Endoscopic Brow Lift Bellevue & Kirkland
Procedure Time
3-4 Hours
Recovery Time
7-10 Days
Endoscopic Brow Lift In Kirkland & Bellevue, Washington
Have you ever looked in the mirror and noticed your eyebrows sitting lower than they used to, giving your face a tired or heavy appearance? If so, you’re not alone. Changes in the brow area are common over time and can be influenced by aging, genetics, and factors such as sun exposure. At Northwest Face & Body, we understand that subtle changes can significantly impact how you feel. That is why we offer the endoscopic brow lift in Bellevue and Kirkland, Washington, a minimally invasive approach designed to gently lift the brows and restore a more refreshed, youthful look while keeping incisions discreet. Our founder, Dr. Ludwig Allegra, has been practicing since 1983 and is one of the early pioneers of endoscopic techniques for upper-face rejuvenation, including brow lifts.
What Is an Endoscopic Brow Lift?
An endoscopic brow lift is a minimally invasive surgical procedure designed to gently raise eyebrows and smooth the forehead. Dr. Allegra uses a small camera called an endoscope to lift and reposition the brow through a few small incisions hidden within the hairline. This approach helps reduce a heavy or drooping brow, soften forehead lines, and create a more open, refreshed appearance around the eyes. Because the incisions are small and well concealed, an endoscopic brow lift typically results in less visible scarring and a shorter recovery compared to more traditional brow lift techniques.
What a Brow Lift Treats
When the brow position lowers, it can affect both appearance and function. A brow lift is designed to correct changes in the upper face that occur as the brows gradually descend with age. It commonly addresses:
- Sagging or drooping eyebrows, which can make the face look tired or aged
- Forehead and frown lines, especially those caused by repeated muscle movement over time
- Upper eyelid heaviness caused by brow descent, which may create the appearance of excess eyelid skin
- A tired, stern, or angry resting expression that does not reflect how you actually feel
Some of the earliest signs of aging affect the area around your eyes. What is the real change that takes place that allows us to look at an individual and immediately judge if they are in their 20’s, 30’s, 50’s, etc? The upper face is the key. We are remarkably adept at forming instant judgments based upon small but significant changes that take place. The overall effect of these changes culminates in an appearance of fatigue, possible anger, and looking less engaged or involved. There is a loss of the youthful “brightness” of the face. In some patients, it may also contribute to a feeling of heaviness around the eyes or interfere with peripheral vision.
Brow lift Before & After
Case 01
Case 02
Causes Of Brow Sagging
Most often the major factor common to all of the upper face changes is the relentless tendency for the brow and forehead area to become lax and droopier. This is seen very early in the region of the upper lids where it seems that there is now excess skin. It can be confusing, as the skin itself has not increased, but rather shifted due to changes with age. Additional changes include a hooded appearance of the upper lids to the sides resulting in a heavy and fatigued appearance. Widening and horizontal lines develop at the upper bridge of the nose which detracts from the elegance of the nose. This causes a “scrunched up” look. We instinctively compensate for the brow heaviness by increasingly using the muscles of the brow. This results in the formation of lines and wrinkles. This is an immediate tip-off of age.
The real cause in most individuals is the descent of the brow, which forms the foundation of the upper lids. This directly results in the seemingly excess lid tissue. The best analogy is that of heavy drapery on a flimsy rod that bends over time and results in the drape bunching up on itself. The solution is probably not to cut off the bottom of the drape! The best solution is to restore the support of the drape to its normal position thus achieving a true restoration. This is the basic concept of the endoscopic brow lift technique.
The Solution
The endoscopic brow lift in our Kirkland location offers a correction of the problem. This technique involves simply a restoration of the brow tissue to its youthful and normal position. Dr. Allegra does not remove any tissue whatsoever, it is simply repositioned. The procedure involves gaining access to the deepest level under the brow via small incisions just behind the hairline. Next, Dr. Allegra uses an endoscope with an attached video camera. He then performs the surgery while viewing the video monitor. The procedure then involves simply a meticulous freeing of the tissue and releasing it from its attachments. Once accomplished the whole region virtually wants to assume a relaxed and natural position with virtually no tension at all. The tissue is then simply secured in this position achieving an elegant rejuvenation. The procedure is typically performed under local anesthesia, depending on individual needs. Among the available brow lift techniques, the endoscopic approach is commonly chosen when the position of the brow has shifted downward over time.
The Brow Lift Recovery
The endoscopic brow lift is a gentle procedure involving only a release of tissue. This generally leads to an excellent and rapid recovery. As the incisions are all behind the hairline, there are no visible sutures or incisions. You can wash and style your hair the next day. Some unavoidable bruising will occur in the area of the eyes but rapidly resolves. There is some minor swelling in the “scowl” area between the eyebrows as this is where the muscles causing these angry and deep lines are weakened.
One is generally socially presentable in 5-7 days with perhaps a modest cover-up of mild bruising. At the 10-14 day mark, there are only trivial residual changes, rapidly resolving, that are easy to cover if needed. There is remarkably little if any pain with this technique and one in fact is able to resume normal activities almost immediately. Most patients require no medication at all. The incisions are so rapid and effective in healing that even with detailed inspection by a hairdresser or myself they often cannot be found after 1-2 months. Prior to surgery, Dr. Allegra provides detailed instructions regarding medications, supplements, and lifestyle considerations to support healing.
