Abstract
INTRODUCTION: The gliding browlift has gained popularity as a technique to elevate the lateral brow. However, in many Asian patients, achieving the desired brow shape often necessitates lifting both the medial and lateral aspects. The endoscopic gliding forehead lift represents an evolution of the gliding browlift, tailored to address these specific anatomical and aesthetic considerations. This study aims to describe the surgical technique and evaluate objective outcomes of brow reshaping six months postoperatively. METHODS: A retrospective study was performed on patients who underwent endoscopic gliding forehead lifts between July 2022 and June 2024. The surgical technique for the endoscopic gliding forehead lift is outlined in detail. Objective outcomes were assessed using measurements of the brow-to-pupil distance (BPD), brow-to-lateral canthus distance (BLCD) and brow-to-medial canthus distance (BMCD) preoperatively and at six months post-surgery. RESULTS: A total of 100 patients (200 eyebrows) were included in the study. The BPD increased from 19.0 [17.0, 21.0] mm preoperatively to 24.0 [22.0, 26.0] mm at six months postoperatively (p < 0.001). The BLCD increased from 21.0 [20.0, 23.0] mm preoperatively to 28.0 [27.0, 29.0] mm at six months postoperatively (p < 0.001). The BMCD increased from 18.0 [16.0, 20.0] mm to 21.0 [19.0, 23.0] mm at six months postoperatively (p < 0.001). No cases of hematoma or frontal branch of facial nerve palsy were observed in this study. CONCLUSION: The endoscopic gliding forehead lift is an effective technique for shaping and lifting both the medial and lateral brows. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .