HIGHLIGHTS A brow lift using Endotine or Endo-Brow Lift is an endoscopic surgical procedure that effectively corrects drooping brows and outer eye sagging.This explains why the technique is so popular in aesthetic surgery—because after the procedure, the results are natural-looking and refined.
If you’re struggling with drooping brows, harsh expressions, or sagging outer eyes, and unsure where to go for a brow lift, this article is for you.
Drooping Brows — A Beauty Concern with Real Solutions
“Brows are the crown of the face.”
Many are familiar with this saying. Brows frame the eyes and enhance facial harmony, influencing both appearance and confidence.
But drooping brows can become a source of insecurity. Some may feel dissatisfied with their appearance and avoid photos or social interactions.
In Thai culture, drooping brows are also believed to affect facial feng shui, potentially impacting luck and success.In this article, Dr. Earth, a board-certified plastic surgeon at BLS Surgery Center, explains the causes of brow ptosis and introduces the Endotine Brow Lift (Endo-Brow Lift)—a safe, long-lasting, and natural-looking solution.
What Is Brow Ptosis?
Brow ptosis refers to brows that sit lower than their ideal position, with the tail of the brow lower than the head, or brows positioned far from the orbital rim.
The ideal brow position is along the orbital rim, about 2–2.5 cm above the upper eyelid.
Drooping brows can negatively affect facial aesthetics, confidence, and even facial feng shui.
What Causes Drooping Brows? How Does It Affect the Face?
- Aging: As we age, skin and muscles around the forehead and brows lose elasticity, causing the brows to descend
- Genetics: Some people inherit low-set brows from family traits, even at a young age
- Weak forehead muscles: Inability to support the brow in its ideal position
- Eyelid muscle dysfunction: Sagging or weakened eyelid muscles can contribute to brow ptosis
- Poor skincare: Lack of sun protection, hydration, or proper cleansing accelerates skin aging and brow descent
- Previous double eyelid surgery: Incorrect or substandard procedures can weaken brow and forehead muscles, leading to drooping
How Drooping Brows Affect Appearance and Confidence
- Sad, lifeless expression: Drooping brows make the face look tired or unhappy, leading to misinterpretation of your mood
- Smaller eyes and sagging eyelids: Eyes appear smaller and less defined, making the face look fatigued
- Aged appearance: Drooping brows can make you look older than your actual age
- Feng shui concerns: In Thai belief, drooping brows may affect luck and life success
- Reduced confidence: Brow ptosis can undermine self-esteem and negatively impact first impressions
How to Correct Drooping Brows
Non-Surgical Methods
- Botox injections (Upper Face block): Temporarily lifts brows by relaxing forehead muscles.
- Requires frequent maintenance
- Results last only a few months
- Not recommended for severe brow ptosis
- Skin-tightening treatments:
- Technologies like HIFU, Ultraformer III, and Ulthera can lift brows
- Require multiple sessions
- Results are temporary and less dramatic than surgery
Surgical Methods
- Brow lift surgery:
- Includes open and endoscopic techniques
- Highly effective for correcting brow ptosis
- At BLS Surgery Center, we offer the Endotine Brow Lift (Endo-Brow Lift)—a one-time procedure with long-lasting results
What Is Endotine Brow Lift? Why Is It So Popular?
The Endotine Brow Lift (Endo-Brow Lift) is an endoscopic brow lift technique that uses Endotine, a dissolvable medical implant, to lift and secure the brow and surrounding tissue.
Key features:
- Minimally invasive: Tiny incisions hidden in the hairline
- No long scars
- Fast recovery
- No visible facial scarring
- Natural-looking results
- Lifts the outer brow and eye corner precisely
- Endotine dissolves naturally over time
This technique delivers safe, long-lasting, and natural rejuvenation, making it one of the most trusted and popular brow lift options today.
What Is Endotine? What Does It Look Like?
- Endotine is a biocompatible medical implant designed for facial lifting without major surgery.
- It is FDA-approved in the United States and used to anchor and elevate sagging skin.
- The device resembles a small triangular peg, measuring only 1.5 cm, with five micro-spikes that distribute tension and lock into the dermal layer.
- It provides firm support for lifting areas with wrinkles and laxity.
Procedures using Endotine are performed by experienced, board-certified surgeons.
You can verify a surgeon’s credentials at https://www.tmc.or.th
Who Is Endotine Brow Lift Suitable For?
