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Garnet/Forehead & Brow/Forehead lift (Pentafix™)
Board-certified Plastic Surgeon · Apgujeong, Seoul

Forehead lift (Pentafix™) — the brow raised and held from within, not pulled at the skin.

A forehead lift raises a heavy or descending brow and softens forehead lines by repositioning the brow and forehead tissue through small scalp ports, rather than removing a strip of skin. At Garnet it is planned and performed by one board-certified plastic surgeon, Dr. In-Soo Baek, from consultation through every follow-up.

5-point
endoscopic fixation
~10 days
sutures out
1
surgeon, every step
Anaesthesia
Sedation / general
Surgery time
~1.5-2 hours
Sutures out
~10 days
Social downtime
~2 weeks
Follow-up
1 / 3 / 6 months
2,000+ facial-lift & brow cases since 2011· Board-certified plastic surgeon — accredited member, Korean Society of Plastic & Reconstructive Surgeons· Foreign-patient programme registered· Single-surgeon practice

The bottom line

What it is
An endoscopic forehead/brow lift that raises a low or heavy brow and eases deep forehead and frown lines by releasing and re-fixing the brow tissue through small hidden scalp incisions, not a long open cut.
Best for
A heavy, low or asymmetric brow, hooded upper eyes from brow descent, and deep horizontal forehead or frown lines that creams and injectables no longer settle.
Who performs it
Dr. In-Soo Baek only - a board-certified plastic surgeon and Garnet's sole operating doctor. The same surgeon consults, operates and follows up.
Downtime
Sutures out at around 10 days; most social downtime over by roughly 2 weeks; the brow position settles over the following months.
Longevity
In a meta-analysis of endoscopic brow lift, brow elevation remained stable over follow-up, with pooled long-term gains of about 3-4 mm (Sibar et al., 2025).
How to start
Send photos through WhatsApp or the form below for an honest, no-obligation pre-assessment before you travel.
Candidacy What it is How it's performed The anatomy Endoscopic vs open vs sub-brow Anaesthesia & safety Incisions & scars Before & after Recovery Longevity Combining Risks International patients FAQ

Is it right for you?

Often a good fit

  • A heavy, low or asymmetric brow that makes the eyes look tired
  • Hooding of the upper eyelid skin driven mainly by brow descent
  • Deep horizontal forehead or frown lines that injectables no longer settle
  • General good health and realistic, discussed expectations
  • Able to plan around 2 weeks of social downtime and the follow-up schedule

Worth discussing other options

  • Hooding caused mainly by excess upper-lid skin - an upper blepharoplasty may suit better
  • Mild outer-brow heaviness only, where a sub-brow lift may be more proportionate
  • Looking for a same-week, no-downtime result
  • Uncontrolled medical conditions - assessed individually at consultation
  • Active smoking, which raises wound-healing risk - discussed and planned around
Dr. In-Soo Baek

Dr. In-Soo Baek

Director & sole operating surgeon
Korean medical licence no. 77407
  • Board-certified plastic surgeon
  • Korea University College of Medicine & graduate school (plastic surgery)
  • Member, Korean Society of Plastic and Reconstructive Surgeons (facial-contour, eye & rhinoplasty groups)
  • Every case planned, performed and followed up by the same surgeon
About the surgeon →

What patients say

4.8
★★★★★
92 verified patient reviews
Verified visit★★★★★

Garnet is well known for neck-wrinkle and lifting surgery. The facility is excellent and I’m thoroughly satisfied with the friendly consultation and the surgeon’s skill.

S
Song
Neck / lifting
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Director Baek In-soo, thank you so much. Thanks to you I keep getting told I look younger — it feels like I’ve gone back to my younger days.

V
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Facial lifting
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I had upper and lower eyelid surgery and I’m really satisfied. The director and the manager were both so kind and clear.

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Eye surgery
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I started with under-eye fat repositioning — the director and the manager are genuinely kind and good at what they do. I’ll be back.

