#31 Endoscopic Forehead Lift, Brow Lift, Buried Double Eyelid, Lower Blepharoplasty + Midface Lift_Why We Design the Upper to Midface as ‘One Flow’ SH Plastic Surgery

Endoscopic forehead lift is not just a surgery for the eyes. In this article, we explain why endoscopic forehead lift with thread fixation, brow lift, buried double eyelid, and lower blepharoplasty + midface lift are designed together, based on the anatomical flow of aging and scientific papers. We detail the significance of scar design, extending from the temporal hairline to behind the sideburns and ears, and why approaching the upper and midface as a single structure yields natural and long-lasting results. Director Kim Sung-hoon, Facial Designer at SH Plastic Surgery.

Hello. I am Director Kim Sung-hoon, a facial designer.

The weather is getting very cold these days.

The flu has also made its rounds like an epidemic,

and I, too, need to pay attention to my immunity.

The first words from a patient I consulted yesterday were,

‘Doctor, I thought I only needed eye surgery.’

Many people think this way when they visit and consult us.

However, when we look at the face as a whole,

eye problems are often not just isolated to the eyes.

Sagging that starts from the forehead presses down on the eyebrows,

the eyebrows cover the eyelids,

and that weight then extends down to the undereyes and midface.

Today, I would like to explain the surgical procedures for patients who visit for these reasons,

along with case examples.

I will explain why we design endoscopic forehead lift + brow lift + buried double eyelid + lower blepharoplasty + midface lift

as a single, continuous flow.

The Connected Structure of Upper and Midface Aging

Upper face aging is described in the following sequence:

• Forehead soft tissue descent
• Brow ptosis
• Excess upper eyelid skin and heavy sensation when opening eyes
• Weakening of undereye support
• Midface descent and connection to nasolabial folds

Surgical Procedures

1. Endoscopic Forehead Lift

Endoscopic forehead lift

is not just a surgery to lift the forehead.

• Sufficient dissection up to the temporal region
• Excision of retaining ligaments that pull down the eyebrows
• Long-term position maintenance through thread fixation

These three must be performed together

for the eyebrows to ‘truly’ lift.

2. Brow Lift

Brow lift

is a surgery that relieves the weight covering the upper eyelid from above.

• Improved vision without eyelid skin excision
• Subtle change in impression
• Increased stability when combined with forehead lift

3. Buried Double Eyelid – ‘Thin, Light’

With the forehead and eyebrows lifted,

there is no need to create a double eyelid again with ‘incision’.

• Assists eye opening with a thin buried line
• Minimizes swelling and scar burden
• Design that does not compromise the effect of the forehead lift

First, correct the structure, then create the line as an auxiliary measure.

4. Lower Blepharoplasty + Midface Lift

If only undereye fat is repositioned,

it can sag and loosen again over time.

• Lower blepharoplasty: Addresses undereye fat and loose skin
• Midface lift: Restores cheek support structure
• Improves tear trough and nasolabial fold connection

Why Scar Location is Important

One of the biggest advantages of endoscopic forehead lift

is that it is designed to have almost no visible scars.

However, ‘small incision’ does not mean ‘no scar’.

To minimize scars, the incision location, direction, and fixation method are all important.

Principles of Endoscopic Forehead Lift Scar Location

The incision for endoscopic forehead lift

is generally located 1.5~2cm behind the hairline within the scalp.

• Incision in the **scalp** (not forehead skin)
• Hidden among hair, almost no external exposure
• Incision parallel to hair direction to minimize hair follicle damage

Director Kim Sung-hoon's Reflection, Facial Designer

‘The core of this surgery

is not that multiple surgeries were performed.

It’s that the forehead–eyebrows–eyelids–undereyes–midface

were designed as a single structure.

If you only look at the eyes, the eyes become stuffy,

and if you only look at the forehead, the impression becomes awkward.

The face should not be viewed in parts,

but understood as a connected whole.’

FAQ

Q1. Who is this surgery suitable for?

It is suitable for those with both upper face heaviness + undereye sagging.

Q2. Are the scars really invisible?

They are hidden along the hairline and behind the ears, making them almost unnoticeable in daily life.

Q3. What is the recovery period?

Major swelling subsides in 2-3 weeks, and naturalness is achieved in 2-3 months.

Q4. Can’t I just have a forehead lift?

If there is undereye and midface sagging, there are limitations.

SH Plastic Surgery Clinic

Brow Lift & Forehead Lift Case Introduction! You can change too~