Endoscopic Brow Lift VS Other Techniques: Which Method to Choose for Brighter Eyes? Advice from Dr. Taeng, Aurora Clinic, Surat Thani, Koh Samui
- SPARK IDEA
- Jul 17
- 22 min read

Hello everyone! I'm Dr. Taeng, Dr. Apirak Wongsawasuph, a specialist in Plastic Surgery and the owner of Aurora Clinic, an Aesthetic Clinic ready to care for the beauty and confidence of everyone in Surat Thani province and on the paradise island of Koh Samui. Today, Dr. Taeng wants to invite everyone to talk about the "windows to the soul," which are our "eyes." Bright, sparkling eyes often reflect youthfulness, vitality, and happiness. But as time passes, or due to certain factors, the upper part of our face, especially the eyebrows and forehead, may change, making our eyes look less bright than they used to, right?
Common problems that make us look tired, older than our age, or even perpetually angry, even when we don't feel that way at all, are droopy brows and a wrinkled forehead. Droopy brows make the outer corners of the eyes appear to droop as well, making the eyes look smaller, the eyelid crease narrower, or heavy. Meanwhile, a wrinkled forehead makes the face look aged and uneven. These problems make us lose confidence and prevent us from having the "bright eyes" we desire.
But the good news is that with advancements in Plastic Surgery, we have various methods to solve the problems of droopy brows and a wrinkled forehead. This group of procedures is collectively known as Brow Lifting or upper face rejuvenation, ranging from non-surgical options to surgical ones. One of the modern and popular surgical techniques is the Endoscopic Brow Lift, which stands out for its small incisions and quick recovery.
The crucial question many people ask is, "Among the many available methods, which method should I choose for bright eyes that is most suitable for me?" In this article, Dr. Taeng will be your "close friend" who will guide you through a detailed comparison of Endoscopic Brow Lift VS other techniques, discussing the advantages and limitations of each method, so that you can get an overview and decide on the "path" to the "bright eyes" you desire at Aurora Clinic, Aesthetic Clinic Surat Thani & Koh Samui!
What Causes "Droopy Brows" and "Wrinkled Foreheads"? - When the Upper Face Tells the Story of Time and Gravity

Friends, the upper face, including the forehead and eyebrows, plays an extremely important role in expressing emotions, feelings, and indicating youthfulness or the passage of time. Just observe: even a slight lift of the eyebrows or a smooth forehead can amazingly make the eyes look brighter and the face appear more youthful. Conversely, common problems like "droopy brows" and "wrinkled foreheads" are "stories" that the upper face often tells when time and other factors come into play.
Our upper face is like a "notebook" that records various stories, whether it's stories of emotions through facial expressions or stories of time passing. The problems of droopy brows and wrinkled foreheads are "chapters" or "lines" that often appear, making us look tired, older than our age, or even perpetually angry.
The "stories" or causes that lead to these problems are as follows:
Chapter 1: Increasing Age (Aging) - "The Story of Time" and "Gravity" Working Non-Stop

This is the primary and most natural cause of droopy brows and wrinkled foreheads. As "time" passes on our faces, various changes occur at the cellular and tissue levels.
Loss of Collagen and Elastin: "Weakened structure" and "worn-out springs." Collagen and elastin are crucial proteins in the skin. Collagen acts like a "structure" supporting the skin's strength, while elastin is the "spring" that provides flexibility and helps the skin return to its original state. As we age, the body's production of collagen and elastin decreases, and the quality of existing fibers deteriorates. This causes the skin in the forehead and eyebrow area to lose strength, elasticity, and density.
Imagine a "fabric" that was once taut and firm. After prolonged use and sun exposure, the fabric starts to thin, sag, and cannot return to its smooth, taut state. When the skin in the forehead and eyebrow area weakens like this, it cannot "support" the weight of the eyebrows, causing them to gradually droop downwards.
Weakening of Tissues and Ligaments: In addition to the skin, the various tissues and ligaments that help support the eyebrows in a higher position also weaken and sag with age.
Changes in Bone Structure: As we age, bone mass around the eyes and forehead may change (Bone Resorption), which contributes slightly to changes in the appearance of the upper face and can make the eyebrows appear more droopy.
Gravity: "The constant pulling force." When the "structure" of the skin and tissues in the forehead and eyebrow area has weakened, the "force of gravity," which is constantly at work, plays a significant role. Gravity gradually "pulls" the skin, tissues, and eyebrows downwards, which is the main cause of droopy brows that become more noticeable with age.
Increasing age is like a "sculptor" gradually "carving" lines on our faces, with "gravity" as a "tool" working in tandem.
Chapter 2: Facial Expressions (Muscle Activity) - "Stories of Emotion" Turning into Permanent "Etchings"

