Endoscopic Forehead Lift | 1 Month Postoperative

In this case, the forehead and temporal tissues were appropriately released and repositioned to restore balance around the eyes and across the face, rather than simply raising the brows. Frontal and close-up upper-face photographs at one month show the early changes.

Priorities in this case

The key point in this case is how improvement in brow and forehead laxity and excessive tension affects the overall facial expression. The aim was not to raise the brows uniformly, but to treat the forehead, brows and eye area as one continuous structure.

Under the concept of SMAS RESET, lax SMAS and facial-expression muscles are repositioned with appropriate tension so that harmony across the face can be restored beginning with the upper face. Keeping this concept in mind during surgery helps avoid unnecessary brow elevation.

Excessive brow elevation can produce a surprised appearance or unnatural tension. The goal was to preserve the patient’s characteristic facial features while allowing the eye area to appear more open and the overall expression naturally brighter.

Procedure selected and its purpose

Endoscopic forehead lift, including a short-incision temporal lift

Through small incisions within the hair-bearing scalp, an endoscope is used to visualize the deeper forehead and temporal structures. Tissues contributing to descent are released and repositioned. The purpose is to address heaviness extending from the brow to the upper eyelid at a deeper structural level rather than pulling only on the skin surface.

The appropriate technique and fixation points vary according to brow and upper-eyelid anatomy, forehead height, hair position and previous treatment history. The surgical plan is determined after an individual assessment during consultation.

Changes visible at one month

In the frontal photograph, the tissue heaviness over the upper eyelid is less prominent than before surgery, and the eye area appears more open. The excessive recruitment and burden of the forehead muscles visible before surgery have also resolved after surgery. The close-up photograph demonstrates changes in the position around the lateral brow and in upper-eyelid show.

At one month, swelling, tissue firmness and altered sensation may still remain. Brow position, scars and contour may continue to change thereafter. Results and recovery vary between patients, and the same degree of change cannot be guaranteed.

Treatment course and fees

• Usual treatment period and number of visits: One operation, followed by several postoperative examinations and follow-up visits. The exact number varies between patients and may also differ according to the conditions of the monitor discount.
• Total fee for the procedures shown (tax included): ¥858,000 (including anesthesia; full-face monitor discount applied)
• Breakdown: Endoscopic forehead lift, including a short-incision temporal lift (full-face monitor) ¥693,000 + general anesthesia with mechanical ventilation ¥165,000

*The fees shown above apply at Cinderella & Da Vinci Clinic. International patients are accepted through Your Face Clinic. Please refer to the price list for international patients (PDF) for the applicable fees.

Principal risks, adverse effects and complications

Possible risks include bleeding, hematoma, infection, visible scarring, delayed wound healing, hair loss around the incision, prolonged swelling, bruising or edema, pain, tightness, altered sensation, nerve injury including facial nerve dysfunction, brow asymmetry, overcorrection or undercorrection, recurrence and a result that differs from the patient’s expectations.

Author and medical review

• Written and medically reviewed by: Shoichi Sasaki, M.D.
• Created: August 16, 2026

For detailed information about treatment, fees, principal risks and potential adverse effects, please refer to the explanation provided during your consultation.