Endoscopic Brow & Forehead Lift in West Palm Beach, FL

Endoscopic Brow Lift in West Palm Beach, FL is performed by Dr. Albert Carlotti at BellaNova Cosmetic Surgery's state-registered Level III surgical center at 1261 S Congress Ave in West Palm Beach.

The upper third of the face ages by descent. The brow drops, the distance between brow and lash shortens, and the forehead compensates by lifting — which is why patients with brow descent often have deep horizontal forehead lines. The muscle is working constantly to hold the brow up.

Correcting this by removing upper eyelid skin treats the symptom and can make the underlying problem worse, because it removes the tissue the brow is resting on. Repositioning the brow itself is the operation that addresses the cause.

Am I a candidate for endoscopic brow lift?

You may benefit from a brow lift if you have:

• A brow that sits at or below the bony orbital rim
• Heaviness at the outer third of the brow, giving a hooded or tired appearance
• Deep horizontal forehead lines from constant compensatory lifting
• Vertical frown lines between the brows that filler and neuromodulators no longer control
• A short distance between brow and upper lash line

Patients with a very high hairline may be better served by a hairline (pretrichial) approach, which lifts the brow without raising the hairline further. This is decided by measurement, not preference.

How the endoscopic approach works

Three to five short incisions are made behind the hairline. Through them, an endoscope provides direct visualization while the forehead soft tissue is released from the bone and the periosteum is elevated down to the orbital rims.

The corrugator and procerus muscles — the ones that create the vertical frown lines — can be selectively weakened under direct vision. The brow is then repositioned at the height determined preoperatively and fixed in place.

The critical judgment is not how much to lift but where. Lifting the medial brow produces a startled, surprised expression — the signature of an overdone brow lift. The lift belongs at the lateral third, where the descent actually occurs. A well-executed brow lift restores the brow's natural arch rather than raising the whole structure uniformly.

Because the incisions sit behind the hairline and no scalp is excised in the endoscopic approach, the hairline position is preserved and scars are hidden within hair-bearing skin.

Recovery timeline

Every recovery is individual. This is the pattern most patients follow, and you will receive a written plan specific to your procedure.

When	What to expect
Days 1–3	Swelling in the forehead migrates down toward the eyes. Head elevated. Numbness behind the incisions is expected.
Days 7–10	Sutures or fixation points removed. Most bruising resolving.
Weeks 2–3	Socially presentable. Forehead sensation returns gradually over weeks to months.
Weeks 4–6	Exercise resumed. Brow position settling slightly from its initial over-elevated appearance — this is expected and planned for.
Months 3–6	Final brow height and arch established.

Risks and considerations

Risks include temporary or, rarely, permanent numbness of the scalp and forehead, itching, asymmetry of brow height, hair thinning near incisions, injury to the frontal branch of the facial nerve causing weakness of brow elevation, relapse of position, and an over-elevated or surprised appearance if the lift vector is wrong.

Cost and financing

A brow lift is commonly combined with upper blepharoplasty or a facelift, and combining reduces total anesthesia and facility cost. See cost and financing.

Before and after results

Dr. Carlotti maintains a photographic result archive organized by procedure — real patients, consistent lighting and angles, published with consent. View endoscopic brow lift before and after photographs.

Endoscopic Brow Lift: questions patients ask