Our upper face is the center of emotional expression. The muscles in the forehead and around the eyes work hard every day.
Frontalis Muscle (Forehead Muscle): This muscle is located in the forehead and is responsible for lifting the eyebrows and creating horizontal forehead wrinkles when we raise our eyebrows or express surprise.
Corrugator Muscle (Frown Muscle): This muscle is located between the eyebrows and is responsible for pulling the eyebrows together, creating vertical frown lines or "lines between the eyebrows."
Orbicularis Oculi Muscle (Eye Muscle): This muscle surrounds the eyes and is responsible for squinting or closing the eyes, and also plays a role in pulling the outer part of the eyebrows downwards.
When we are young, our skin is highly elastic. Forehead wrinkles or frown lines caused by the activity of these muscles are merely "dynamic wrinkles," meaning they are visible only when we make facial expressions. It's like "folding paper" – when unfolded, the paper is still smooth.
However, as we age, collagen and elastin decrease, and the skin loses elasticity. Repeated folding from facial expressions leads to "permanent folds" on the skin, becoming forehead wrinkles and frown lines that are visible all the time, even when the muscles are at rest, also known as "static wrinkles." The "stories" of repeated emotional expressions become permanent "etchings" on the face.
Muscle Imbalance: In some individuals, the activity of muscles that pull the eyebrows down may be stronger than the muscles that lift them up, which can also result in droopy brows or a perpetually furrowed brow.
Chapter 3: Genetics - The "Blueprint" We're Born With

Although age and facial expression habits are primary causes, genetics also play a role in determining the basic "blueprint" of our face. Some people may have a genetic predisposition that leads to:
Naturally Low-Set Eyebrows: Some individuals have naturally lower eyebrows from birth, which can make them appear older or less vibrant than others of the same age.
Forehead or Eye Socket Shape: The characteristics of the frontal bone or eye socket may slightly influence how the eyebrows appear and how they sag as we age, varying from person to person.
Genetics are like the "outline" that nature has "drawn" for us from the beginning, serving as the "starting point" for the "stories" on our upper face.
When All "Stories" Combine: Leading to Problems That Dull the Eyes

Friends, the problems of droopy brows and wrinkled foreheads that make our eyes look dull, tired, or aged often do not stem from just one single cause. Instead, they result from the interplay of multiple factors.
Weakened Skin + Gravity -> Droopy Brows: The loss of collagen and elastin weakens the skin and tissues, and gravity pulls the eyebrows downwards.
Repetitive Facial Expressions + Loss of Skin Elasticity -> Wrinkled Forehead: Muscle movements create folds, and when the skin cannot return to its original state, these folds become permanent wrinkles.
Genetics + Age + Gravity -> Specific Characteristics of Droopy Brows: Some individuals may have a genetic tendency for more significant brow drooping, and as they age, the problem becomes even more pronounced.
These problems often affect our confidence. However, by addressing the correct cause with the appropriate technique, we can amazingly transform the upper face and make the eyes appear brighter and more vibrant.
At Aurora Clinic, both in Surat Thani and Koh Samui, I understand the complexity of the causes of droopy brows and wrinkled foreheads. Correcting these problems requires a detailed assessment to find the "root cause" and choose the most suitable "path" or "technique," whether it's an Endoscopic Brow Lift or other methods, so that you can "close the chapter" on your worries and start a "new story" of radiance on your upper face.
What is an "Endoscopic Brow Lift"?

