Endoscopic Brow Lift Seattle & Tacoma

The location of the eyebrows—on the brow bone—is a sign of youth. As aging occurs and skin loses laxity, the eyebrows may slowly descend down the face. This can cause loose skin to bunch up along the upper eyelids and brows. It also contributes to a generally grumpy, tired, and unapproachable look. When it gets to this point, a brow lift surgery is often necessary. Seattle Plastic Surgery performs the best endoscopic brow lift Seattle and Tacoma offers.

What Is An Endoscopic Brow Lift?

A brow lift is a plastic surgery that lifts the eyebrows and reduces wrinkles on the forehead. It achieves this by removing excess skin and tightening the loose skin. This also helps reposition the brows into a more youthful position along the brow bone.

The endoscopic technique involves using a small, flexible camera on the end of a cannula to perform the brow lift. It provides the surgery with more visibility and allows for increased precision. In a technical sense, the endoscope helps guide the release of the glabellar and supraorbital soft tissues. This method can help improve results, allow for smaller incisions, and is less invasive than a traditional brow lift in Seattle.

Benefits Of Endoscopic Brow Lift

The benefits of an endoscopic brow lift surgery go beyond anti-aging. When performed by an expert facial plastic surgeon Seattle like Dr. Santos, a brow lift can bring many other advantages and benefits. Endoscopic brow lift benefits may include:

  • Smoother forehead appearance
  • Naturally repositioned eyebrows
  • Minimize frown lines
  • Extra skin on the forehead and possibly upper eyelids removed or tightened
  • Refreshed, rested look
  • Maintains full range of brow movement once healed
  • Special attention paid to your specific facial features and contours
  • Aid in facial feminization surgery
  • Smaller incisions
  • Less scarring
  • Minimally invasive
  • Quicker healing period on average
  • Possible to perform under local or general anesthesia
  • Tends to have fewer complications
  • Can combine safely with other procedures such as upper eyelid lift or facelift
  • Performed by experienced and expert facial plastic surgeons

Direct Brow Lift vs. Endoscopic

A direct brow lift and endoscopic brow lift—other than being surgical brow lift techniques—are extremely different procedures. Endoscopic brow lifts are much more commonly performed, but a direct brow lift also is beneficial in certain situations. The table below compares the methods to help you determine which Seattle brow lift may be right for you.


Direct Endoscopic
  • Incisions near eyebrow
  • Higher risk of visible scarring
  • Little skin removal
  • Viable for patients comfortable with the incision placement and with minor extra skin
  • Not commonly performed
  • Does not last as long
  • Incisions away from hairline
  • Low risk of visible scarring
  • More skin removal
  • Not viable in those without hair or actively and quickly losing hair around hairline
  • The most common technique
  • Long lasting result

Before & After

A Before and after picture of a patient who received a Brow Lift plastic surgery treatment

Before & After

A Before and after picture of a patient who received a Face Lift plastic surgery treatment

Endoscopic Brow Lift Before & After

Undergoing a Seattle endoscopic brow lift first requires preparation, research, and finding the best surgeon. For some patients, this process can last years. You may scroll through before and after galleries, read countless articles, and watch videos on other patients’ experiences. When you get to the consultation stage, this is what can truly separate the good surgeons from the best.

Brow Lift Consultation

At Seattle Plastic Surgery, we strive to provide personalized care at every stage of the process. During your consultation, you will meet with Dr. Santos or Dr. Jonov to discuss your concerns and goals for surgery. They will review your medical history and aspects of your lifestyle such as if you smoke. Finally, they will perform a brief physical exam.

Your Seattle plastic surgeon will then describe the ideal treatment for you, even if it is not a brow lift surgery. They will also discuss what they can provide and their recommendations. You can also determine logistics such as the type of anesthesia and incisions.

Endoscopic Brow Lift Procedure

Once properly anesthetized based on your surgical plan, Dr. Santos or Dr. Jonov will make three to four small incisions above the hairline. They are often vertical incisions because these perpendicular incisions are less likely to interrupt or interfere with hair growth. The hair is more likely to grow over them and your existing hair can cover them during recovery.

After making the incisions, your plastic surgeon will insert the endoscope and slowly release the skin and tissues necessary to tighten the forehead. Once done, they will pull the skin tight and ensure that the brows are in the optimal position. Finally, your surgeon removes the additional skin and stitches the incisions.

The entire procedure often takes an hour or less. An endoscopic brow lift is also ideal for combining with upper eyelid surgery. Patients often find they benefit from this particular combination.

Brow Lift Recovery

Endoscopic brow lift surgery involves a fairly minimal recovery. Patients can expect to return to work in between seven to ten days. However, some restrictions on exercise and heavy lifting will remain for several weeks. Swelling, bruising, and other side effects are generally less with the endoscopic technique than with traditional brow lift surgery.

Your plastic surgeon will provide recovery instructions which may include but is not limited to:

  • Wear a provided head wrap
  • Avoid alcohol and non-prescription anti-inflammatories for 24 hours
  • Refrain from vigorous exercise or activities
  • Do not shower until okayed by your surgeon
  • Keep your head elevated when resting
  • Take slow, careful walks every few hours as part of your recovery
  • Do not touch the area unless instructed to do so

Frequently Asked Questions

Can Endoscopic Brow Lift Be Done With Local Anesthesia?

Yes, an endoscopic brow lift can be performed under local anesthesia. It is also often safer and results in an easier recovery than undergoing full sedation with general anesthesia. Patients remain perfectly comfortable during the entire process and since the surgery is short, the local anesthesia generally lasts long enough. Therefore, only a minimal amount of anesthestic and an oral sedative are necessary.

How Much Is An Endoscopic Brow Lift?

A brow lift at Seattle Plastic Surgery starts at $3,995 with local anesthesia by Dr. David Santos. For general anesthesia, it can then range between $4,995 and $5,995. You can find more pricing information on our price list and add together the cost of multiple procedures with Price Simulator.

We do work with outside financing companies such as Care Credit. You can find more information about this on our financing page

How Long Does It Last?

A brow lift—similar to a facelift—typically lasts around ten years. The exact amount of time will depend on the specifics of your procedure, how well you care for your skin following surgery, and environmental factors. A traditional endoscopic brow lift can last several years and well over a decade in the best case scenario.

Where To Put Botox For Brow Lift?

For patients with only slight ptosis, Botox injections may provide an adequate lift. It does this by releasing the muscles that pull the brows downward. However, this is not a permanent solution and will likely not totally prevent brow drooping due to other aspects of aging.

The Best Endoscopic Brow Lift Surgeon In Seattle

Dr. David Santos is a premier facial plastic surgeon with over three decades of experience performing brow lifts and other related procedures. Dr. Craig Jonov is a general plastic surgeon who frequently performs facial plastic surgeries and has two decades of experience. They are among the most experienced endoscopic brow lift Seattle provides.

Seattle Plastic Surgery provides the Greater Seattle area with quality plastic surgery, cosmetic injections, and master esthetics. Our practice is dedicated to providing personalized and uncompromising procedures to our patients.

To learn more and schedule a consultation with the top Seattle plastic surgeons, call us at 206-324-1120. You can also reach out online via chat, contact form, and Price Simulator.