In the last fifteen years or so the endoscopic brow lift which is a form of “keyhole surgery” has gained acceptance as the operation of choice for brow lifting. It involves releasing the scalp and its ligaments with special endoscopic surgical instruments which are introduced through the scalp via small incisions behind the hairline. The operation causes less swelling and downtime than the conventional brow lift and can be carried out under local anaesthetic as a day-case.

Image of patient complaining of heavy hooding of her upper eyelids and bags under her eyes and the same patient three months after an endoscopic brow lift and upper and lower blepharoplasties. Note that there are no visible scars.