Endoscopic forehead and brow lifting show that excellent results are obtained with this technique. Advantages over the coronal and trichophytic approaches include significant reduction in the length of incisions, improvement in the camouflage of these incisions and reduction of blood loss and surgical trauma. The endoscopic forehead lift also reduces scalp hypesthesia. Disadvantages include increased cost because of the need for more sophisticated equipment and risk of injury to either the sensory nerves or the motor nerves in this region.

Endoscopic forehead lift involves four to six short (one inch) incisions behind your hairline. Through these small incisions, the surgeon inserts and endoscope which has a tiny camera on the end. This allows her or him to see under your skin without making a long incision across the top of your head. Through this technique, your plastic surgeon will be able to do most of the things that can be accomplished through a coronal lift with a few notable exceptions. Your plastic surgeon will be able to weaken the scowl-causing muscles but will not be able to directly alter the muscle that causes horizontal wrinkles. The surgeon can lift your forehead, but does not remove the excess scalp. It is shifted upward and backward on your skull. To secure your scalp into its new position, your plastic surgeon may drill small hole into your skull and place tiny screws (which later are removed or which are absorbed by your body). Even with these screws, because excess scalp is not removed, there exists a high potential for your forehead and brows to droop after an endoscopic lift. Though the hairline gets raised, this procedure does not cause temporary numbness on top of your head.