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Under-eye
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I came on a referral and was very satisfied thanks to the doctor’s kind consultation and clear explanations. The nurses were friendly too.

K
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Consultation
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I kept reading the reviews and came trusting the many mentions of skill and kindness. The clinic was busy with patients and spotless.

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First visit

Raising the brow from the scalp, not the skin

A forehead lift (Pentafix™) is a brow-rejuvenation operation that releases the forehead and brow soft tissue through a small number of hidden scalp incisions and re-fixes the brow at a higher, more open position using endoscopic five-point fixation. Because the brow is repositioned and anchored to the deeper layer rather than by excising forehead skin, the hairline is preserved and the lift is held from within.

As the upper face ages, the brow descends and the forehead soft tissue loosens. The visible result is a heavy, tired-looking brow, hooding of the upper eyelid skin even when the eyelid itself is fine, and forehead or frown lines that deepen because the muscles work harder to hold the brow up. Treating the eyelid skin alone can miss the real cause, which often sits higher, at the brow.

An endoscopic forehead lift works at the level of the brow. Through small ports hidden in the hair-bearing scalp, the surgeon releases the tissue that tethers the forehead down, repositions the brow upward and outward along a planned vector, and fixes it there. Because no strip of scalp is removed, the hairline is not pulled back and the incisions stay within the hair.

At Garnet this is a single-surgeon operation. Dr. Baek plans the case from the consultation, performs it himself, and reviews healing at set intervals; the clinic caps the day at two surgeries so each case has unhurried time. The stated aim is to open and balance the brow you arrived concerned about and to prevent foreseeable complications, rather than to over-raise the brow into a surprised look.

One surgeon, one plan

From the endoscopic ports to the five-point Pentafix™ fixation - every step by Dr. Baek.

Dr. In-Soo Baek performing surgery at Garnet Plastic Surgery, Apgujeong

A single surgeon, start to finish. Dr. Baek plans the case, performs the operation himself and reviews every follow-up. The clinic caps the day at two surgeries, so each operation has unhurried time.

An endoscopic forehead lift at Garnet typically runs about 1.5-2 hours under sedation or general anaesthesia, decided with you after your medical history is reviewed. The steps below outline how the Pentafix™ approach is carried out.

01

Consultation & planning

Dr. Baek assesses the brow height and symmetry, the forehead lines, the hairline and how much of the upper-eye hooding comes from the brow versus the lid skin, then agrees the lift vector and port positions with you.

02

Endoscopic ports

A small number of short incisions are placed within the hair-bearing scalp, behind the hairline, so they are hidden once healed. An endoscope gives a clear, magnified view without a long open cut.

03

Release

Working under the scope, the forehead soft tissue is released and the depressor pull on the brow is addressed, so the brow is free to be repositioned upward rather than fighting against tethered tissue.

04

Five-point fixation (Pentafix™)

The brow is repositioned along its planned vector and fixed at five points - two absorbable Endotine tines plus bone-tunnelling - so the lift is held evenly across the forehead while it heals.

05

Adjuncts & combining

Where the consultation shows it, an upper eyelid procedure or fat grafting to the temple is performed in the same sitting to balance the upper face.

06

Closure & review

The scalp incisions are closed and lightly dressed. Because Garnet is single-surgeon, Dr. Baek reviews you himself before you settle in and at each follow-up.

Forehead lift (Pentafix™) registered technique certificate

The named technique used here, Pentafix Forehead Lift™, refers to Garnet's endoscopic five-point brow fixation and is registered with the Korean IP Office. Trademark registration describes the named technique, not a superior outcome.

Why the brow drops and how fixation holds it

The brow sits on a balance of muscles: the frontalis muscle lifts it, while the corrugator, procerus and orbicularis pull it down and inward. With age the forehead soft tissue descends and the deep brow fat pad slips, so the brow drops, frown lines deepen and the upper eyelid looks hooded. Releasing the depressor pull and the tissue that tethers the forehead is what allows the brow to be moved to a higher, more rested position (Mendelson, Aesthetic Plast Surg 2013; DOI 10.1007/s00266-013-0066-8).