- Brow ptosis at the inner or outer brow
- Brows and eyelid creases positioned too closely, creating a harsh look
- Forehead wrinkles
- Pronounced glabellar lines (“11” lines)
- Wrinkles unresponsive to Botox or filler
- Brow–eyelid proximity after double eyelid surgery
Advantages of Endotine Brow Lift
High safety: FDA-approved, biodegradable in the body
No facial scarring: Minimally invasive, incisions hidden in the hairline
Long-lasting results: Brow remains elevated for years
Quick recovery: Most patients resume normal activities within 1–2 weeks
Low infection risk: No large incisions required
Natural appearance: No over-pulled look; results are subtle and youthful
No special post-op care needed
Suitable for all ages and genders
Multi-zone correction: Also improves outer eye sagging and forehead wrinkles
Visible Results from Endotine
- Arched brows, larger eyes, defined eyelid crease
- Symmetrical brow positioning
- Balanced eye shape and facial harmony
- Brighter, younger-looking face
- Reduced crow’s feet and forehead lines
- Improved facial feng shui and confidence
Procedure Steps
- Pre-op assessment: Surgeon evaluates eye and facial structure
- General anesthesia: 1-hour sedation, monitored 1:1 by anesthesiologist
- Small incision (: Endoscope inserted to lift brow and forehead
- Muscle trimming: Overactive muscles (e.g., frown lines) are adjusted
- Invisible Lock closure: Incision closed with hidden sutures in the hairline
Pre-Op Preparation
- No food or drink 8 hours before surgery
- Avoid alcohol, smoking, vitamins, supplements for 2 weeks
- Remove nail polish and shorten nails
- No makeup, contact lenses, or dentures
- Avoid jewelry and valuables
- Wear front-button shirt
- Get adequate sleep
- Arrange for pickup post-surgery
- Notify staff of drug allergies
- Consult your physician before stopping blood thinners
- Stabilize chronic conditions 1 month prior
- Hospital admission available if needed (additional charges apply)
Post-Op Care Tips
- Cold compress around incision for 72 hours (no heat)
- Sleep with head elevated 30–45° using neck pillow for 2 weeks
- Avoid exercise for 2 weeks
- Follow wound care instructions
- Keep incision dry until stitches are removed
- Avoid heat, pollution, and humidity
- No fermented or spicy food for 2 weeks
- No alcohol or smoking for 2 weeks
Recovery Timeline
Immediately after: Noticeable lift in brow and outer eye, smoother forehead
Day 7: No swelling or bruising; incision begins to dry; stitches can be removed
Day 14: Incision nearly invisible; brow and eye lift begins to settle
1 month: Final positioning achieved; natural appearance
Scar size: Only 1–3 cm, hidden in the hairline using Invisible Lock technique
Why Choose Dr. Earth at BLS Surgery Center?
- Natural results: Customized to facial anatomy and safety
- Tiny incisions: Less than 2 cm
- Short procedure time: 1–2 hours
- Premium-grade Endotine: Dissolves in 1–2 years; longer-lasting than thread lifts
- Board-certified surgeon: Every case handled by a plastic surgery specialist
- Advanced technology: International safety standards
- Attentive care: From consultation to post-op recovery
- Real client reviews: High satisfaction with results and service
Clinic Credentials
- Performed at BLS Surgery Center, under BLS Medical Center
- Licensed medical facility: License No. 10102002367
- Verify at https://hosp.hss.moph.go.th
Awarded Master Entrepreneur Award (APEA) and ‘Best Endoscopic-Brow Lift and Facelift’ by Daily News
Client Testimonials
Ja, age 41
“Brow ptosis made me look sad and older. After Endotine brow lift at BLS, I was amazed! My brows lifted instantly, face looked brighter and younger. Dr. Earth and the team were fantastic. I feel so much more confident!”
Dinar, age 33
“Results exceeded expectations. My brows lifted, face looked youthful, and no visible scars. The care and expertise were top-notch. I felt safe and confident throughout.”
Gib, age 41
“My brows, eyelids, and outer eyes lifted clearly. No more uneven brows or frequent Botox. I researched extensively and found BLS. Now I look younger—everyone asks what I did!”
Fee, age 28
“I looked older and lost confidence. Endotine brow lift solved every concern. Just one procedure gave multiple results. I’m beyond happy!”
Beauty Can’t Wait — Book Your Service Today
Endotine brow lift delivers natural, long-lasting, safe, and fast-recovery results.
Ideal for those seeking lifted brows, larger eyes, and a brighter, youthful face.
Performed by expert plastic surgeons at BLS Surgery Center, using advanced technology and international safety standards.Consult Dr. Earth (Suphakorn Tangchirakhaphan, MD) at BLS Surgery Center for a free initial assessment.
