If you’re seriously considering an endoscopic brow lift, you don’t want a sales pitch. You want facts from a surgeon who can back them up. Dr. Mehdi Balakhani, serving Newark and New Castle County in Delaware, is board-certified in both plastic and reconstructive surgery and oral and maxillofacial surgery. He walks you through exactly what happens during the procedure, step by step, and what your recovery involves.
Before Your Procedure
Dr. Balakhani maps your brow position and hairline to plan incision placement and reviews which medications to pause and how to arrange a ride home beforehand. This keeps the technique precise once you’re in the operating room.
During Your Endoscopic Brow Lift
Once sedation or general anesthesia takes effect, Dr. Balakhani makes several small incisions hidden within the hairline. A slender endoscope, a lighted camera on a thin tube, goes in through one incision, giving him a magnified view of the muscles beneath your scalp without a larger cut.
Working through the remaining incisions, he releases the muscles causing forehead furrows and repositions the brow to a more level, rested position. The tissue is secured with sutures, small surgical screws, or an absorbable fixation device placed at the temples, and the incisions are closed. This is the core of any brow rejuvenation surgery using the endoscopic method.
Recovery: What to Expect Week by Week
Your forehead may be lightly taped, with a soft wrap around your head to control swelling. Tightness, numbness, or bruising around the eyes and hairline is normal at first, typically peaking within 48-72 hours before subsiding. Because the endoscopic approach avoids one long incision, discomfort is often milder than with older methods.
Most patients at our Newark practice return to light activity within about a week, with sutures or clips removed between seven and ten days. Hair covers the incision lines as healing continues, and results refine over the following weeks.
How This Compares to a Traditional Lift
A standard forehead lift often relies on one longer incision across the scalp. The endoscopic technique targets the same muscles through several smaller openings, which is why many patients researching minimally invasive brow lift options ask about it specifically for forehead wrinkle reduction and other cosmetic brow enhancement options.
Frequently Asked Questions
Will the endoscope leave a visible scar?
Incisions sit within the hairline, so marks are typically hidden once hair grows back. Most fade and become hard to notice within months.
Is the endoscopic technique painful?
Most patients describe tightness and pressure rather than sharp pain, which is managed well with prescribed medication. Discomfort tends to ease within the first several days.
Will this procedure raise my hairline?
When incisions are placed carefully, your natural hairline is generally preserved. Dr. Balakhani plans incision placement specifically to avoid this concern.
Do results from an endoscopic brow lift last?
Results commonly last many years, though natural aging continues. Sun protection and a consistent skincare regimen help extend your outcome.
View our before-and-after gallery to see real endoscopic brow lift results, or explore our facial procedures page for related treatments.
Considering This Procedure?
A tired, heavy brow can make you look years older than you feel. The endoscopic technique addresses that with smaller incisions, less downtime, and results that read as natural, not “done.” Schedule a consultation with board-certified surgeon Mehdi Balakhani, DDS, MD, FACS, in Newark, DE, for honest answers about your candidacy and what to expect. Contact us today.