A lasting lift depends on how securely the released brow is re-anchored. At Garnet the brow is fixed at five points, combining two absorbable Endotine tines with bone-tunnelling fixation, so tension is shared across the forehead rather than resting on one suture. Pooled data from endoscopic brow-lift studies report brow elevation that holds over follow-up (Aesthetic Surg J 2025; DOI 10.1093/asj/sjae225); Dr. Baek plans the vector and fixation points for each forehead individually. For brow heaviness driven mainly by upper-lid skin, an upper blepharoplasty or a sub-brow lift may be more proportionate and is discussed at consultation.

Endoscopic vs open (coronal) vs sub-brow lift

Endoscopic forehead liftOpen (coronal) liftSub-brow lift
IncisionSmall scalp portsLong cut across the scalpJust above the brow hairs
HairlinePreservedCan shift backUnchanged
Brow elevationWhole brow raisedWhole brow raisedOuter brow only, modest
Forehead linesEasedEasedLittle effect
Typical useHeavy / low browLarger or revision casesMild outer-brow heaviness

A meta-analysis of endoscopic brow lift reports stable, reproducible brow elevation of about 3-4 mm (Aesthetic Surg J 2025; DOI 10.1093/asj/sjae225). The right approach is individual - a sub-brow lift or upper blepharoplasty suits some brows better, and Dr. Baek advises at consultation.

How your safety is handled

Anaesthesia

A forehead lift is usually performed under deep sedation or general anaesthesia, decided with you and the anaesthesia team for comfort and safety over the operation. Your medical history is reviewed beforehand.

Single-surgeon monitoring

Because Garnet caps the day at two surgeries, the operation is unhurried and the same surgeon who planned the case carries it out and reviews recovery - there is no separate operating doctor and no rotation of care.

Foreign-patient programme

Garnet is registered with Korea's foreign-patient programme; pre-operative checks, scheduling and after-care are coordinated for international visitors in English.

Honest assessment

If a forehead lift is not appropriate, or a lighter option such as a sub-brow lift suits you better, that is said at the consultation. Photos can be reviewed before you travel.

Where the scars sit

An endoscopic forehead lift is carried out through a small number of short incisions placed within the hair-bearing scalp, behind the hairline. Because they sit among the hairs and no strip of scalp is removed, they are not usually visible once healed, and the hairline keeps its original position rather than being pulled back.

Scars are permanent but are designed to hide in the scalp hair. Healing varies by individual and by skin type, and temporary numbness or altered sensation behind the incisions is common early on and usually settles. Dr. Baek reviews healing at the 1-, 3- and 6-month visits and advises on scalp and scar care.

Before & After

Forehead and brow before/after sets are reviewed privately at consultation, as the upper face is identifiable. Results, recovery and suitability vary by individual and are not guaranteed; the brow position settles over the following months.

Request before & after examples privately

Week by week

Days 1-3
Light dressing around the forehead and scalp. Swelling and some bruising build then peak over the first few days, and can track down toward the eyes. Rest with the head elevated, cold compresses as advised; the team reviews you before you settle in.
Days 4-7
Swelling begins to turn the corner and bruising starts to fade. Gentle walking is encouraged. Numbness behind the scalp incisions is common and usually temporary.
Days 7-10
Sutures are removed at around day 10. Bruising fades further; residual swelling continues. Many international patients plan to stay in Korea through this point so removal is done by the surgeon.
Weeks 2-3
Most social downtime is over for everyday settings, with residual swelling and some forehead tightness that keep easing. Light routine and most desk work resume as advised; strenuous exercise waits longer.
Months 1-6
The brow position settles and scalp sensation gradually returns over the following months. Dr. Baek reviews healing at one, three and six months - in person, or by messenger after you return home.

