In direct brow lift a piece of skin is removed to improve the position of the (cripple) eyebrow.

The result is powerful, but produces a visible scar.

In endoscopic brow lift will improve the position of the eyebrow through two small incisions in the scalp skin.

The result is less powerful, but the scars are almost invisible.

The endoscopic brow lift helps with the botulinum toxin injection to reduce existing contractures and synkinesien.

Bran GM, Börjesson PK, Boahene KD, Gosepath J, Lohuis PJFM. Effect of endoscopic browlift on contractures and synkinesis of the facial muscles in patients with a regenerated post-paralytic facial nerve syndrome. Plast Reconstr Surg. 2014.