Garrett Ni MD Facial Plastic Surgery
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    Endoscopic & Temporal Browlift
    Upper Face Rejuvenation•
    Mount Carmel, IL

    Endoscopic & Temporal Browlift

    Minimally invasive elevation of heavy brows to open the eyes, soften forehead furrows, and restore a rested, serene upper facial appearance.

    AnesthesiaTwilight Sedation / General
    Duration1.5 – 2 Hours
    Downtime7 – 10 Days
    Comprehensive Procedure Guide

    Overview

    A browlift (forehead lift) rejuvenates the upper third of the face by gently elevating sagging eyebrow arches, releasing hyperactive forehead depressor muscles, and restoring an open, luminous appearance to the eyes. As brows descend with age, heavy brow tissue rests upon upper eyelids—a condition frequently mistaken for pure eyelid skin redundancy. Dr. Garrett Ni employs advanced minimally invasive endoscopic and temporal hairline browlift techniques that anchor the forehead tissues securely without creating a 'surprised' or over-pulled look.

    Who It Is For

    Ideal for individuals with descended or flat eyebrow arches, lateral brow hooding weighing upon the outer eye corners, deep horizontal forehead furrows, or prominent glabella frown lines ('11s').

    Low, flat, or asymmetric eyebrow position
    Lateral brow heaviness contributing to upper eyelid hooding
    Deep horizontal forehead lines or stubborn frown lines
    Tired or severe appearance despite feeling energetic
    Desire for long-lasting upper-facial balance with hidden hairline scars
    Anatomical Precision

    Key Anatomical Zones

    Arcus Marginalis Release

    Complete release along the superior orbital rim allows the brow to be repositioned upward effortlessly without scalp tension.

    Corrugator & Procerus Muscle Modulation

    Selectively softens the muscles responsible for deep vertical frown lines ('11s') for a permanently calmer expression.

    Deep Temporal Fascia Anchoring

    Secure lateral suspension creates an elegant, youthful arch to the lateral brow without altering the central expression.

    Endoscopic High-Definition Visualization

    Allows precise dissection while protecting the supraorbital and supratrochlear sensory nerves.

    Surgical Philosophy

    Dr. Ni’s Approach

    Dr. Ni uses 3 to 4 tiny keyhole incisions hidden well behind the hairline. Utilizing high-definition camera visualization, he releases tight orbital periosteal attachments and brow depressor muscles, securing the brow complex vertically into its anatomical position on the frontal bone. This delivers a smooth forehead, lifted outer brow tail, and wide, expressive eyes without visible scars.

    Surgical & Anatomical Technique

    Under endoscopic guidance, the subperiosteal plane of the forehead and deep temporal fascial plane are developed. The confluence of retaining ligaments at the orbital rim is released completely from temporal crest to temporal crest. The brow is elevated into its ideal aesthetic position—typically arching just above the orbital rim in women and along the rim in men—and stabilized with resorbable fixation devices or permanent fascial sutures.

    The Experience

    Consultation

    Evaluation of your hairline position, forehead height, brow mobility, and eyelid-to-brow relationship to select the ideal endoscopic, temporal, or trichophytic technique.

    Procedure Day

    Performed under light twilight sedation or general anesthesia in an accredited outpatient surgery center. Tiny incisions remain completely concealed within the hair.

    Post-Operative Care

    Recovery Timeline

    Head dressing is removed after 24 hours. Minimal forehead numbness and mild swelling resolve over 7-10 days. Most patients return to work and light exercise within 7 to 10 days.

    Days 1 – 2

    Light headband removed at 24 hours. Cold compresses minimize periorbital puffiness.

    Days 5 – 7

    Tiny scalp clips or sutures removed. Mild bruising clears from the upper eyelid area.

    Days 7 – 10

    Patients comfortably resume social activities, professional work, and light walking.

    Weeks 4 – 8

    Full sensory sensation returns; brows settle into their soft, natural arch.

    Why Choose Dr. Garrett Ni

    1

    Double board-certified facial plastic surgeon with specialized endoscopic training.

    2

    Fellowship-trained at Ronald Reagan UCLA Medical Center and Mount Carmel aesthetic centers.

    3

    Artistic eye for gender-specific brow aesthetics—never creates an over-arched or startled appearance.

    4

    Comprehensive expertise in combining brow, lid, and midface rejuvenation seamlessly.

    What It Treats

    • Descending eyebrow arches and heavy lateral brow tails
    • Upper eyelid hooding caused by brow tissue descent
    • Deep horizontal forehead furrows and glabellar furrows
    • Tired, stern, or heavy appearance of the upper face
    • Asymmetric eyebrow positioning

    Key Benefits

    • Elevates heavy lateral brows and opens upper eye aperture
    • Softens horizontal forehead furrows and permanent frown lines
    • Tiny keyhole incisions completely hidden within the hair
    • Preserves natural facial mobility and soft brow curvature
    • Frequently paired with blepharoplasty for complete upper face harmony
    Double Board-Certified Facial Plastic Surgeon
    Wabash General Hospital — Mount Carmel, IL
    Patient Questions

    Frequently Asked Questions

    Common questions about Endoscopic & Temporal Browlift.

    Schedule Your Private Consultation

    Consult personally with Dr. Garrett Ni at our Mount Carmel practice to discuss your aesthetic goals and receive an individualized surgical plan.