Endoscopic Brow Lift Surgery Friends, after understanding the "story" behind droopy brows and wrinkled foreheads, now Dr. Taeng will introduce you to an effective "new path" to solve these problems: the "Endoscopic Brow Lift."
I, Dr. Apirak Wongsawasuph, a specialist in Plastic Surgery at Aurora Clinic, in both Surat Thani and Koh Samui, believe that Endoscopic Brow Lift surgery is a "significant step forward" in facial Plastic Surgery. It utilizes modern technology to precisely correct droopy brows and wrinkled foreheads with smaller scars and a faster "recovery" time compared to traditional surgical techniques.
"Endoscopic Brow Lift": When Technology Grants the "Surgeon's Inner Eye" for Precise Results

The core of Endoscopic Brow Lift surgery is the use of an "Endoscope." This camera is a thin, small metal tube with a light source and camera lens at its tip. When this camera is inserted beneath the skin, the surgeon can clearly visualize the internal structures (such as tissues, muscles, nerves, blood vessels) on a large monitor. It's as if the surgeon has "eyes" that can "see" the internal workings in detail without making long incisions to expose the entire surgical area.
How Does It Work and How Does It Make Your "Eyes Look Brighter"?
Tissue Dissection: The surgeon will make small incisions (generally 3-5 incisions, each about 1-2 centimeters long), which are usually hidden within the hairline. Then, the endoscope and specially designed small surgical instruments are inserted through these small incisions. The surgeon views the images from the camera on a monitor and uses the instruments to dissect the tissues beneath the entire forehead skin, including the tissues that anchor the eyebrows and forehead to the orbital bone and skull. The muscles that pull the eyebrows down, such as the Corrugator muscle and Orbicularis Oculi muscle, are released.
Lifting and Fixing the Eyebrows and Forehead: Once all the tissues are dissected and released, the surgeon will lift and pull the forehead and eyebrow skin in the desired direction to an appropriate and natural position. This lift directly helps correct the "droopy brow" problem and also helps to tighten the forehead skin, effectively reducing "forehead wrinkles" (Static Forehead Wrinkles).
Fixation: After lifting the tissues to the desired position, the surgeon will fix this tissue to the bone structure of the skull or strong fascia in a higher position. There are various fixation methods, such as using special sutures, temporary dissolvable implants, or drilling small holes in the bone to secure the tissue. This fixation is crucial for maintaining the new eyebrow position while the underlying tissues heal.
Suturing Small Incisions: Once the fixation is complete, the surgeon will meticulously suture the small surgical incisions.
The Superior "New Path": Advantages of Choosing "Endoscopic Brow Lift"
Compared to traditional brow lift surgical techniques (such as open surgery, which requires a long incision), the Endoscopic Brow Lift has several distinct advantages, making it a "new path" that many people choose.

Small and Discreet Scars: This is the most significant advantage. Instead of a long incision across the scalp, the Endoscopic Brow Lift uses only a few small surgical incisions, which are often hidden within the hairline, making scars virtually invisible once healed.
Faster Recovery and Fewer Side Effects: Because the Endoscopic Brow Lift uses small instruments and involves significantly less tissue dissection than open surgery, it results in faster recovery, less swelling, bruising, and post-operative pain, and usually less numbness in the scalp. This allows for a quicker return to normal activities.
Reduced Certain Risks: The use of an endoscope allows the surgeon to clearly visualize important internal structures, including the nerves in the forehead area that control eyebrow and forehead movement. This clear visualization helps the surgeon better avoid nerve damage, reducing the risk of certain complications such as permanent numbness or forehead muscle weakness compared to some forms of open surgery.
Natural-Looking Results: With precise dissection and fixation, the Endoscopic Brow Lift allows for eyebrow lifting to a natural position, avoiding an "overly tight" or "surprised" look, making the upper face appear naturally younger.
Addresses Various Problems: The Endoscopic Brow Lift can address both droopy brows and wrinkled foreheads simultaneously.
Who is Suitable for an "Endoscopic Brow Lift" as the Primary "Path"?

