Name: Endoscopic Brow Lift With the NanoNeedle™ Scope
Uploaded: 2026-03-25T00:00:00Z
Duration: 4 min 51 s
Channel: Arthrex
Description: Andrew Turk, MD (Naples, FL), discusses the advantages of using the NanoNeedle™ scope and instrumentation for performing an endoscopic brow lift.

<p>Andrew Turk, MD (Naples, FL), discusses the advantages of using the NanoNeedle™ scope and instrumentation for performing an endoscopic brow lift.</p>

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VID1-009290-en-US | B | Endoscopic Brow Lift With the NanoNeedle™ Scope

Andrew Turk, MD

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Endoscopic Brow Lift With the NanoNeedle™ Scope

Speaker  I am Doctor Andrew Turck, board certified plastic surgeon, and I'm here to discuss the approved indicated nanoneedle scope for endoscopic brow lifts in aesthetic plastic surgery in the past. Open coronal brow lifts from ear to ear was the technique used by many plastic surgeons, which required larger disruption of scalp tissue, possible tissue damage, bleeding and dissection that would require a long incision closed with sutures and possibly staples with a longer recovery. Moving to a more minimally invasive technique, the endoscopic brow lift were hidden incisions 1 to 2cm in the hairline, less trauma to the tissue and really precision guidance. Using a camera system to identify the anatomy of the depressor muscles, allowing the brow to lift up from its sagging anatomy, and therefore fixation devices were used to fixate and hold the tissue up with a faster recovery and higher patient satisfaction. Traditional scopes that were used were large, bulky, rigid, often uncomfortable for surgeons because they didn't have the flexibility to the curves of the tissue, and particularly the calvarial bone. Their diameters were anywhere from 4mm to 5mm camera systems, and the sheaths were 7 to 8mm. The biggest problem, though, was the heat generated fog, which would obstruct your view intermittently requiring a longer procedure. So it requires setup time and sterilization that can be cumbersome and delay the surgeries. And now comes the next phase of the ultra minimally invasive endoscopic brow lift with the nanoneedle scope. Speaker  Now, the nanoneedle scope, as you can see, is 1.9mm in diameter compared to that 4 to 5mm rigid scope, and the sheaths are between 2.4 to 3.3 millimetres, allowing irrigation in the system for clearing any debris while you're doing your dissection, really giving a much safer dissection. With the clarity of the colorized image, there were three different lengths to the scope. They're all 1.9mm chips on the tip of the scope, and they're malleable, so we could bend them to conform to the shape of the skull. That's a big difference. That's a much safer dissection, and it gives more control to the surgeon when they're performing the endoscopic dissection, single use and eliminating the fog was some of the biggest improvements that are seen with this system. There are multiple console options available, including a mobile laptop option here and on the right integration to the Synergy Vision 4K console. Previously, the long coronal incision from ear to ear, which you can see in front of the hairline in the center diagram and the direct excision above the brow was used for these brow lifts. However, now, with a minimally invasive technique and with the nanoneedle scope, it's really an ultra minimally invasive technique. We're able to choose between 3 to 5 different incision sites for access to lifting the brow. Speaker  The video on the right demonstrates after patient is either asleep or sedated, we move the and tease the tissue off of the subperiosteal bone. Using an elevator, scissors, and other ultra low profile nanoneedle devices. The incision placement generally is to reach the central forehead and as well as the lateral temporal area. So inserting the endoscope. You can see here that the colorized optimal image that you see with the nanoneedle scope really allows the surgeon to safely dissect down to the depressor muscles. The Corrugator and procerus tissue release, including good hemostasis and nerve protection of the supraorbital and supratrochlear nerves. Elevation and fixation is required. There's less risk with numbness, and you can combine these procedures at the same time with performing a facelift or a blepharoplasty. The nano sized instrumentation single use or reusable instrumentation portfolio is demonstrated here using scissors, graspers and other instruments to tease the tissue carefully at a very low profile never seen before. And this demonstrates in a cadaver dissection using these instruments, which are bendable, unlike previous scissors that we've used in endoscopic brow dissection. The brown area is the area of the corrugator muscles and the procerus at the glabella level between the eyebrows. In summary, the advantage of the nanoneedle scope is the safety of visualizing the anatomy and the tissue for the best result of the patient. Thank you.