The Complete Guide to Endoscopic Brow Lift in Tunisia

This is a guide, not a procedure page. If you want the operation itself — how it is performed at Aylan Clinic, the stay, the team and the aftercare — start from our facial surgery in Tunisia overview, which maps every upper facial procedure we perform and where the endoscopic approach sits among them. To understand what a comparable operation costs in Canada and what is actually included in a Tunisian figure, see plastic surgery prices in Tunisia. One thing distinguishes Tunisia here: it is a French-speaking country. Not a clinic with French-speaking staff — a country where French is a working language across medicine and daily life. This guide is organised around your journey: deciding, preparing, the stay, and the year that follows.

Part one — Deciding

1. What the endoscopic technique is

The approach. Three to five incisions, each one to two centimetres, placed behind the hairline — typically one or two centrally and one on each side in the temporal hair. An endoscope, a small camera, is introduced, and the forehead is dissected beneath it under direct vision on a screen. The tissue is released from the bone, the muscles that pull the brow down are addressed, and the whole forehead unit is repositioned upward and fixed. The operation takes one to two hours, under general anaesthesia or sedation with local.

What is released. The periosteum and the tissue attachments along the orbital rim, which is what allows the brow to move. And the arcus marginalis — the attachment at the upper orbital rim — which is frequently what holds the outer brow down. Without adequate release, the brow does not move, whatever is done above it.

What muscles are addressed. The corrugator and procerus — the frown muscles — which pull the inner brow down and inward. Weakening them softens the frown lines and removes a downward pull. And the lateral orbicularis at the outer brow, which pulls the outer brow down.

Why an endoscope. Because it allows the dissection and the muscle work to be done under direct vision through small incisions, rather than through a long coronal incision across the scalp. That is the whole advantage: the same work, smaller incisions, and considerably less numbness.

2. Is a brow lift your operation at all?

This is established before technique, because the technique question is second.

The mirror test. Look in a mirror, relaxed. Lift your outer brow gently with a finger, without pulling the eyelid skin. If the hooding largely disappears, your brow is the problem. If a fold of eyelid skin remains, your eyelid is. If both improve and a fold remains, you need both. Our brow lift guide covers this in full, and it is the commonest planning error in upper facial surgery.

And the second question. Where your descent is mild, botulinum toxin may achieve enough — and it is reversible, which lets you see whether a lifted brow suits your face. We will suggest it where it applies.

3. It raises your hairline

This is the defining limitation of the technique, and the reason it is not right for everyone.

Why. The incisions are behind the hairline, and the tissue is advanced backward and upward — which carries the hairline back with it. Modestly, typically a small number of millimetres, and measurably.

Who this suits. A patient with a short or average forehead, for whom a slightly higher hairline is neutral, or even balancing.

Who it does not suit. A patient with an already high forehead or a high hairline. Raising it further makes the forehead dominate the face, and it is very difficult to reverse. For that patient the pretrichial technique is the answer — an incision at the front hairline, which does not raise it and can lower it. Our brow lift guide sets out the full range of techniques.

What we do. We measure your forehead height and assess your hairline before proposing a technique. Where an endoscopic approach would raise a hairline that is already high, we recommend a different one. Ask: « Quelle est la hauteur de mon front, et cette technique va-t-elle relever ma ligne de cheveux ? » A clinic that proposes endoscopic surgery without measuring is not planning your operation.

And in men. Male pattern hair loss matters here. An incision behind a hairline that subsequently recedes becomes a visible scar on the forehead — a genuine long-term consideration for a man in his forties or fifties with early recession. We assess it, and it is one reason some men are better served by a different approach.

4. Fixation: the technical question that matters

This is the part that determines whether the lift holds, and the part patients never ask about.

The problem. The forehead is released from the bone so it can move. It must then be held in its new position while it heals — against the weight of the tissue and the pull of gravity. If the fixation fails, the brow settles back down, and the result is lost within months.

The methods.

• Bone tunnels — small tunnels drilled in the outer table of the skull, with sutures passed through them and tied to hold the tissue. Robust and well documented, and it requires drilling.
• Cortical screws — a screw placed temporarily in the skull, with the tissue held against it, removed after a period.
• External fixation — a screw or device protruding briefly through the skin, removed at around ten days.
• Absorbable fixation devices — small anchors placed in the bone, holding the tissue and dissolving over months. Widely used, convenient, and with good published results.
• Suture fixation to deep fascia — holding the tissue to the underlying temporal fascia, particularly laterally. Effective for the outer brow, and less reliable centrally on its own.