The Endoscopic Brow Lift is ideal for individuals who have:
Droopy brows and wrinkled foreheads that are mild to moderate in severity.
Good elasticity of the forehead skin (not significant excess skin that needs to be removed).
Desire to correct problems with a surgical method that has small incisions and a faster recovery than open surgery.
Wrinkled foreheads caused by muscle activity (Dynamic wrinkles) that have already become static wrinkles.
Desire to make their eyes appear brighter, more open, and the upper face look younger.
Endoscopic Brow Lift surgery is a plastic surgery procedure that must be performed in a standardized hospital under the supervision of an anesthesiologist. Generally, the process is similar to what I explained in the tummy tuck article, involving detailed consultation and assessment, pre-operative preparation, safe surgery in the operating room, and close post-operative care. The surgery takes approximately 1-2 hours, and generally, a one-night hospital stay may be required.
At Aurora Clinic, in both Surat Thani and Koh Samui, I, Dr. Apirak Wongsawasuph (Dr. Taeng), ID 35777, am a Plastic Surgeon with experience in Endoscopic Brow Lift surgery. I am ready to meticulously assess your concerns and determine if Endoscopic Brow Lift is the most suitable "path" to solve your droopy brows and wrinkled forehead problems.
The "Endoscopic Brow Lift" is a "new path" that allows us to "write a new chapter" for our upper face, leading to brighter eyes and a younger-looking face. If you are looking for solutions to these problems and desire a surgical method with small incisions and a fast recovery, the Endoscopic Brow Lift might be the answer you're looking for.
Other Techniques for Correcting "Droopy Brows" and "Wrinkled Foreheads" - Various Methods for Different Results, Leading to "Bright Eyes" in Different Ways
Friends, even though the "Endoscopic Brow Lift" is an interesting "new path" with many advantages, it is not the "only path" to "bright eyes" and correcting droopy brows and wrinkled foreheads. From my perspective as Dr. Taeng, Dr. Apirak Wongsawasuph, a specialist in Plastic Surgery at Aurora Clinic, both in Surat Thani and Koh Samui, I believe that having a variety of "tools" or "paths" allows us to choose what is most suitable for each individual's problems and needs.
Other Techniques for Correcting "Droopy Brows" and "Wrinkled Foreheads"
Aurora Clinic has a comprehensive "toolbox" for correcting upper facial problems to give you the "bright eyes" you desire. These tools are divided into different groups based on their complexity and scarring.
Group 1: Non-Surgical Techniques: "Tools" that are "Easy" and "Quick," Suitable for Minor Problems
This group of techniques is like "touch-ups" or temporary "corrections." It is suitable for individuals with droopy brows and wrinkled foreheads at a mild level, or those who desire quick results without surgical scars and with very little or no downtime. However, the results will only be temporary.
Botox: "Muscle Relaxant" to Reduce "Wrinkles" and Slightly "Lift Brows"

How does it work? Botox (Botulinum Toxin) is a substance that acts on the peripheral nervous system, causing the injected muscles to relax. When the muscles relax, their contraction is reduced.
Role in Brow and Forehead Lift: In correcting droopy brow problems, Botox can perform a "Chemical Brow Lift" by injecting it into the muscles that pull the eyebrows down, such as the Orbicularis Oculi muscle and the Corrugator muscle. When these muscles relax, the Frontalis muscle, which is the muscle that lifts the eyebrows, can work more prominently, resulting in a slight brow lift. Additionally, Botox is highly effective in reducing horizontal "forehead wrinkles" and vertical frown lines caused by muscle activity (Dynamic Wrinkles), making the upper face appear smoother.
Procedure Steps: The doctor will assess the muscles and wrinkles in the forehead and eyebrow area, determine the injection points, and inject with a small needle. It only takes a few minutes.
Results: Wrinkle reduction is visible in 2-3 days, and a slight brow lift is visible in 1-2 weeks. Results last approximately 3-6 months, depending on the amount of product used and individual response.
Pros: Non-surgical, no scars, very fast recovery (may have minor bruising), quick, relatively inexpensive compared to surgery.
Cons: Temporary results, brow lift is only slight, cannot correct droopy brow problems caused by significant skin laxity or structural bone issues, cannot directly correct static wrinkles unrelated to muscle activity (requires fillers in combination).
Comparison with Endoscopic Brow Lift: Botox provides temporary results and a slight brow lift. Endoscopic Brow Lift is a surgical procedure that provides a much more pronounced and permanent brow lift, and corrects more moderate to severe droopy brows and wrinkled foreheads.
Fillers: "Dermal Fillers" for "Static Wrinkles" and "Volume Restoration" in Hollow Temples

