Endoscopic Brow Liftin Seoul with Endotine Fixation

Heavy upper lids are sometimes a brow problem in disguise. When the eyebrow sits lower than it used to, it pushes skin down over the lid, and the forehead muscle works all day to hold the brow up, which etches horizontal lines. Lifting the brow back to its earlier height treats the cause of both signs at once.

The first thing Dr. Jang checks is where the brow sits relative to the bony rim above the eye. If the brow is already at a good height and the extra fold comes from lid skin alone, upper blepharoplasty is the operation discussed instead. The height of the hairline matters too, because the forehead is lifted upward from behind it and a high forehead can look longer afterwards.

The forehead is built in layers: skin, a fatty layer, the frontalis muscle and, underneath, the periosteum that covers the skull. As the brow descends, the tissue along the upper rim of the eye socket becomes tethered in its lower position. An endoscopic brow lift works in the deepest layer. A thin endoscope, a camera about the width of a pencil, is passed through short incisions behind the hairline, so the surgeon sees the brow area on a screen while releasing it from above.

Once the tissue along the brow rim is released, the whole forehead can slide upward as one unit. It is then anchored to the skull with Endotine, a small fixation device with tiny tines that grip the tissue from beneath and that the body absorbs over time. The clinic's guidance is that the lifted position holds for about 5 to 10 years, including after the device has dissolved; aging continues, so the brow can change gradually.

The amount of lift is measured in millimeters. A 2024 meta-analysis of 12 studies on long-term results found an average rise of 3.25 mm at the inner brow, 3.86 mm at the center and 4.35 mm at the tail (Şibar, 2024). That modest number is the point: the goal is a brow returned to where it sat earlier, natural but clearly visible, without a surprised expression.

The fee for the operation covers the endoscopic lift with Endotine fixation. IV sedation appears on the bill as its own line, and the clinic adds it to every surgery, including those done under general anesthesia. Neither line includes VAT; 10% VAT is added at payment.

If you plan another procedure in the same trip, such as eyelid surgery, it is quoted as a separate line. Ask for an itemized written quote covering medication and follow-up before you fix your travel dates.

Small incisions do not mean small surgery: the release happens across the whole forehead. Contact the clinic straight away if swelling builds on one side, pain becomes severe, or you notice weakness when raising one eyebrow.

• Numbness, tingling or itching of the forehead and scalp, which can take months to settle.
• A widened scar or thinner hair along an incision line in the scalp.
• Feeling the Endotine devices under the scalp, tenderness over them, or a small visible bump before they dissolve.
• Uneven brow height between the two sides, or less lift than hoped for.
• Temporary weakness of the forehead muscle if the nerve branch that raises the brow is stretched.
• Bleeding under the scalp or infection, which needs prompt treatment.

A systematic review of brow lift techniques found that every method had complications, with poor scarring and altered sensation reported most frequently, and that endoscopic lifts showed a wider range of complication types than open approaches; the data came from case series, so the comparison is limited (Byun, 2013). In a series using the Endotine device, patients reported high satisfaction alongside palpable devices, tenderness and worsening of an already high hairline in some cases (Chowdhury, 2007).