Do

Keep the head elevated, use cold compresses early, take medication as prescribed, sleep on your back, walk gently, and keep your follow-up visits.

Avoid

Strenuous exercise, bending and heavy lifting early on, alcohol and smoking, very hot showers/saunas, and scratching or picking at the healing scalp until cleared.

How long does it last?

No forehead lift stops ageing, but an endoscopic lift with secure fixation is associated with a durable brow position because the brow is re-anchored to the deeper layer rather than relying on tissue tension alone. In a meta-analysis of endoscopic brow lift, elevation held over follow-up with pooled long-term gains of roughly 3-4 mm (Sibar et al., Aesthetic Surg J 2025; DOI 10.1093/asj/sjae225).

Individual longevity depends on tissue quality, brow muscle activity and how the upper face ages afterwards. Garnet's approach is to plan the vector so the brow sits naturally from the start, since a brow that was never over-raised tends to age more gracefully. Forehead-line activity can be maintained separately over time.

Often planned together

Upper eyelid surgery

An upper blepharoplasty is often planned with a forehead lift when hooding comes from both a low brow and excess lid skin, so the upper eye is balanced rather than over-corrected at one level.

Sub-brow lift

For milder or mainly outer-brow heaviness, a sub-brow lift can be a more proportionate alternative or adjunct, discussed at consultation.

Fat grafting

Fat grafting to a hollow temple or upper face can restore volume that lifting alone does not replace, for a more rested rather than only lifted look.

Forehead reduction

A forehead lift raises the brow, whereas a forehead reduction shortens a tall forehead by advancing the hairline - different goals that are sometimes considered together.

An honest word on risk

Every operation carries risk. For an endoscopic forehead lift the common, usually temporary effects are swelling, bruising and numbness or altered sensation of the scalp behind the incisions, which generally settles over weeks to months. Itching as the scalp heals is also common. Pooled brow-lift data describe a low rate of significant complications (Aesthetic Surg J 2025; DOI 10.1093/asj/sjae225).

Less common risks include asymmetry of the brows, a brow lifted more or less than planned, temporary hair thinning around the incisions, and - uncommonly - weakness of a forehead-nerve branch affecting brow movement, which is usually temporary. Smoking raises wound-healing and skin risks. These are explained individually at consultation.

What reduces risk in practice: careful patient selection, accurate vector planning, secure five-point fixation, and follow-up by the operating surgeon. Garnet's single-surgeon, low-volume model is built around exactly this kind of unhurried planning and personal after-care.

Planning from abroad

Most international patients plan roughly 10-14 days in Korea for a forehead lift, so sutures can be removed by the surgeon at around day 10 and the early swelling has settled before travel. The coordinator confirms the timing for your specific plan.

Before you travel, send clear photos (front, three-quarter and side, plus one with the brows relaxed) and a note on your concern and dates through WhatsApp, LINE or the form below. You'll get an honest pre-assessment - including whether a forehead lift, a sub-brow lift or eyelid surgery fits best - rather than a hard sell.

Garnet is registered with Korea's foreign-patient programme and coordinates consultations, scheduling and after-care in English. After you return home, Dr. Baek can continue to review your recovery by messenger.

