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 CA 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
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This review is for Diana, the NP. I came in for a little touch up of Botox and, even though it was for 2 units, she never once rushed me or made me feel...
Bonnie C. on Babak Farzaneh, Dr via Yelp
I am writing this review with my wife 2 months post op of her abdominoplasty with Dr. Farzaneh. We decided to write our review as one because the entire process not only resulted in a life changing experience for my wife, but myself as her support system. First and foremost - we would like to thank Dr. Farzaneh and his staff for all of their support. You will learn through the entire process that Dr. Farzaneh and his staff care more about you then you do for your own self. Dr. Farzaneh is a rare breed--he is not in it for the money! He truly is there to make people's dreams comes true and to attain a body that not only delivers lasting physical results, but mind and soul as well. The entire experience has created a bond between us that will be life long, the kind where Dr. Farzaneh will be at our kids wedding's! During one of the post op visits Dr. Farzaneh pointed out a mole that my wife had that he recommended she remove since it was in a bad spot and he said not to risk it being that it could be cancerous. He said we could go to our primary care and get a referral or that even he could it, Free of charge! We elected to go with Dr. Farzaneh, not just because he would remove it at no expense, but because we trust him.
My wife had an initial consultation on her own, followed by a consult where we were both present. We both knew after the second visit he was the physician to complete this very complex and serious surgery. We say serious because it really is just that, you do not want just anyone doing a surgery of this magnitude without knowing they can provide the desired results, and care for you as you would your own family. Dr. Farzaneh stressed 2 things before even committing to the surgery- 1) ensure you speak with someone who has had the surgery to understand exactly what you are getting in to 2) ensure you have a strong support system around you that can help care for you not just physically, but mentally. But again, Dr. Farzaneh and his staff were there every step of the way if we had any questions that needed to be answered. One thing that really stood out to my wife and I was that Dr. Farzaneh was very clear, if he felt he could not get the results that were not only good for the patient, but also that he would be happy with, he wouldn't do the surgery. That really sold us, because how many times have you heard or experienced a doctor, or a housing contractor for example, say they could do something that they really knew they couldn't. When they were done, you couldn't believe you allowed them to touch you or your property!
Fast forward to month two of recovery and we are in such a good place. The results are fantastic, and will only get better. In the end, all of the preparation and insight Dr. Farzaneh, his staff, and former patient provided made all of this successful. Through all of this Dr. Farzaneh at times would be very serious about patient care. Making sure that we were following his, and his staff instructions accordingly. There were always times that we had great fun laughing and joking, but when it came time to be serious we all were. We had great personal conversations about everyday life, sometimes 30 minutes in length. You really get to know someone when they take that time. The times when the doctor was serious, some people might mistake this as him being abrasive or curt. I took it as the doctor really wanting the surgery to be a success. That is what we like most of all, the doctor wasn't going to sugar coat anything. He is the nicest, caring, most straight forward doctor I have ever met. We are truly honored to have him as our personal physician. Thank you again Dr. Farzaneh and True Care , our entire family appreciates everything that you have done for us. We could not have done this without you. You are not part of our family forever. This is an honest, unbiased review from the heart.
Matt Sauers on Babak Farzaneh, Dr via Google Reviews
Where do I begin? I am truly grateful for the level of care given by Dr. Farzaneh and his entire staff. They were very compassionate, professional and kind.
I am unbelievably happy with my post surgery results, Dr. Farzaneh is not only an amazing, skilled, surgeon but an extraordinary and compassionate human being. Dr. Farzaneh and his team are far beyond exceptional!
When he sat down to discuss my surgery he brought a comforting and reassuring presence with him. I want to thank him for his dedication, compassion and care that he administers to each of his patients. I highly recommend him!
Nicole Duron on Babak Farzaneh, Dr via Google Reviews
I'm even happier after the review today ☺️ Thank them all for being so warm and thoughtful! Thanks to the doctor's superb technology and serious and responsible attitude❤️❤️❤️They have really been considerate and responsible for patients! 🫂🫂🫂All friends who want to become beautiful must not miss this highly skilled and loving hospital. You will definitely feel happy for your choice.
Chloe Lee on Babak Farzaneh, Dr via Google Reviews