What matters. Not which method — several work well. What matters is that there is a defined method, and that the surgeon can tell you what it is. Ask: « Comment allez-vous fixer le front dans sa nouvelle position ? » A clear answer naming a method is a planned operation. A vague one is a reason for caution, because a lift that is released and not properly fixed relapses.

And the release matters as much. Fixation only holds what release allowed to move. An inadequate release means the brow never moved far in the first place, and no fixation compensates for that. It is why the arcus marginalis release is worth asking about too.

5. What it achieves, realistically

What changes. The outer brow elevated, which is where descent is usually greatest and where the change is most visible. The upper eye opened, where brow descent was causing hooding. Frown lines softened substantially, because the muscles were addressed. Horizontal forehead lines softened rather than eliminated. And a rested rather than a changed appearance, which is the goal.

The elevation achieved. Modest, and deliberately so — frequently a few millimetres. Over-elevation is the signature error of this operation, and our brow lift guide covers it. A correctly performed endoscopic lift elevates the outer brow more than the inner, because lifting the inner brow is what produces the startled look.

What it does not do. It does not remove eyelid skin — blepharoplasty does. It does not treat the midface or the lower face. It does not eliminate deep static forehead lines, which are creases in skin and need resurfacing. And it does not treat crow’s feet.

6. Endoscopic versus the alternatives

The honest positioning. Endoscopic is the default technique for a patient with a short or average forehead who needs both the central and outer brow addressed. Pretrichial is the answer for a high forehead. Temporal is the answer where only the outer brow needs lifting, which is a genuinely common situation. Coronal is powerful and now used selectively, largely because of hairline elevation and numbness. Which you need follows your anatomy, not a preference.

7. Where we would want more information first

• Previous upper eyelid surgery, which matters enormously. Where eyelid skin has been removed, lifting the brow can compromise eye closure.
• Dry eye, including after laser eye surgery — which patients frequently forget to mention.
• A high forehead or high hairline.
• Male pattern hair loss.
• Thyroid eye disease.
• Previous forehead trauma or surgery, which affects the dissection.
• Smoking — four weeks before and after.
• Uncontrolled blood pressure.
• Recent botulinum toxin — we generally want three months, so your true brow position can be assessed.

8. Your Canadian options

Brow lifting is not covered, so the comparison is private against private. One exception: where eyelid descent obstructs the visual field, some provinces cover upper eyelid surgery on formal visual field testing — which applies to eyelids rather than brows. It is worth asking your physician if your vision is genuinely affected.

Part two — Preparing

9. From first contact to confirmed dates

The online consultation. Send photographs, and the relaxed one is the critical one.

• Front, completely relaxed. Patients unconsciously raise their brows for photographs, which hides the very problem being assessed. Take a moment, let your forehead go, then take it.
• Front with eyes closed.
• Front raising your eyebrows.
• Front frowning.
• Both profiles and three-quarter views.
• A photograph showing your hairline clearly, hair pulled back.

Natural daylight, no makeup, no filters. Plus your age, what specifically bothers you, previous eyelid or facial surgery, when you last had botulinum toxin, any dry eye or laser eye surgery, any hair thinning or recession, medications, keloid history, whether you smoke, and your blood pressure.

What you receive. A plan stating whether your problem is brow or eyelid, whether an endoscopic technique suits your forehead height, how the fixation will be achieved, how much elevation and where, what is combined, the stay, and the cost. Within 24 to 48 hours. And where a different technique suits your anatomy better, the plan will say so.

Questions worth asking before you commit.

• « Est-ce mon sourcil ou ma paupière ? »
• « Quelle est la hauteur de mon front, et cette technique va-t-elle relever ma ligne de cheveux ? »
• « Comment allez-vous fixer le front ? » — the question nobody asks.
• « L’arcus marginalis sera-t-il libéré ? »
• « De combien allez-vous relever, et où ? »
• « Où votre chirurgien a-t-il été formé ? »

What to arrange at home before you travel. Stop botulinum toxin three months before, so your true brow position is assessable. Stop smoking, four weeks before and after. Treat any dry eye, and bring your drops. Get your blood pressure controlled. Review medications and supplements — fish oil, vitamin E, ginkgo, ginseng and garlic increase bleeding. Colour your hair beforehand, because you will not be able to for about four weeks. And arrange time off: two weeks, with bruising around the eyes.

