Can My Endoscopic Browlift Be Reversed?

Q: Dr. Eppley, I had an endoscopic brow lift earlier this year and the result is over-done. I never wanted my brows lifted this high. My goal was a subtle, more youthful look at the temples because I am still young. Now the middle of my brows sits far too high, and it has completely changed my expression. My eyes look hollow and indented, and my face no longer looks like me. When I gently press my brows down to where they used to sit, they move easily and the appearance looks natural again.

A:An endoscopic brow lift works by what is known as an epicranial shift… meaning the brows are lifted because the entire scalp is mobilized and pushed backwards. No scalp or forehead tissues are removed as in numerous other traditional brow lifting techniques. It is not a procedure where there is a precise control of only portions of the brow and usually the full arch of the  brows are lifted.

Reversing an endoscopic brow lift requires an epicranial shift in the opposite direction towards the brows bringing the entire scalp foreard to push the brows back down. Just like in the original brow lift procedure there’s not going to be precise control of only a limited portion of the brows, the ful larch of the brows is likely going to come down. The fact that you can manually push your brows down into the desired position is favorable in having a positive reverse epicranial shift result.

Dr. Barry Eppley

World-Renowned Plastic Surgeon