How does it work? Most fillers used for facial contouring or wrinkle filling are Hyaluronic Acid, a substance similar to those found naturally in the body. It acts to add volume to the injected area.
Role in Forehead and Eyebrows: Fillers can be injected to fill in horizontal "forehead wrinkles" and vertical frown lines that are "static wrinkles" (visible even without facial expressions). This filling makes the skin in the wrinkled area appear smoother. Additionally, fillers can be injected to fill in hollow or sunken temples. Restoring volume to the temples can indirectly provide a slight lift to the outer eyebrow area.
Procedure Steps: The doctor will assess the wrinkles and areas needing filling, select the appropriate type of filler, and inject with a needle or blunt-tip cannula. It does not take long.
Results: Results are immediately visible after the procedure. Wrinkles appear shallower, and filled areas look fuller. Results last approximately 6-18 months, or longer, depending on the type of filler used and the injection area.
Pros: Immediate results, non-surgical, fast recovery (may have minor bruising), reversible if results are not satisfactory (in the case of Hyaluronic Acid Filler).
Cons: Temporary results, does not provide a true brow lift; focuses only on filling wrinkles and volume, cannot correct droopy brow problems caused by significant skin laxity.
Comparison with Endoscopic Brow Lift: Fillers directly correct static wrinkles and volume loss. Endoscopic Brow Lift corrects the root cause of droopy brows by lifting the entire forehead and eyebrows, which also helps reduce wrinkles. The choice between these two methods depends on whether your primary concern is static wrinkles or droopy brows.
Energy-Based Devices: "Energy" to Stimulate "Collagen" for "Firmer" Forehead Skin

How does it work? Devices such as HIFU (High-Intensity Focused Ultrasound) or RF (Radiofrequency) work by delivering energy beneath the skin. This energy is converted into heat, which in turn stimulates Fibroblast cells to produce new collagen and elastin. This makes the overall skin appear firmer and tighter.
Role in Forehead and Eyebrows: These devices can provide a slight lift to the skin in the forehead and above the eyebrows, helping the skin appear firmer, which may result in a very slight brow lift.
Procedure Steps: The doctor will place the device's handpiece firmly against the skin in the forehead and above the eyebrows and deliver energy. You may feel a warm sensation or slight discomfort. The procedure is quick and often requires multiple sessions for noticeable results.
Results: Gradual skin tightening results are seen over several weeks to months. Results last approximately 6 months to 1 year (depending on the device type and individual response).
Pros: Non-surgical, no scars, very fast recovery (may have slight redness), helps rejuvenate overall skin condition.
Cons: Provides very minimal brow lift; primarily focuses on tightening forehead skin rather than lifting eyebrows, temporary results, cannot correct moderate to severe droopy brow or wrinkled forehead problems.
Comparison with Endoscopic Brow Lift: Energy-based devices provide very minimal brow lift and focus on temporary skin tightening. Endoscopic Brow Lift is a surgical procedure that provides a much more pronounced and permanent brow lift, and better corrects the root cause of droopy brows.
Group 2: Minimally Invasive (Other Type): "Path" Using "Threads" to "Temporarily" "Lift Eyebrows"
This group of techniques involves using special "threads" inserted under the skin to help lift and reshape. It leaves very small wounds (needle marks) but can provide more noticeable results than the non-surgical group in some cases.
Thread Lift: "Invisible Structure" Helps "Temporarily Lift Eyebrows"