Part three — The stay

10. Your stay in Tunisia

Eight to ten days, longer where the operation is combined.

Day 1 — Arrival. Your driver meets you at the airport and takes you to your hotel with your companion. Nothing clinical today.

Day 2 — Consultation and planning. A full upper facial assessment: resting brow position, with you genuinely relaxed; the lifting test; forehead height measurement and hairline assessment; hair density and any recession, particularly in men; eyelid skin assessment, and the skin available where previous surgery has been performed; frown and forehead muscle activity; dry eye assessment; documentation of pre-existing brow asymmetry, present in almost everyone; photographs, blood pressure, blood tests and anaesthetic assessment. Then the planning conversation, including the fixation method and how much elevation and where.

Day 3 — Surgery. One to two hours, under general anaesthesia or sedation with local. Three to five short incisions behind the hairline. Endoscopic dissection, with release along the orbital rim including the arcus marginalis. Frown muscles addressed under vision. Elevation and fixation by the method agreed. Blepharoplasty where combined. A light dressing. Day case or one overnight.

Days 4 to 7 — Recovery. Swelling and bruising around the eyes — not the forehead — peaking at day two to three. Gravity carries it downward, which surprises patients. Head elevated, cold compresses, medication, lubricating drops. Numbness and, from around week two, itching of the scalp. Review appointments.

Days 8 to 9 — Suture removal. Sutures are removed at around days seven to ten. Where external fixation was used, it is removed at this point — a brief and straightforward step.

Day 10 — Final review and departure. A final examination, and your documentation: an operative report describing the release performed, the muscles addressed, the elevation achieved and the fixation method used; written aftercare in French or English; scar care; and a letter for your Canadian physician. Then your transfer to the airport.

11. The first weeks

Swelling and bruising. Around the eyes, resolving over ten to fourteen days.

Tightness. Across the forehead and scalp, more pronounced than patients expect, and settling over several weeks.

Numbness. Of the scalp behind the incisions — near-universal.

Itching. Frequently intense, from around week two, as nerves recover. Patients find this more bothersome than the discomfort, and it is normal.

Restrictions. Head elevated for a week. No strenuous activity or bending for two weeks — and this matters more here than after some operations, because straining pulls on a fixation that is still healing. No hair colouring for four weeks. No heat styling near the incisions while numb, because you will not feel burning properly. And sun protection, strictly.

Part four — The year that follows

12. The result, and how it settles

The early appearance. The brow sits higher immediately after surgery than it will finally, from swelling and from the tissue being freshly fixed. Which means an alarming appearance at two weeks is frequently not the result. Do not judge before three months, and preferably six.

The settling. Some settling is expected and planned for, which is why a surgeon lifts slightly more than the target. Excessive settling means the fixation did not hold — the failure mode of this technique.

Longevity. Good, with published results showing durable elevation over years where release and fixation were adequate. Ageing continues from the new position. And the frown muscle effect is generally lasting, though not identical to permanent.

13. Numbness, itching and hair

Numbness. Of the scalp behind the incisions and the forehead. Considerably less than after a coronal lift — one of the technique’s genuine advantages — and still near-universal. Improving over three to six months, with some patients reporting a small permanent area. A practical warning: be careful with hair dryers, straighteners and hot water for several months. You will not feel heat properly, and burns are a real and under-mentioned risk.

Itching. As nerves recover, frequently intense, settling over weeks to months.

Hair loss. Temporary shedding along the incisions is common — shock loss — regrowing over three to six months in most patients. Permanent loss along an incision is uncommon, and more likely under tension or in patients with existing thinning. Where your hair is thinning, tell us: it affects incision placement.

14. Scars

Three to five short incisions behind the hairline, each one to two centimetres. In most patients, very difficult to find — which is the point of the technique. Visible only if the hair thins substantially in that area, which is why hairline and hair density assessment matters in men. Care: sun protection, and silicone where a keloid tendency exists. Tell us if you have one.

15. Your Canadian follow-up

Little is required medically, though arrange a physician who will see you if needed.

What warrants urgent attention. Increasing pain with swelling and tightness — a possible haematoma, and urgent. Inability to close the eyes fully, or a painful, gritty eye — assessed promptly. Fever, spreading redness or discharge. An eyebrow that will not move: temporary frontal branch weakness does occur and should be assessed.

Take your operative report, and note that it records the fixation method, which matters if you ever need imaging or further surgery.

Canadian coverage. Not covered. Treatment of any complication is covered.