The Results
The endoscopic brow lift results in a remarkably effective and pleasing rejuvenation of the upper face. This procedure results in a remarkable satisfaction rate with patients feeling satisfied with how it looks. It is a procedure that will not result in comments such as “what have you had done?” but rather in “you look great”. One simply cannot see any “surgical” signs. Because of the remarkably solid and stable healing of this area, it is essentially a permanent solution. We have patients who are seen more than 20 years after their brow lift who are virtually perfect and look great!
The endoscopic brow lift offers a great solution for rejuvenation of the upper face for both men and women. This is performed at almost any age, even in one’s twenties if their appearance justifies it as there are genetic factors that may create a great deal of heaviness at an early age. As this is a very low stress procedure it may even be suitable for someone in their late 80’s. In men, this offers a remarkable improvement without the procedure looking obvious to others. It is possible to offer this procedure even if there is significant balding as the incisions heal so well and are hard to find. In short, this is often a truly ideal and satisfying procedure.
Combining A Brow Lift With Other Surgical Procedures
Dr. Allegra often finds that patients may benefit from more than one facial plastic surgery, such as a brow lift and a facelift. This can lead to better immediate and long term results. Most patients are candidates for a combined procedure and Dr. Allegra can determine if you may benefit from a combination of customized facial plastic surgeries. Examples of procedures you may have performed at the same time as you brow lift can include:
Combining procedures is often a practical choice for the right candidates. It can improve overall facial harmony while minimizing total recovery time as multiple concerns are addressed in a single surgery.
Who Is a Good Candidate for a Brow Lift in Bellevue?
You may be a good candidate if you:
- Have drooping or low-set brows
- Experience upper eyelid heaviness related to brow descent
- Feel your facial expression looks angry, stern, or fatigued at rest
- Are in good overall health
- Have realistic expectations about surgical outcomes
Dr. Allegra will determine whether you are a good candidate during a detailed consultation. He’ll carefully review anatomy, age-related changes, and personal goals.
Safety Considerations
Brow lift surgery is considered very safe when performed by an experienced facial plastic surgeon. As with any surgical procedure, there are possible risks, such as swelling, bruising, temporary numbness, or asymmetry.
Choosing an experienced surgeon and ensuring proper patient selection are important in minimizing risks and achieving natural results. Dr. Allegra discusses all potential risks and benefits thoroughly during your consultation to ensure informed decision-making.
Non-Surgical Brow Lift Options
For some patients, non-surgical treatments may provide temporary improvement in brow position. Botox is sometimes used to relax specific muscles that pull the brow downward.
While non-surgical treatments can soften wrinkles and create mild lift, they cannot correct brow descent caused by aging or gravity. These treatments are temporary and typically last only a few months. They are not a replacement for surgical brow repositioning when structural changes are present.
Why Choose Northwest Face & Body for Endoscopic Brow Lift?
Northwest Face & Body has built a reputation over decades by prioritizing safety, surgical expertise, and consistently natural results. We focus on:
Uncompromising Safety Standards
All surgical procedures at Northwest Face & Body are performed in a Medicare-certified surgical facility with modern operating rooms and advanced medical technology. Our dedicated surgical team includes a certified anesthesiologist and highly experienced operating room and recovery nurses.
Led by Dr. Ludwig Allegra
Dr. Ludwig Allegra is a skilled facial plastic surgeon and the founder of Northwest Face & Body. He has been practicing in the Seattle area since 1983 and is recognized as one of the early pioneers of endoscopic techniques for facial rejuvenation. His approach emphasizes facial balance and long-term harmony, not trends or overcorrection.
Patient Satisfaction
Patient referrals account for a significant portion of our new consultations, reflecting the satisfaction of those who have undergone treatment at our practice. Dr. Allegra’s work and expertise have also been featured on local and national television, including Evening Magazine, NW Afternoon, and The Rosanne Show, as well as in print media both in the U.S. and internationally.
The Best Endoscopic Brow Lift In Bellevue And Kirkland At Northwest Face & Body
Northwest Face & Body has served the Bellevue and Kirkland areas since 1983. For nearly four decades, they have provided premier facial plastic surgery to the Eastside. As masters of the endoscopic brow lift, our plastic surgeons have seen their brow lift results last upwards of a decade. Dr. Ludwig Allegra is an accomplished plastic surgeon with decades of experience and two board certifications.
Our office is located at Carillion Point in Kirkland, Washington, right on the shores of Lake Washington. Northwest Face & Body offers a welcoming and comfortable environment for your Bellevue and Kirkland brow lift. Just a few minutes drive from both downtown Bellevue and Kirkland, Northwest Face & Body is the Eastside’s top brow lift provider.
To schedule a consultation for brow lift in Bellevue and Kirkland at Northwest Face & Body, call us at 425-321-3884. You can also reach us online via our Price Simulator™ app, contact form, or chat.
Frequently Asked Questions
Is a brow lift permanent?
A brow lift provides long-lasting improvement, but natural aging continues over time. Patients often enjoy results for many years.
What is the difference between a brow lift and a forehead lift?
The terms are often used interchangeably, but a brow lift focuses on repositioning the brows, while a forehead lift involves smoothing forehead lines and wrinkles.
How long does recovery take?
Initial recovery typically takes one to two weeks, with swelling gradually improving over several weeks.
Will the results look natural?
When performed by an experienced facial plastic surgeon, brow lift results are designed to look refreshed and natural, not overdone.
Can a brow lift improve vision obstruction?
In some cases, yes. Lifting the brows can help reduce upper eyelid heaviness that interferes with peripheral vision. This is often helpful when brow descent is the underlying cause.