Guides for international patients

Questions about this procedure

Will a forehead lift give me a surprised or over-raised look?
The aim is to open and balance the brow, not to over-raise it. Dr. Baek plans the lift vector and the amount of elevation with you at consultation, and the five-point fixation holds the brow at the agreed, natural position rather than pulling it too high.
How is an endoscopic forehead lift different from an open lift or a sub-brow lift?
All three raise the brow but differently. An endoscopic forehead lift works through small scalp ports and preserves the hairline; an open (coronal) lift uses a long scalp cut and can shift the hairline back; a sub-brow lift makes a small cut just above the brow hairs and raises mainly the outer brow with little effect on forehead lines.
Endoscopic forehead liftOpen (coronal) liftSub-brow lift
IncisionSmall scalp portsLong cut across the scalpJust above the brow hairs
HairlinePreservedCan shift backUnchanged
Brow elevationWhole brow raisedWhole brow raisedOuter brow only, modest
Forehead linesEasedEasedLittle effect
Typical useHeavy / low browLarger or revision casesMild outer-brow heaviness
Does Dr. Baek perform the surgery himself?
Yes. Garnet is a single-surgeon practice, so Dr. Baek handles the consultation, the operation and the follow-up personally - there is no separate operating doctor and no rotation of care, and the day is capped at two surgeries.
How long does a forehead lift last?
In a meta-analysis of endoscopic brow lift, elevation held over follow-up with pooled long-term gains of about 3-4 mm. No lift stops ageing, and individual longevity varies with tissue quality, brow muscle activity and how the upper face ages afterwards.
How long should I stay in Korea?
Most international patients plan about 10-14 days, so sutures can be removed at around day 10 and early swelling settles before travel. The coordinator confirms timing for your plan and any combined procedures.
What anaesthesia is used and how much pain is there?
Usually deep sedation or general anaesthesia, decided with you after your history is reviewed. Most patients describe tightness, pressure and scalp numbness rather than sharp pain in the first days, managed with prescribed medication.
Where are the scars and will they show?
The incisions are short and placed within the hair-bearing scalp behind the hairline, so they hide among the hairs once healed. No strip of scalp is removed, so the hairline keeps its original position.
Will my hairline move back?
No. Because the endoscopic technique repositions the brow without removing a strip of scalp, the hairline is preserved. Moving the hairline is a different operation - a forehead reduction, which shortens a tall forehead.
When can I exercise again?
Gentle walking early; strenuous exercise, bending and heavy lifting wait several weeks and are cleared at follow-up, as raised blood pressure early on can increase bruising and swelling.
Can I combine it with eyelid surgery?
Yes. An upper blepharoplasty is commonly planned with a forehead lift where hooding comes from both a low brow and excess lid skin, so the upper eye is balanced in one sitting.
Is a forehead lift the same as forehead reduction?
No. A forehead lift raises the brow and eases forehead lines, while a forehead reduction shortens a tall forehead by advancing the hairline. They address different concerns and are explained separately at consultation.
What are the main risks?
Common temporary effects are swelling, bruising and scalp numbness behind the incisions. Less common risks include brow asymmetry and, rarely, temporary weakness of a forehead-nerve branch; these are discussed individually at consultation.
Can I see forehead lift before-and-after photos?
Upper-face results are identifiable, so full sets are reviewed privately at consultation with consent rather than published. Lifting and contouring examples from other procedures are shown on this site.
Will the numbness go away?
Numbness or altered sensation behind the scalp incisions is common early on and usually settles gradually over weeks to months as the small sensory nerves recover. Dr. Baek reviews this at the follow-up visits.
How do I start without flying to Korea first?
Send photos and your dates through WhatsApp, LINE or the form below. You'll get an honest pre-assessment - including whether a forehead lift is the right operation for you - before you plan a trip.

Sources

  1. Sibar S, Ugras Dikmen A, Erdal AI. Long-term Stability in Endoscopic Brow Lift: A Systematic Review and Meta-Analysis of the Literature. Aesthetic Surg J. 2025. DOI 10.1093/asj/sjae225. link
  2. Mendelson BC, et al. Anatomic Study of the Retaining Ligaments of the Face and Applications for Facial Rejuvenation. Aesthetic Plast Surg. 2013. DOI 10.1007/s00266-013-0066-8. link
  3. Chowdhry S, et al. Comparative Outcomes of Traditional Versus Endoscopic Brow Lift Techniques: A Systematic Review. Aesthetic Plast Surg. 2024. DOI 10.1007/s00266-024-04445-9. link

Citations are provided for general education. This page is informational and does not replace an in-person consultation; suitability, technique and recovery are individual.

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