Understanding and Precautions for Sub-Brow Lift and Endoscopic Forehead Lift
[Medical Today = Reporter Dong-hyun Ko] If the roof of a house collapses, it affects the ceiling and indoor space as well. The same goes for the "forehead," which acts as the roof of the face. As one ages, the skin elasticity of the forehead gradually decreases and sags, which in turn affects the eyebrows and eyelids, causing an overall sagging of the upper face. Since the eye shape and forehead determine a person's facial impression, sagging in these areas can easily make one look older, making improvement necessary.
When the forehead, eyebrows, and eyelids sag together, both functional and cosmetic problems arise. In addition to fundamentally appearing tired, sleepy, and aged, a lack of strength in the eyelids causes people to constantly exert force on their foreheads to open their eyes. This causes forehead wrinkles, making them look even older.
Drooping eyelids can push eyelashes into the eyes, which may lead to reduced vision. Furthermore, irritation from eyelashes poking the eyes often causes tearing, which can lead to chafing of the surrounding skin. As one ages, the skin around the eyes weakens and develops wrinkles; if continuous irritation from poking eyelashes persists, the skin can deteriorate even faster.
These problems can be improved through a sub-brow lift and an endoscopic forehead lift, allowing one to expect a transformation into a clear and refreshed impression. Since these surgeries are performed on the upper face—an area that is clearly visible to others and impossible to hide—it is essential to thoroughly examine the surgical methods, clinical experience, and know-how of the plastic surgeon, as well as ensure that a thorough aftercare system is in place.
A sub-brow lift is a method that can lift sagging eyes without creating double eyelids. When drooping eyelids make the eyes look stuffy, an incision is made just beneath the eyebrows to pull up the sagging skin, creating defined eyes. Even individuals with thick, tough skin can achieve a natural and refreshed eye shape. A surgical plan must be established not merely for cosmetic enhancement to make the eyes look prettier, but to simultaneously address both functional and aesthetic concerns related to eye appearance and functionality that middle-aged individuals worry about.

▲ Director Kim Sung-hoon (Photo provided by SH Plastic Surgery)
Since a sub-brow lift makes an incision right along the lower margin of the eyebrow rather than on visible facial skin, it does not leave noticeable scars. It effectively lifts the eyelids, improving the eye shape into a clear look without double eyelid surgery. If laser treatments are received as aftercare following the surgery to prevent scarring, a quick recovery can also be expected.
An endoscopic forehead lift simultaneously improves forehead wrinkles, glabellar lines, crow's feet, and sagging eyebrows. As a one-stop solution to improve overall signs of aging appearing in the upper face, it uses the bone tunneling method with Endotine to secure the sagging forehead to the periosteum, enhancing overall elasticity from the forehead down to the eyebrow area.
Endotine can be applied to a wider area than screw fixation or suture threads, providing a well-balanced fixation effect. It is absorbed into the body approximately 9 months after surgery.
Dr. Sung-hoon Kim, Director of SH Plastic Surgery, advised: “The upper face is an area that influences one's facial physiognomy, impression, and overall image. If the forehead collapses and sags, it naturally impacts the eyebrows and eyelids, requiring safe improvement. To achieve satisfactory results, one should choose a clinic that provides thorough aftercare to ensure a swift recovery and prevent re-sagging after surgery.”
[Press Report] Understanding Sub-brow Lift and Endoscopic Forehead Lift and Precautions
Source: Medical Today https://mdtoday.co.kr/news/view/1065578986538996