Holger G. Gassner, M.D., Board Certified Facial Plastic Surgeon (USA)

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The endoscopic forehead lift is a minimally invasive method to rejuvenate the upper parts of your face.  Visible scars in the skin are avoided with this technique, as the short incisions are all placed in the hair bearing scalp.  The lifting of the forehead skin is achieved with small endoscopic instruments.  Also some parts of the forehead musculature, which causes the furrows and lines between the eyebrows, may be targeted and weakened with this surgical technique.

The aging of the forehead may show as heaviness of the upper eyelids and drooping eyebrows.  The endoscopic forehead lift the forehead skin and eyebrows with the hairline.  Since the position of the eyebrows has important influence on the upper eyelids, a forehead lift is frequently combined with an upper eyelid blepharoplasty in order to optimize the outcome.

You can make a very important contribution to the success of an Endo Face Lift operation. Dr. Gassner would explain in detail exactly what one needs to pay attention to before an operation. The following suggestions are presented here as general suggestions and should only be followed once one has consulted with Dr. Gassner in depth.

Three weeks before the operation, medications and other substances which have a blood thinning affect should be avoided.  For example, the list could include pain medications such as Aspirin®, Ibuprofen®, Diclofenac®, Voltaren®.  In addition, substances such as Gingko, garlic and vitamin preparations should also be set aside.

Intensive exposure to the sun or “Solarium” (tanning beds) can cause skin inflammation and/or swelling and should be avoided the full 10 days prior to the operation.

Nicotine hinders blood circulation and can slow the healing process which means use of tobacco products should be avoided at least a week and preferably 2 weeks after the operation. Likewise, coloring or dying hair in any way should be avoided the week prior to surgery.

On the night before the surgical appointment, all make-up needs to be gently removed.  Also, hairspray or other hair products should be avoided and hair should be thoroughly washed with a gentle shampoo.

The procedure is typically performed under general anesthesia.  Usually the patient may go home the same day unless additional more extensive procedures are combined with the endoscopic forehead lift.  You are prepared for surgery by our friendly nursing staff who will accompany you to the surgical suite.  The anesthesia doctor will then speak with you again and will induce general anesthesia very gently.  During the procedure, you are monitored and very closely watched by our professional team.  Once the minimally invasive procedure has been completed, a dressing is applied and you are taken to the recovery area where you can recover from anesthesia.  You may be dismissed and leave the hospital the same day.  You should have a person that will accompany you to your accommodation or your hotel.  You should also have a person that will stay the night after surgery with you.  Pain is typically mild and well controlled with pain pills which you will be described by our team.

After the endoscopic forehead lift, Professor Gassner will see you the morning after surgery.  At that time the dressing around the forehead will be removed.  You may have some swelling and some bruising.  The swelling and bruising typically subsides within 10 to 14 days to a degree that will allow you to go about your daily activities and in such a manner that it is not obvious to the public that you have undergone surgery.  The suture material is typically removed after 7 or 8 days.  We prefer that this is done by Dr. Gassner.  However if you travel long distance, you may return home after 3 to 4 days and have the suture material removed at home.  Dr. Gassner prefers to see his patients back 3 months after surgery, 1 and 2 years after surgery.  Again these regimens maybe modified in patients traveling long distance.

Lipomas are benign lesions that may grow below the skin of the forehead. They usually appear as soft lumps that slowly grow larger. Osteomas are typically beingn growths of the bone. They may also be located below the skin of the forehead, but are firm to palpate.


Traditionally, these lesions have been removed through an open incision of the forehead skin, which results in a visible scar. As a minimally invasive alternative, the endosopic resection of forehead lesion has been described. Professor Gassner initiated and co-authored the largest study to date on the endoscopic removal of forehead lesions. With this technique, lipomas and osteomas of the forehead can be removed without visible scars. The short incisons are placed in the hear bearing skin above the hairline. The lesion is then visualized with the use of endoscopes and removed. The procedure is usually outpatient and may be performed under local or general anaesthesia.