Subtle lift
The goal is restoring the brow frame, not creating a surprised expression.
Upper Facial Rejuvenation · Toronto
Endoscopic Brow Lift
Toronto
Elevate a descended brow and open the upper periorbital frame — using small scalp incisions and an endoscope. No coronal scar.
Why the Brow Matters
The brow is the frame of the upper face — and when it descends, it compounds every other sign of periorbital ageing. A descended brow adds to upper eyelid hooding, narrows the vertical dimension of the eye, and creates a heavy, fatigued appearance that upper blepharoplasty alone cannot fully correct.
The endoscopic brow lift elevates the brow to its anatomically appropriate position using small (5mm) scalp incisions, releasing the periosteal attachments that hold the brow down and securing the elevated tissue in its correct position. No coronal incision. No hairline alteration. No visible scar.
Combined with Blepharoplasty
The endoscopic brow lift and upper OFA-Bleph™ address adjacent but distinct anatomical problems. Brow lift elevates the frame; upper eyelid surgery refines the eyelid platform with conservative skin management, crease planning, support, and selective tissue repositioning when indicated. Performing both in the same operative session — when both are indicated — produces a more complete and natural result than either alone.
Critically, performing upper blepharoplasty on a patient with unrecognised brow ptosis removes skin that the face needs once the brow descends further — creating an eyelid that is too short. Diagnosing brow ptosis before upper blepharoplasty is a core clinical skill of oculofacial surgery.
What Patients Notice
A heavy upper eyelid is not always an eyelid-only problem.
Patients often describe hooding, a tired look, makeup resting on the upper lid, or one brow sitting lower than the other. Sometimes the answer is upper blepharoplasty; sometimes it is brow support; often the best plan is deciding how much each structure contributes.
Small incisions
Endoscopic access uses limited scalp incisions instead of a long coronal incision.
Eye-shape respect
The brow plan is coordinated with upper OFA-Bleph™ planning so the eye still closes and looks natural.
Assessed at Consultation
Whether brow descent is contributing to your upper eyelid appearance — and whether a brow lift is indicated — is assessed at every upper eyelid consultation with Dr. Gill.
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A treatment plan is confirmed after the appropriate review, clinical consultation, and care planning.