What is a Brow Lift?
A brow lift, also referred to as a forehead lift or forehead rejuvenation, is a popular surgical procedure used to correct sagging or asymmetrical eyebrows by raising the forehead. The surgery is also effective for smoothing forehead lines and wrinkles, depending on the type of brow lift.
There are many different techniques for brow lifts. While results are long-lasting, they are not permanent. Your skin continues to lose elasticity as you age. Some techniques are more invasive than others, and the right choice will depend on your specific needs. The procedure is helpful for those with deep forehead lines, as well as for people with low-set brows.
Brow Lift FAQs
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What are the different types of brow lifts?
Surgical brow lifts tighten the skin, reduce wrinkles, and make your eyes look larger to help you look younger. There are different types of brow lifts to consider, and the best choice will depend on the type of results that you want, as well as your hairline.
Coronal Brow Lift
A coronal brow lift is the longest-standing technique, and it is still used by plastic surgeons. The procedure involves a single incision that made from ear to ear along the hairline along the top of your forehead. Coronal brow lift is a good option if you have a smaller forehead. There is a risk of nerve damage with this technique that may cause facial numbness. This risk is why plastic surgeons prefer endoscopic lifts over coronal brow lifts. The technique, though, is more effective for correcting asymmetrical eyebrows, adjusting the length of the forehead, and for correcting deep frown lines.
Endoscopic Brow Lift
An endoscopic brow lift is the procedure that is favored by most surgeons. It is less invasive and requires only a series of small incisions. The surgeon makes four to five incisions behind the hairline. A small endoscope with a camera allows the surgeon to evaluate the forehead tissue and determine the best location for another incision. This subsequent incision is used to gently pull the skin taut and lift the forehead area. The endoscopic brow lift technique allows the surgeon to avoid the nerves that are close to the eyebrow area. Incisions are minimal, so patients experience less discomfort and have shorter recoveries. The technique also reduces the risk of numbness after the procedure.
An endoscopic brow lift can’t be used for treating horizontal wrinkles or asymmetrical eyebrows. It is not a good option if you have skin laxity.
Temporal Brow Lift
Also referred to as a lateral brow lift or limited incision lift, a temporal brow lift is a technique that only targets the outer third of the eyebrows (not the full brow area). This is the area where drooping tends to be most significant as we age. The procedure is often combined with an upper eyelid lift. The same incisions may be used to lift the area between the brows to smooth out frown lines. The incisions are slightly larger than with an endoscopic lift, and they are placed immediately behind the hairline. This is a low-risk procedure with a shorter recovery time, but the results aren’t as dramatic as other techniques.
Trans-Blepharoplasty Brow Lift
A trans-blepharoplasty brow lift is similar to a temporal brow lift. The brow is lifted through a blepharoplasty eyelid incision. This is considered a minimally-invasive technique, and it typically requires a shorter recovery time.
Trichophytic Brow Lift
A trichophytic brow lift is a popular option for patients who have higher hairlines. It involves removing part of the skin in the forehead area to lift the eyebrows. The incision is made behind the hairline to camouflage the scar.
Browpexy
Browpexy is a relatively new technique. It is used to raise the brow slightly, and it is usually performed in conjunction with an eyelid lift. There are two types of browpexy.
- Internal browpexy: Small incisions are made in the upper eyelid. Excess tissue and muscle is removed from the brow bone to lift the area.
- External browpexy: The incision is made over the eyebrow and excess tissue and muscle is removed.
As part of browpexy, the brow tissue is secured in place with sutures. Scarring is minimal, and a browpexy offers a significantly more affordable alternative to other brow lift techniques.
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What can I expect from the surgery?
Your surgeon recommends the best brow lift technique based on your facial structure and your aesthetic goals. Factors that are considered include any asymmetry in the brow area, depth of horizontal lines, forehead height, and your hair color and type.
All brow lift techniques involve incisions and lifting the skin, although the size and location of the incisions vary. Therefore, you are sedated for the duration of the surgery. Most brow lift techniques take under two hours. You go home the same day after a short time in recovery, but you will need someone to drive you home.
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What is the recovery period like?
After brow lift surgery, you will need to take approximately two weeks off from work to recover. The pain associated with a brow lift is typically minimal. Your surgeon may recommend non-prescription pain medication or prescribe a pain medication.
Expect to have some swelling and bruising. Your surgeon may recommend using cold compresses to manage the swelling. You may have bandages over the area that your surgeon may remove after one to two days. The sutures may be dissolvable, or you may need to return to the surgeon’s office to have them removed approximately seven to ten days after the surgery.
While you are healing, keep your head elevated. Avoid moving around too much for the first week. Avoid exercise for the first month.
Recovery from a brow lift takes approximately two to three weeks. As the incisions heal, you will see scars start to develop. Initially, the scars will be slightly pink. Over the next 12 months, the scars will change to closely match the natural color of your skin. Once the area is completely healed, the scars are slightly darker than the surrounding skin, yet barely noticeable due to the location.
You will see the initial results of your brow lift immediately after the surgery. The skin will be slightly tight due to swelling, so the results may look a bit too dramatic. After a few weeks, the tissues relax and swelling subsides. This is when you can start to see the final results of the surgery.
If you have had a coronal lift, you may experience some numbness on your scalp for a few months.
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How long does a forehead lift last?
An endoscopic browlift lasts approximately five years or less. The results of an endo-temporal lift may last five to seven years. Coronal brow lift surgery offers the longest-lasting results of more than ten years. Your skin continues to age, even after a brow lift. You may need a secondary brow lift to maintain the results. Your surgeon explains how you can maximize the longevity of the procedure.
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Are there any risks?
