Improve the appearance of droopy eyebrows and sagging eyelids! How to choose between Endoscopic Forehead Lift and Subbrow incision?

As people age, many find that even without staying up late, they always look tired and haggard, with dull eyes, and even a feeling that they can't keep their eyes open. These common signs of early aging are mostly related to the gradual loosening and aging of the tissues around the eyes and upper face. In addition to sagging eyelids, there may also be problems such as thickened eyelids, lowered eyebrows, eyebrows pressing down on the eyes, and drooping eye corners, making the overall face look older and even affecting one's energy and the brightness of the eyes.

As these aging problems around the eyes gradually accumulate, simply treating the eyelids may not achieve the desired improvement. Further evaluation of the position and support of the eyebrows and forehead tissues is also necessary. Currently, common upper face rejuvenation surgeries include Endoscopic Forehead Lift and Subbrow incision. Both can improve eyelid laxity, but there are still significant differences in surgical principles, scope of improvement, wound location, and suitable groups.

Which method is more suitable for you? The following will guide you through the features and key points of choosing between Endoscopic Forehead Lift and Subbrow incision.

What causes eyebrows pressing down on the eyes and droopy eyelids?

Many people think that drooping eyelids are just a simple case of loose skin, but in fact, the aging of the upper face is closely related to changes in the position of the eyebrows. When the tissues around the forehead and eyebrows and eyes gradually loosen and the eyebrows begin to droop, symptoms such as eyebrows pressing down on the eyes, drooping eyebrows and eyes, loose eyelids, and narrowing of double eyelids are likely to occur, making the eyes look tired and lifeless, and even showing obvious signs of aging. In more severe cases, the upper eyelid may cover too much and affect the field of vision, causing an unconscious habit of raising the eyebrows.

Therefore, the focus of treatment for this type of upper facial structural aging problem is not just on simply removing excess eyelids, but also on considering the support and lifting methods for the upper facial structure. Both Endoscopic Forehead Lift surgery and Subbrow incision can improve brow pressure on the eyes and drooping eyelids, but their mechanisms of action and suitable groups are different. Let's first understand what Endoscopic Forehead Lift surgery is.︰

What is an Endoscopic Forehead Lift?

Endoscopic Forehead Lift is one of the most popular facial rejuvenation surgeries in recent years. It mainly involves several hidden minimally invasive incisions within the hairline, combined with an endoscope to perform precise tissue dissection and adjustment, and then reposition and fix the loose and sagging tissue upwards to achieve a noticeable lifting and tightening effect.

Features of Endoscopic Forehead Lift:

• The wound was hidden inside the hairline.
• The scope of improvement is relatively comprehensive.
• Customizable lifting methods
• The Arsty Clinic technology does not require implants.
• Natural-looking youthful effect on the face
• Minimally invasive, invisible scars, and fast recovery.
• The effects are relatively stable and long-lasting.

What is a brow lift?

Subbrow incision surgery (under-Subbrow incision), also known as a mini eyelid lift, works by making an incision along the lower edge of the eyebrow to remove excess loose skin and then suturing it in. This lifts the eyebrows and improves upper eyelid sagging. Because it directly targets the sagging area, it effectively improves local eyelid drooping.

The under-brow lift surgery is mainly used to improve problems such as sagging upper eyelids and localized eyebrow pressure on the eyes. It involves making an incision directly at the lower edge of the eyebrow, removing excess loose skin, and then suturing to achieve a lifting and refining effect.

Compared to a more extensive Endoscopic Forehead Lift, Subbrow incision surgery is characterized by a shorter operation time, faster recovery, and the ability to precisely improve localized sagging without extensive tissue dissection. It is suitable for those who wish to address specific eyebrow and eye aging issues in a simple way.

Features of eyeSubbrow incision surgery

• The operation time is relatively short.
• The recovery period is relatively fast.
• It can precisely improve localized laxity
• No need for extensive stripping

▼A Comparison of Endoscopic Forehead Lift and Subbrow incision▼

Who are suitable candidates for Endoscopic Forehead Lift?

If your concerns are not just about loose eyelids, but also include drooping eyebrows, eyebrows pressing down on the eyes, drooping eye corners, and other signs of aging on the face, then an Endoscopic Forehead Lift would be a more suitable treatment option!

Endoscopic Forehead Lift can fundamentally improve the problems of brows pressing down on the eyes and sagging upper face, while raising the angle of the brow tail and the outer corner of the eye, making the eyes look more energetic and youthful. Therefore, it is especially suitable for improving early signs of aging in people over 30 years old, or even signs of aging in the mature stage, including people with more obvious brow pressing down on the eyes, drooping brows and eyes or loose forehead, as well as those who want to improve the overall upper facial contour and achieve a more comprehensive rejuvenation effect.

▼Endoscopic Forehead Lift and periorbital rejuvenation case▼

Who are suitable candidates for Subbrow incision surgery?

Subbrow incision surgery is more suitable for people whose aging problems are concentrated in the eyebrow and eye area, especially those whose main concern is sagging upper eyelids. After all, as people age, some people may experience obvious eyelid sagging and brow-pressing symptoms, but the overall degree of forehead tissue sagging is not serious. Or, due to factors such as forehead height and hairline conditions, they may not be suitable for Endoscopic Forehead Lift. In this case, Subbrow incision surgery can improve the sagging eyelids below the eyebrows, which can restore the eyes to a bright and lively look.

▼Case Study of EyeSubbrow incisioning to Improve Sagging Upper Eyelids▼

Because eyeSubbrow incision surgery involves a relatively small area and does not require extensive tissue dissection, the recovery period is usually short, making it a preferred choice for those who want to improve upper facial aging issues with a simple, minor surgery.

However, whether someone is suitable for Subbrow incision surgery still needs to be assessed by a professional doctor based on the position of their eyebrows, the degree of eyelid laxity, and the overall facial condition. Not everyone is suitable for Subbrow incision surgery, especially since Subbrow incision surgery will leave obvious scars. Therefore, after the surgery, it is necessary to use techniques such as microblading to beautify and modify the scars from the Subbrow incision. People who are concerned about this are not suitable for the procedure.

Subbrow incision — ▼Eyebrow Removal Scar Recovery Period▼

Are there only two options for eyelid lifting?

Actually, that's not necessarily the case. Clinically, most people's upper facial aging is not just a single symptom, but a combination of issues such as sagging and drooping eyebrows and eyes, aging under-eye bags, and even mid-face tissue displacement. Therefore, to improve the problem of eyebrows pressing down on the eyes or drooping eyelids, you don't necessarily have to choose between Endoscopic Forehead Lift and Subbrow incision. Instead, you need to have a comprehensive evaluation by a plastic surgeon with extensive experience in facial rejuvenation. Based on the individual's bone structure, distance between eyebrows and eyes, degree of skin laxity, extent of aging, and expected improvement, the most suitable treatment plan can be planned.

Arsty Clinic Facelift TeamDr. Wei-Cheng Ching與Dr. Hsin-Yu ChenWith extensive experience in eyelid surgery and facial rejuvenation, we are familiar with various procedures for rejuvenation and lifting from the periorbital area to the entire face. We can design customized composite treatments based on each patient's aging symptoms. For example, some people can improve eyebrow pressure and upper face sagging simply through Endoscopic Forehead Lift, while others can have local aging problems precisely addressed through a simple Subbrow incision. Some people are more suitable for combining other treatments to achieve a more complete and natural improvement.

▼Customized Periocular Rejuvenation Surgery Case Study▼