Part five — Practical matters

16. Canadian patients: travelling to Tunisia from your region

Aylan Clinic works with patients from every province and territory in Canada.

Montreal and the surrounding region. Montreal is our largest Canadian source for Tunisia, with connections through Paris, Frankfurt or Istanbul. Patients from Laval, Longueuil and Brossard are within easy reach of the airport.

Quebec City and across the province. From Quebec City and the Capitale-Nationale region including Lévis, most patients connect through Montreal — as do patients from Trois-Rivières, Sherbrooke, Drummondville and Saint-Jérôme. Gatineau patients depart from Ottawa or drive to Montreal.

On this operation the francophone advantage is at two specific points. Understanding that this technique raises your hairline, and whether that suits your forehead — which is a measured, anatomical conversation. And describing the expression you want to keep — “rested, not surprised, and still able to frown” — which is easy to say and hard to make precise in a second language.

Acadia and New Brunswick. We work with patients from Moncton, Fredericton and Saint John. Moncton and the surrounding Acadian communities are served in French throughout.

Francophone Ontario. Sudbury, Thunder Bay and Sault Ste. Marie all have substantial francophone populations, served in French from first contact onward. Ottawa patients typically connect through Montreal.

Greater Toronto Area and southern Ontario. Toronto patients connect through European hubs. Across the wider Greater Toronto Area: Mississauga, Brampton, Markham, Vaughan, Richmond Hill and Oshawa. Along the lake: Hamilton, Burlington, Oakville, St. Catharines and Niagara Falls. In southwestern Ontario: London, the Waterloo region — Kitchener, Waterloo and Cambridge — plus Guelph, Windsor and Barrie. Kingston patients generally drive to Toronto or Montreal.

Vancouver and British Columbia. Vancouver patients face the longest journey, typically two connections. We frequently recommend extending by a day or two, and you will travel with bruising around the eyes — sunglasses manage it. Across the Lower Mainland: Surrey, Burnaby and Richmond. From Victoria and Nanaimo, ferry or short flight. Kelowna, Abbotsford and Kamloops connect through Vancouver or Calgary.

Alberta. Calgary and Edmonton both offer European connections. Red Deer and Lethbridge patients generally drive to Calgary. Dry air and dry eye matter here: bring your drops on the flight.

Manitoba and Saskatchewan. Winnipeg patients connect through Toronto or Montreal, and Saint-Boniface is served in French. From Saskatoon and Regina, a domestic connection plus two further flights.

Atlantic Canada. Halifax routes through Montreal or Toronto. From Charlottetown and St. John’s, two or three connections.

Northern Canada. We work with patients from Whitehorse in Yukon, and from communities across the Northwest Territories and Nunavut. Dry air and dry eye are relevant and addressed in your aftercare. And privacy: bruising around the eyes is visible for two weeks, which is noticed in a small community. We plan around it without comment. We plan the full stay plus buffer.

How we handle the logistics. Your coordinator arranges transfers, confirms your hotel, and builds your schedule around your arrival time.

Five recommendations. Do the mirror test first. Send a genuinely relaxed photograph. Ask about your forehead height before accepting this technique. Ask how the fixation will be achieved. And stop botulinum toxin three months before.

17. What your package includes

• Free consultation in French or English, with an assessment of whether your problem is brow or eyelid, and whether this technique suits your forehead height
• Full on-site assessment: resting brow position, the lifting test, forehead height measurement, hairline and hair density, eyelid skin, muscle activity, and dry eye
• Documentation of pre-existing brow asymmetry
• Standardised photography, blood pressure assessment, blood tests, anaesthetic assessment
• A planning conversation stating the fixation method, the release planned, and how much elevation and where
• Endoscopic brow lift: three to five short incisions, release including the arcus marginalis, frown muscles addressed under vision, and a defined fixation method
• Blepharoplasty where combined and quoted
• General anaesthesia or sedation with local, as agreed
• Dressings, medication and lubricating eye drops
• Day case or one overnight
• Review appointments across the stay
• Suture removal, and removal of external fixation where used
• Scar care supplies
• Operative report describing the release, the muscles addressed, the elevation, and the fixation method
• Written aftercare in French or English, including numbness, itching, activity restriction and burn precautions
• A letter for your Canadian physician
• Continued contact in French or English after you return
• Hotel accommodation, full board
• A companion at no extra cost, accommodated and fed in the same room
• Airport–clinic–hotel transfers
• A personal coordinator from arrival to departure
• French-speaking care throughout, with English available on request

The clinical team. A plastic surgeon experienced in endoscopic technique, frequently French-trained; an anaesthetist; and a dedicated nurse.