How does it work? It uses dissolvable threads (e.g., PDO, PLLA, PCL threads) that have barbs or small cones along the thread. The doctor uses a needle or blunt-tip cannula to insert the threads under the skin in the eyebrow area, in the desired direction to lift the eyebrows. Once inserted and pulled, the barbed threads will engage and hold the tissues, resulting in an immediate brow lift. Additionally, the dissolvable threads stimulate a small amount of collagen production around the threads, making the skin appear slightly firmer.
Role in Brow Lift: Thread lifts can be used to lift the outer part of the eyebrows or the entire eyebrow, depending on the technique, number of threads, and type of thread used. It provides a more noticeable brow lift than Botox and energy-based lifting devices.
Procedure Steps: The doctor will assess the area requiring a brow lift and select the appropriate type, number, and direction of threads. Numbing cream or local anesthetic will be applied, and then the threads are inserted through small needle marks. The procedure is quick.
Results: Brow lift results are immediately visible after the procedure. The brow lift results typically last approximately 6-18 months, or longer, depending on the type of thread used and individual response.
Pros: Very small incisions (needle marks), faster recovery than surgery, immediate brow lift results, stimulates a small amount of collagen.
Cons: Temporary results, generally less brow lift than surgical brow lifts, cannot directly address wrinkled forehead problems as effectively as Endoscopic Brow Lift or open techniques, may experience tightness, swelling, bruising, or feel something under the skin.
Comparison with Endoscopic Brow Lift: Thread lifts are minimally invasive, using only needle marks and no incisions like the Endoscopic Brow Lift. However, the brow lift results are generally less and temporary compared to an Endoscopic Brow Lift (generally, Endoscopic Brow Lift provides much more durable results). The Endoscopic Brow Lift addresses wrinkled forehead problems better and uses stronger tissue fixation.
Group 3: Surgical Techniques (Other Types): "Structural" Correction for "Clear" and "Permanent" Results
This group of techniques involves plastic surgery to correct moderate to severe droopy brows and wrinkled foreheads. It provides the clearest and most permanent results. It must be performed in a standardized hospital, leaves scars that need care, and requires more downtime than other groups.
Traditional Open Brow Lift: The Traditional "Path"... "Long Incision" but "Maximum Lift"
How does it work? This is a traditional brow lift technique performed by making a long incision across the scalp (Coronal lift - incision along the top of the head, hidden in the hair) or along the hairline (Trichophytic lift - incision close to the hairline, suitable for those with a high forehead who also want to reduce forehead height). The skin and forehead tissues are dissected, pulled up, and excess skin from the forehead is removed. Then the incision is closed.
Role in Brow and Forehead Lift: Provides the clearest and most permanent brow lift and reduction of forehead wrinkles. It can remove significant excess skin from the forehead, making it suitable for those with very severe forehead wrinkles and droopy brows, as well as those with a large amount of sagging skin on the forehead.
Comparison with Endoscopic Brow Lift: Provides a clearer and more permanent brow lift than an Endoscopic Brow Lift. It can better address severe droopy brows and wrinkled foreheads, but it leaves a much longer scar, requires a longer recovery time, and may have a higher risk of scalp numbness.