The risks involved with a forehead lift are considered low. There may be some visible scarring, temporary or permanent numbness, brow asymmetry, and hair loss at the incision site. Brow asymmetry typically resolves during the initial healing period. Other potential side effects include hematoma, nausea and vomiting from the anesthesia, and higher risk of infection or nerve damage.
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What is the best age for a brow lift?
Most people opt for a brow lift between the age of 40 and 65. The procedure is also performed on younger patients who have heavy brows or pronounced furrowing between the brows.
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What is the cost of a brow lift?
In MD the average cost of a forehead lift is approximately $4,000. The total cost depends on the cosmetic surgeon you choose, the technique, fees for the anesthesia and medical facilities, and other factors. Brow lifts are elective cosmetic procedures; therefore, the cost is not covered by health insurance. Because of this, many people consider the cost of the surgery as a high priority when choosing a plastic surgeon. While finding an affordable option is important, balance quality of care and results with the cost.
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Are there alternatives to a brow lift?
Brow lifts are performed in conjunction with an upper eyelid lift and/or a facelift to maximize the anti-aging benefits of the surgery. You may save money by having these procedures in the same surgical appointment, but the downtime and recovery will be longer.
Botox® is an alternative to a brow lift. The injections work by temporarily relaxing the muscles that cause lines in the forehead and eye area. The results are more subtle than a brow lift and last only four to six months. Your plastic surgeon may determine that your lines and wrinkles are too severe for Botox® injections and recommend a brow lift to correct a sagging brow and forehead area.
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Patient Testimonials
Read real reviews from the Anzolo community
I was referred to Dr Kontis back in 2012 due to a facial injury sustained at another business. Her knowledge, expertise, kindness and compassion was exactly...
Jeanne B. on Ira D. Papel, Dr via Yelp
I contacted Dr. Kontis’s office along with another doctors office about having V beam done for facial spider veins on my Asian skin. I had been researching this machine. I was immediately told by the other doctor that the V beam can not be safely used on my skin tone. Dr Kontis's secretary however called and said it could be. I notified her immediately about being told that Dr Newmon in Annapolis told me I could not. She said let me speak to my nurse Cheryl and she will contact you. Cheryl emailed me with the following response
“I am the nurse that does the lasering. I have done this for 10 years. I have treated many, many Asian pts for facial veins. Not sure why so many have told you it is not possible but the VBeam will target the red chromophore in the blood. So it is not targeting the melanin which can be a problem with other types of treatments for Asian skin types. Hair removal and brown spots can be trickier. Be happy to have you come in for a test spot if you like.”
I made the horrible decision to trust her and went in for a test treatment. Instead of using the V beam which I had been counseled on being safe and came in for, she used the Candela gentle Max which can not be used on patients Fitzpatrick 4-6 for treating spider veins. It can be used for laser hair removal. I am a 5. My skin immediately in 2 places raised up and turned red. I went in the bathroom and applied sunscreen I had in my purse. I emailed Cheryl about the spots 3 weeks later because now they had started to hyperpigment. She told me they were normal. I new they were not. My husband co owns a med spa. My husband had this exact machine in his office from 2014 to end of 2018 and I could have done it for free if this machine could be used on me. Why would I drive 40 minutes to use a machine we had in our office. I also have a brother that’s a dermatologist that has the Gentle Max and and he confirmed this machine for spider veins is absolutely not safe. I was in tears. I emailed Cheryl asking her why the vbeam was not used because that is what I came in for. This is her email
“V Beam almost always causes PIH on most skin types when used for this treatment. I have used a VBeam for 5 years now and am very familiar with its abilities. It is a great machine for many things, but does have its limitations as do all the machines. I very rarely use it for any skin types above Fitz II.”
I was so upset that is not what I was told in the previous email. I asked Dr Brown the same question all he did was dodge the question. He said there are articles showing it can be used. I asked him to please send me these articles. He never did, because they don't exist. My brother and husband’s nurse both said this machine will prompt you saying it can not be used on my skin tone when you try to select Fitzpatrick V. So it’s been now 1 year and the hyperpigmentation is just as severe. The other sad part is the their office made me purchase the products I needed to try to fix their mistake instead of giving them to me or even charging me at cost. I know the mark up is %100. I emailed Dr Kontis about referring me to a doctor that specializes in skin of color, and she has ignored my email. This office completely mislead me and out right lied. I have severe anxiety from the hyperpigmentation and have taken about 1000 pics hoping to see fading. Absolutely no change. Their aesthetician Jeanine even said I’m very sorry this happened to you and that dark skin has to be treated with caution. I did my research and I was lied too.
Update! 3 years later I still have severe hyperpigmentation. Please please do not go to their office and book an appointment with Cheryl. She will ruin your face. I have had a Visia scan and wood light examination and the hyperpigmentation is dermal and can not be treated with hydroquinone.
N patel on Ira D. Papel, Dr via Google Reviews
I am a patient of Dr. Brown, Dr. Kontis, and Dr. Papel. I see Jeannine Stevens as my aesthetician, and Cheryl for laser. Dr. Brown is always honest in his approach as to which products/treatments will give the most desired effect, which I appreciate. I recently started treating my TMJ with Botox and it has been such a great experience. All of the doctors, nurses, and staff are nothing short of professional, efficient, and kind. The level of clinical excellence and personalized care that I receive is unparalleled when I visit this practice! I'd give them 10 stars if I could!
Stephanie (Steph) on Ira D. Papel, Dr via Google Reviews
Dr. Kontis is a genius and credit to her profession. The blepharoplasty she did for me is a 10/10. She hit it out of the park. I am so happy!! I have been seeing her for fillers for 10 years and this was my first surgery. I always trust her to do what's best for me and value her opinion and expertise. She is irreplaceable!
Tara B. on Ira D. Papel, Dr via Google Reviews