18. Results by patient profile

The ideal indication. A patient of forty-nine with a short forehead, outer brow descent, and marked frown lines. An endoscopic lift with release to the orbital rim, corrugator and procerus weakening, and absorbable fixation. Her frown lines softened substantially — one of the clearest benefits of the technique, because the muscles are addressed under direct vision.

Where the forehead was too high. A patient with a long forehead and a high hairline, quoted for an endoscopic lift elsewhere. We measured and explained that this technique would raise her hairline further. A pretrichial lift instead, which did not — and which lowered it slightly. It is why the measurement matters.

A man with early recession. A patient of fifty-three with a receding hairline. We explained that incisions behind a hairline that continues to recede become visible forehead scars. A different approach was chosen. This is a genuine long-term consideration that is frequently not raised.

Where only the outer brow needed lifting. A patient whose central brow sat normally and whose outer third had descended. A temporal lift rather than a full endoscopic one — a smaller operation addressing exactly what was wrong. It is a commoner situation than patients expect.

Combined with eyelids. A patient who needed both: brow descent and genuine eyelid skin excess. An endoscopic lift with upper blepharoplasty at the same operation, with the eyelid skin removed conservatively because the brow was being raised. That sequencing matters — lifting the brow reduces how much eyelid skin should be removed, and doing them together allows that judgement. Our combined facelift and blepharoplasty guide covers the same principle applied across the face.

A patient from Trois-Rivières. A patient who chose Tunisia so the planning conversation could happen in French. Her comment was about the fixation question: « J’ai demandé comment le front serait maintenu en place. On m’a expliqué la méthode. Je n’aurais jamais su que c’était la bonne question à poser. »

19. Practical points to know

What to expect. A dynamic assessment and a forehead measurement before anything is planned. A one to two hour operation through short hidden incisions. Bruising around the eyes, for ten to fourteen days. Tightness, numbness and — from week two — itching of the scalp. Two weeks before you are presentable. And a result that settles over three to six months.

Recognised points. Endoscopic brow lifting is well established with good published outcomes. Your surgeon will discuss the considerations relevant to you. The main ones: over-elevation, the signature error of brow surgery, and difficult to correct; relapse where fixation or release was inadequate, the specific failure mode of this technique; hairline elevation, inherent to the approach; frontal branch facial nerve injury, causing inability to raise one brow — uncommon, usually temporary, occasionally permanent; supraorbital and supratrochlear nerve injury, causing forehead numbness, usually temporary; numbness and itching of the scalp, near-universal; hair loss along the incisions, usually temporary; asymmetry, including pre-existing asymmetry persisting; incomplete eye closure, usually temporary and more likely where eyelid surgery is combined; worsening of dry eye; haematoma, uncommon; contour irregularity where fixation devices were placed superficially; and the general risks of anaesthesia.

Three things within your control. Asking about your forehead height before accepting this technique. Not straining or bending for two weeks, because the fixation is healing. And not judging your result before three to six months.

Who this suits. Adults with genuine brow descent, a short or average forehead, stable hair, realistic expectations, and no significant untreated dry eye.

Who should have a different technique. A high forehead or high hairline — pretrichial. Outer brow descent only — temporal. Significant male pattern recession — assessed individually. And anyone whose problem is eyelid skin — blepharoplasty.

20. Price: how it is built and how to compare it

What determines your price. Whether frown muscle work is included. The fixation method, since some involve consumable devices. Whether blepharoplasty or a facelift is combined. The anaesthetic. And the length of stay. Itemised, and fixed once you approve it.

What is included. Everything listed above — the full assessment with forehead measurement, the planning consultation, the operation with release, muscle work and defined fixation, combined procedures where quoted, the anaesthetic, dressings, medication and eye drops, review appointments, suture and fixation removal, scar care, the operative report, written aftercare, the letter for your Canadian physician, continued contact, hotel with full board, transfers, and your coordinator. A companion is accommodated and fed at no additional cost.

What sits outside it. Flights, travel insurance, skin resurfacing where staged, and any revision.

How to compare quotes properly. Four checks.

• Has your forehead height been measured? This technique raises the hairline, and a quote issued without measuring may be for the wrong operation.
• What fixation method is used? A clinic that cannot name one is a reason for caution.
• Is the release described, including the arcus marginalis?
• How much elevation, and where? An answer distinguishing inner from outer brow is a planned operation.

