidates looking to lift their brows while also dramatically reducing the amount of healing time after their procedure. Endoscopic brow lift surgery is usually performed under light sedation and lasts about an hour. This surgical technique involves several short incisions just behind the patient’s hairline. Dr. Amato uses a tiny camera (called an endoscope) and delicate surgical instruments to gently manipulate the tissue that supports the forehead. The forehead is released, then Dr. Amato lifts and fixes it into place with self-dissolving sutures or implants. As the incisions heal, the new forehead position becomes permanent.


This method limits postoperative swelling and bruising, so most patients don’t experience any noticeable discomfort during their endoscopic brow lift recovery.

What Is a Direct Brow Lift?

A direct brow lift surgery involves the placement of a single incision above the brow that is either hidden in the brow, forehead wrinkles, or behind the hairline. Several factors determine the surgical incision site, including the thickness of brows, depth of forehead furrows, and hairline. Through this technique, Dr. Amato accesses and releases the forehead muscles, then tightens and repositions them using self-dissolving sutures. Excess skin may be removed to help shorten the length of a tall forehead or to remove excess skin.


Direct brow lifts are usually recommended for more mature patients who have significant skin laxity or patients with deep forehead lines. A direct brow lift surgery usually takes around 30 minutes to an hour under local and light sedation.

Is A Brow Lift Right for You?

A brow lift surgery is an excellent way to help repair a low-set brow, alleviate heavy upper eyelids from low-set brows, and remove creases in the forehead (especially if those creases are not responding to non-surgical treatment like Botox), or you’re looking for more permanent results. Does your forehead make you look tired, sad, or angry all the time? If your expression is being altered, you might seriously benefit from a brow lift.

Find Out Which Brow Lift Is Right for You!

To find out which technique is best for you, call Dr. Malena Amato at (512) 501-1010 or contact us through our website to schedule your personalized consultation. Dr. Amato will examine your facial features and help you determine the best course of action to meet your exact goals. We look forward to helping you along your aesthetic journey.