Suitable for whom? Individuals with severe droopy brows, significant excess skin on the forehead, very deep forehead wrinkles, who desire the clearest and most permanent results, and are willing to accept a long scar.
Direct Brow Lift: "Direct" Lift "Above the Brow" for Quickness... But the "Scar" May Be Visible
How does it work? This is a relatively simple and quick technique. It involves making a spindle-shaped incision just above the eyebrow, removing a strip of excess skin and fat above the eyebrow, and then suturing to lift the eyebrow.
Role in Brow Lift: Directly helps to lift the eyebrow. However, it does not address "forehead wrinkles" or lift the entire forehead like other techniques that also correct the forehead.
Comparison with Endoscopic Brow Lift: The scar from a Direct Brow Lift will be clearly visible above the eyebrow. This differs from an Endoscopic Brow Lift, where the incisions are small and hidden in the hairline. The Endoscopic Brow Lift corrects forehead wrinkles better and provides a more natural brow lift in some cases.
Suitable for whom? Older individuals with very deep forehead wrinkles (which can help camouflage the scar somewhat), men with very thick eyebrows (which can help conceal the scar), or those who desire a quick, straightforward brow lift and are not concerned about a scar above the eyebrow.
Midforehead Lift: "Hiding Scars" in "Forehead Wrinkles" for Camouflage
How does it work? Similar to a Direct Brow Lift, but the incision is made along the deepest and most prominent forehead wrinkle. Excess skin is removed, and the eyebrow is lifted.
Role in Brow and Forehead Lift: Helps to lift the eyebrow and reduce "forehead wrinkles" specifically in the area of the incision.
Comparison with Endoscopic Brow Lift: The scar from a Midforehead Lift will be on the forehead but hidden within a wrinkle. The Endoscopic Brow Lift incisions are hidden in the hairline. The Endoscopic Brow Lift provides more comprehensive correction of forehead wrinkles.
Suitable for whom? Older individuals with deep and prominent forehead wrinkles who desire a brow lift without incisions at the hairline or directly above the eyebrow.
Double Eyelid Surgery / Upper Blepharoplasty: "Correction" at the "Eyelid" Not the "Brow" (Often Combined with Brow Lift) for "Wider Eyes"
This is a plastic surgery procedure that focuses on removing excess skin and fat from the upper eyelid. The incision is made along the eyelid crease (in Asians) or along the eyelid fold (in Westerners). The scar is usually hidden within the eyelid crease.
Role in Overall Appearance: Helps to remove sagging eyelid skin, preventing the upper eyelid from looking heavy, and makes the eyes appear wider.
Importance and Comparison with Brow Lift: This is crucial to understand! Double eyelid surgery corrects problems at the eyelid. It does not correct droopy brows or wrinkled foreheads. However, often, the problem of droopy eyelids or heavy upper eyelids is caused by droopy brows. If only the upper eyelid is corrected while the brow remains droopy, the eyes may not appear as bright as desired, and the eyelid crease may look unnatural.
Combination Treatment: Double eyelid surgery is often combined with a brow lift (including Endoscopic Brow Lift) for individuals who have both droopy brows and excess skin in the eyelid area. Correcting both areas together will help the eyes appear wider, brighter, and the upper face look completely youthful.
Suitable for whom? Individuals with primarily excess skin or fat in the upper eyelid, where the eyebrows are still in an appropriate position, or those who desire double eyelid surgery for a clearer eyelid crease, or those who wish to combine it with a brow lift for enhanced results around the eyes.
Part 4: Which Method to Choose for Brighter Eyes? - Advice from Dr. Taeng for the Right Results for You at Aurora Clinic

