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 VA 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 only have wonderful things to say about Dr. Bitar and his staff at The Bitar Institute. Last year I looked in the mirror and thought oh my gosh, I really need help. I had heard about Dr. Bitar from other people and went for a consultation. I did my research. I felt comfortable right away. In December 2023 I had a face and neck lift. I wanted him to do an upper and lower eyelift at the same time, but due to a couple of my health issues, Dr. Bitar said he would do the eyes separately. He is cautious and cares about his patients not only on the outside, but on the inside as well. I recently had my eye surgery and a brow lift 7 months after my face lift. I am very happy with the results. These are the eyes I always wanted. I'm sure he took 20 years off my face. I feel happy and confident. I know Dr. Bitar is one of the top cosmetic surgeons in the Washington DC - mid-Atlantic area, as well as internationally. I made the right choice. I highly recommend him 100%
Connie Kaufman on George Bitar, Dr via Google Reviews
I had rhinoplasty surgery one week ago and all I have to say is, if you're looking for a warm, caring, friendly, and highly skilled surgeon- look no further. Dr. Bitar not only achieved a beautiful result but made me feel cared about, and well cared for, throughout the entire recovery process.
I had an unusually difficult recovery from surgery (I had a sensitivity to anesthesia that left me vomiting for the entire day following surgery, got some sort of food poisoning, and generally felt sicker than I have in my entire life). Due to this, I had to see Dr. Bitar two additional times between my surgery and one week follow up visit. Every time I came into the office (or had my partner call Dr. Bitar with concerns about my recovery) I was met with warmth, compassion, and helpful adjustments to ease my recovery. Dr. Bitar never once made me feel like a burdensome or "difficult" patient, despite seeing me four times in one week following surgery.
Additionally, the entire office staff were friendly and accommodating from start to finish. This was especially exemplified by Trish, who is the nurse that assisted Dr. Bitar throughout the surgery/recovery process. Trish was truly the embodiment of warmth and kindness, she literally held my hand through having my splints removed and her calming presence helped to put me at ease when I was in an extensive amount of pain and discomfort. Also noteworthy, both Dr. Bitar and Trish were very welcoming to my partner and made her feel equally as comfortable and accepted as she was by my side during my surgery and subsequent visits to the office (although this might not apply to everyone, it is something to consider if you're LGBTQ and having any sort of medical procedure done, you want an affirming/welcoming provider).
Lastly, what everyone actually cares to hear about- the result. I am only one week out of surgery and my results are already life changing. Rhinoplasty takes an extensive amount of time to heal and for the result to fully reveal itself, so while I am still experiencing considerable swelling, my nose is already looking like EXACTLY what I asked Dr. Bitar for. I'm including a before photo and several after photos so you can see the result for yourself, but my primary concerns about my nose were 1) the bump on my nose from my profile view, 2) the bulbous/droopy tip, and 3) how flared my nostrils were. Now, the bump is gone, my tip (though still very swollen, of course) is more refined and my nostrils were trimmed and are now in better harmony with my nose and entire face.
Overall, I could not be happier with my experience and result of this procedure! I did extensive research, looked into other surgeons, booked other consultations and I can say with full confidence that I made the right decision here. If you're looking for a highly skilled/specialized rhinoplasty surgeon and want to feel cared for throughout the process, Dr. Bitar is the only choice.
***4 MONTH UPDATE***
I am adding two additional photos to show the progress at this point. I am just a few days shy of 4 months post-op and I could not be happier with my results. I'm including one side profile picture without makeup, and another front facing with a full face of makeup.
My nose looks exactly as I wanted it to my breathing is slowly improving and the swelling is significantly reduced. That being said, at 4 months post-op it is normal to still have some swelling, and I do. Mostly in the tip area, and I especially notice the swelling if I am sick, doing intense exercise, or haven't slept well the night before. I share this because this is all normal and I think its useful to have realistic expectations when you're preparing for this type of procedure. Overall, I feel great, I LOVE the look of my nose, and feel infinitely more confident than I did prior to surgery (as a reminder, I originally had a dorsal hump that was very prominent from my side profile view, now I have a perfect sloped side profile)
Christina Scalise on George Bitar, Dr via Google Reviews
I will never go anywhere else for any type of cosmetic procedure!! This is the second time using Dr Bitar and his team and I have never received anything short of great hospitality. This time around, I went in for Cool Sculpting sessions with Beysith and everything was wonderful!!!! In regard to the Cool Sculpting itself, I was fairly skeptical going in as to whether it would actually work or was more of a "current trend" but I was SHOCKED by the results I received, even after only the first session. Without any change to diet or exercise, I was able to see a huge difference between my before and after pictures. As for Beysith, she was absolutely incredible!! She was very warm and welcoming, went into great detail when speaking about the procedure to make me feel comfortable and she did everything she could to help me have the best results possible. In addition, she sat and talked with me for periods of time almost like a therapy session while getting a cosmetic procedure. I will hands-down be going back!!
Shannon Roubin on George Bitar, Dr via Google Reviews
I first read an article about Dr. Bitar years before my breast augmentation surgery and I remember thinking someday this is where I'm going to go for my surgery. In 2016 I have a breast augmentation surgery with Dr. Bitar through the under arm and behind the muscle. I've been super happy with my results and in October of 2023 I gave birth to my baby girl who I successfully breastfed for six months with no problems. Despite moving to Charleston in 2022 I still make the trip back to Virginia and Dr. Bitar when I need any cosmetic procedures. The staff is supportive and caring, you couldn't ask for a better experience than the Bitar Cosmetic Surgery Institute & Medspa.
Sasha Erwin on George Bitar, Dr via Google Reviews