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Archive for September, 2018


An Endoscopic Brow Lift Boosts Those Drooping Eyebrows

One of the areas of the face most affected by age is the eyebrows. As we grow older, the muscles around our eyes weaken and this can cause our eyebrows to sag. Droopy brows can mar the beauty of your face and make you look years older than your actual age. A brow lift is a good treatment to correct sagging brows.

The Endoscopic Brow Lift

There are many types of brow lifts that plastic surgeons can perform. However, the minimally invasive endoscopic brow lift is one of the safest and most effective options. Here, an endoscope with a small camera and a light is used to analyze the tissues of the forehead and brow. The drooping tissues can then be resected accordingly.

Initial Consultation

First, Dr. Mandal will evaluate the patient’s brow and forehead to see if they are a viable candidate for the endoscopic brow lift. She will discuss the potential results of the brow lift with the patients at this stage. The areas that necessitate the brow lift may be marked, and a surgical plan will be created.

Anesthesia and Incisions

In most endoscopic brow lifts, twilight anesthesia is used to anesthetize the patient. Twilight anesthesia is a type of anesthesia that makes the patient semi-conscious. The anesthetic used here is a combination of chemicals including midazolam, fentanyl, propofol, ketamine, valium, and nitrous oxide.

The patient is in a state where they are aware of their surroundings but do not experience any pain or discomfort. This type of anesthesia is extremely safe and involves little to no complications.

Once the patient has been anesthetized, tiny incisions are made on the areas of the hairline marked by Dr. Mandal. This is less invasive than the single large incision made during the traditional technique.

Surgical Dissection

Next, an endoscope is used to see where the concentration of the optic nerves are around the eyebrows. The drooping tissues are dissected away from and around the nerves. Care is taken not to damage the eye at any time. The sagging tissues are removed, which causes frown lines and wrinkles around the eyebrows to disappear.

Muscles around the eyebrows may also be repositioned or lifted higher to improve the area’s appearance. Medical-grade sutures are then used to stitch up the incisions. Staples may also be used to tighten the skin and aid in repair.

Post-Surgical Care

There may be tenderness and discomfort after the surgery, but these will reduce in a few days. The patient is asked to keep their head elevated and avoid extensive eye and facial movements. Ice may be used to reduce redness and bruising.

A week after the procedure, the sutures and staples will be removed and oral pain management medication may be prescribed should the patient need it.


The endoscopic brow lift is one of the best ways to improve the appearance of droopy brows. The number of frown lines and wrinkles around the brow will also be reduced, giving the face a youthful appearance.

Contact Us to Get Started

Contact the office of Dr. Anita Mandal, a skilled board-certified facial plastic surgeon, to arrange your consultation for an endoscopic brow lift.

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