Endolift for the upper eyelids and brows in London

Hooding of the upper eyelid and a brow that has settled lower are treated with the fibre passed under the skin of the lid and the brow from a small entry point, in one session under local anaesthetic. The upper eyelid is not on the maker's list of areas, and we say so; two published series of nine patients each treated it, and in one the laxity score fell from 3.5 to 1.0 at six months. Every treatment is given by Dr Marie Duggan, GMC 7488383, at Endolift Clinic, 8 Devonshire Place, London, W1G 6HP, with the price in writing at a free consultation.

What it does on the upper lid and brow

The heat contracts the fibrous layer under the thin skin of the lid and the brow, so the hooding tightens and the brow sits a little higher as new collagen forms over the following months. It does not remove the excess skin of a heavy hood, which a blepharoplasty does, and it does not lift a heavy brow the way surgery does; the doctor says so where either is the better route.

What the series measured

Nine patients treated once on the upper eyelid: the laxity score down from 3.5 to 1.0 at six months, as long as any Endolift study has followed patients. A second series of nine treated the upper lid and brow, with thicker, more elastic skin on measurement and improvement in about 90% on the dermatologists' assessment. Both are small, with no untreated comparison group, and a 2025 systematic review found a high risk of bias in the studies it kept.

The session and after

Local anaesthetic along the path of the fibre, the fibre passed under the skin from a small entry point at the outer brow and drawn back pass by pass, with the zones of care at the temple respected. In our practice you go home the same day. Swelling and bruising around the eye for several days, more visible than elsewhere on the face in our experience, so plan around any event. The result develops over three to six months and is photographed at the review in our practice. The downtime page sets out the recovery.

Who it suits

In our practice, an adult with mild hooding of the upper lid or a brow that has settled, who wants one session. A 2026 review lists metal implants, active infection, pregnancy, bleeding disorders, skin disease and cancer as reasons not to treat. The under the eyes page covers the lower lid, and the full guide the rest. The price is in writing at a free consultation, with a price match on any comparable written quote.