Why the lowest quote is a concern here. Because the failure mode of this technique is relapse, and relapse comes from inadequate release, inadequate fixation, or both. Both are invisible in a quote and both are quicker to skip. A brow that has settled back within a year is the cheapest operation and the worst value. For the wider comparison, see plastic surgery prices in Tunisia.

Canadian coverage. Not covered. Treatment of any complication is covered.

Getting your figure. Send photographs including a genuinely relaxed one, eyes closed, brows raised, frowning, and one showing your hairline clearly. Plus your age, what bothers you, previous surgery, when you last had botulinum toxin, dry eye and laser eye surgery, hair thinning, medications, and whether you smoke. A plan and quote follow within 24 to 48 hours, in French or English — including where a different technique suits your anatomy better. You can start with a free, personalized quote.

21. Glossary

• Endoscope — the camera allowing dissection under vision through small incisions
• Arcus marginalis — the attachment at the upper orbital rim; released to allow the brow to move
• Periosteum — the layer over the bone that is released
• Corrugator and procerus — the frown muscles, addressed under vision
• Fixation — how the released forehead is held in its new position
• Absorbable fixation device — a bone anchor that dissolves over months
• Cortical screw / bone tunnel — alternative fixation methods
• Shock loss — temporary hair shedding along an incision
• Frontal branch — the facial nerve branch that raises the brow
• Pretrichial — an alternative technique at the front hairline; does not raise it

22. How Canadians search for this

• “Endoscopic brow lift Tunisia” — the most common search.
• “Lifting endoscopique Tunisie” — how most Quebec patients search.
• “Does an endoscopic brow lift raise the hairline” — yes, modestly, and it is why a high forehead needs a different technique.
• “Endoscopic brow lift fixation” — the technical question that determines whether it holds.
• “Endoscopic brow lift relapse” — from inadequate release or fixation, and the specific failure mode of the technique.
• “Brow lift scars endoscopic” — three to five short incisions behind the hairline, usually very difficult to find.
• “Endoscopic vs coronal brow lift” — shorter incisions and considerably less numbness, with less hairline elevation.
• “Itching after brow lift” — common from week two, as nerves recover, and it settles.
• “Endoscopic brow lift men” — hair recession matters, because an incision behind a receding hairline becomes visible.
• “Brow lift with blepharoplasty” — frequently combined, and lifting the brow changes how much eyelid skin should be removed.
• “Brow lift and Botox” — worth trying first for mild descent, and stop it three months before surgery.
• “French speaking facial surgeon abroad” — Tunisia’s distinguishing feature.

In summary

An endoscopic brow lift works through three to five short incisions hidden behind the hairline, using a camera to release the forehead from the bone, weaken the frown muscles under direct vision, and reposition and fix the whole unit upward. It raises your hairline — modestly, and it does — which is the defining limitation. A patient with a high forehead should have a pretrichial technique instead, and a clinic that does not measure your forehead before proposing this is not planning your operation.

How the forehead is held in its new position is the technical question that matters, because the failure mode of this technique is relapse, from inadequate release, inadequate fixation, or both. A surgeon who can name the method is doing it deliberately. At Aylan Clinic Tunisia that means a dynamic assessment and a forehead measurement before anything is planned, release including the arcus marginalis, frown muscles addressed under vision, and an operative report recording the fixation method. It takes place in a French-speaking country, which matters when you are describing the expression you want to keep. With accommodation, full board and a companion at no extra cost, for up to 60% less than Canadian private prices.

Five things to hold onto. Ask what your forehead height is — this technique raises the hairline, and if yours is already high, a different one is the answer. Ask how the forehead will be fixed, because nobody asks this and it is what determines whether the lift holds. Do the mirror test first: a substantial proportion of patients who ask for a brow lift need their eyelids, and the test tells you in thirty seconds. If you are a man with a receding hairline, raise it, because an incision behind a hairline that keeps receding becomes a visible forehead scar. And do not strain or bend for two weeks — the fixation is healing, and relapse is this technique’s failure mode.

Send your photographs and you will have an honest answer within 24 to 48 hours, including where a different technique suits your anatomy better. To go further, explore facial surgery in Tunisia for the full range of upper facial procedures and where the endoscopic approach fits, read our complete brow lift guide for the alternative techniques, compare plastic surgery prices in Tunisia, or request a free, personalized quote.