Now for the crucial part: "Among the various other techniques mentioned, including Endoscopic Brow Lift, which method should I choose for bright eyes and which is most suitable for me?" As I always emphasize, no single method is best for everyone. Choosing the right "path" to your "bright eyes" requires a personalized assessment and consideration of these important factors:
Cause and Severity of the Problem (The "Why" and "How Much") What is the primary cause of your droopy brows and wrinkled forehead? How severe is it? Diagnosing the cause (muscle, skin laxity, volume loss, genetics) and assessing the severity (mild, moderate, severe) will determine the most suitable "type" of other technique or Endoscopic Brow Lift.
Area of Concern (The Specific Area of Concern) Where is the main problem? Eyebrows, forehead, or eyelids? The Endoscopic Brow Lift can address both droopy brows and wrinkled foreheads. However, double eyelid surgery corrects the eyelid. If the primary problem is the eyelid, double eyelid surgery might be sufficient, or it may need to be combined.
Expectations for Results (Desired Outcome) What kind of results do you want? Gradual, natural-looking changes (temporary, small scars, fast recovery - Botox, fillers, threads, energy-based devices)? Or clear and permanent changes (Endoscopic Brow Lift, open brow lift)? Do you just want to reduce wrinkles or truly lift your eyebrows?
Acceptable Downtime (Downtime Tolerance) How much time do you have for recovery? Each other technique has different downtime, ranging from almost none to several weeks.
Concern about Scars (Scar Concern) How concerned are you about scars? Other techniques that are not surgical have no scars. The Endoscopic Brow Lift has small scars hidden in the hairline. Direct/Midforehead brow lifts have scars on the forehead. Open brow lifts have long scars (hidden in the hair).
The Importance of Combining Techniques: In many cases, combining several techniques will yield the best results for making the eyes appear brighter and the upper face look younger. For example, performing an Endoscopic Brow Lift in conjunction with double eyelid surgery, or using Botox and fillers as a supplement after surgery to reduce any remaining wrinkles or to maintain results.
Advice from Dr. Taeng: Consulting a Plastic Surgeon is the "Path" to the Right Decision
Friends, deciding which method to choose for bright eyes that is most suitable for you is not a decision to make on your own. The most important key is to consult a board-certified plastic surgeon directly.
At Aurora Clinic, in both Surat Thani and Koh Samui, I, Dr. Apirak Wongsawasuph (Dr. Taeng), ID 35777, am a Plastic Surgeon with experience in correcting upper facial and periocular problems. I have a deep understanding of anatomy and can accurately assess your droopy brows, wrinkled forehead, and eyelid problems. I will use my knowledge and experience to "read" your face and present the most suitable "path" to "bright eyes" for you.
I will explain the pros, cons, and limitations of each other technique, comparing the Endoscopic Brow Lift VS other techniques involved, so that you clearly understand all options and can jointly plan the treatment, whether it's a single technique or a combination of techniques, to achieve the results that match your expectations and beautiful in your own way.
Why Choose Aurora Clinic for Brow Lifting and Rejuvenation? The "Path" to Bright Eyes You Can Trust, by an Expert Physician.
Friends, correcting droopy brows and wrinkled foreheads to achieve the desired "bright eyes" requires expertise and an understanding of physiology. Choosing an Aesthetic Clinic with a board-certified Plastic Surgeon and a variety of other techniques to choose from, like Aurora Clinic, in both Surat Thani and Koh Samui, is a "path" you can trust.
Board-Certified Plastic Surgeon: I, Dr. Taeng, have direct expertise in analyzing upper facial and periocular problems, including Endoscopic Brow Lift surgery and all related other techniques. I can accurately assess your concerns and recommend the most suitable correction method.
Comprehensive Techniques: At Aurora Clinic, we have a complete "toolbox" for correcting upper facial problems, whether it's Botox, fillers, energy-based lifting devices, thread lifts, Endoscopic Brow Lift, open brow lifts, or double eyelid surgery. This comprehensive approach allows me to provide unbiased advice and choose the best other technique for your specific problems and needs.
Safety Standards: We maintain high safety standards, whether it's Endoscopic Brow Lift surgery or any other surgical technique, so you can feel secure throughout every step.
Convenient Location: Both the Aesthetic Clinic in Surat Thani and Koh Samui make it easy to come for consultations and receive services.
Choose the "Path" that's right for you, to the bright eyes you desire... Start with a consultation at Aurora Clinic!
Friends, the problems of droopy brows and wrinkled foreheads are no longer something you have to live with. With a variety of "paths" and other techniques for brow lifting and upper face rejuvenation at Aurora Clinic, in both Surat Thani and Koh Samui, no matter what causes your problem or what its severity, we have options to help you achieve the "bright eyes" you desire.
The important thing is to understand your own problem and consult a Plastic Surgery specialist like me to choose the most suitable method for bright eyes. I, Dr. Taeng, am delighted to be your "companion" on your journey to radiance. If you are ready to start "awakening" the brightness in your eyes, do not hesitate to contact us for a consultation. At Aurora Clinic, we are ready to welcome and care for you with attention and professionalism!
Aurora Clinic Surat Thani Branch
Tel: 096-652-0899
Line: @auroraclinic
Opening Hours: Open daily from 10:00 AM - 8:00 PM
Aurora Clinic Samui Branch
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TEL: 083-629-1446
Opening Hours: Open daily from 10:00 AM - 8:00 PM
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