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 NY 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
An absolutely wonderful, thorough, detailed consultation. I went to Dr Thorne because he is known for being honest, trustworthy, caring, and detailed. Unlike many of the “bling bling” social media-obsessed surgeons and their “sales teams,” he takes a great deal of time to meet with patients and advise them appropriately. In my case, he astutely noted that it’s much better for me to wait a few years until I’m older to do some work on my face. Other surgeons are very quick to want to operate on people who don’t really aesthetically need surgery yet. I was so impressed with Dr Thorne. I look forward to being a full patient later on. I also noted that everyone coming in for checkups looked truly amazing! A very boutique and bespoke experience. Thank you!
Jason Noble on Charles H. Thorne, Dr via Google Reviews
This review is specific to Dr. Thorne's performance of reconstructive surgeries for children with microtia. If you are considering him for regular plastic surgery, this should not dissuade you. He is personable, professional, gentle, and intelligent. I do believe he is a good doctor, who seems very skilled at his regular pursuits (this earns the second star).
I saw Dr. Thorne 13 years ago when I was 11-12 years old over the course of numerous consultations, surgeries, and check ups. I have come to regret my surgery, and while I try to avoid assigning blame to anyone, I do believe there were areas of fault on the part of Dr. Thorne. I believe the practice of these surgeries is ethically misguided, that unrealistic expectations were set and that we did not operate with complete information.
During the consultation, we were not informed of the quantity of ribs that would be removed. This was at best downplayed, and at worst an outright deception. I was led to believe that *a* rib would be removed, when it reality, nearly the entire front half of my left side was removed. The cut-off ribs persistantly poke into my internal abdomen, causing intermittent discomfort that I will have to live with for the rest of my life. This is the most devastating consequence for me.
Secondly, the recovery was greatly downplayed. The pain from the rib removal was the worst ive felt in my life. I was unable to walk for several days, and while i was able to resume 'normal' activities within a few weeks, the healing process for the ear was long and arduous. It could not be slept on for quite some time - probably a few years. From the outside it was "healed," but it still felt tender and sensitive to pressure.
As for the results... in my opinion, they're Frankensteinian (see photos). I'm surprised that the medical community continues to stand by the rib cartilage procedure AND holds Dr. Thorne's work as the gold standard. Example photos are taken from selective angles and do not show that the 'ear' is very thick and flat flush against the head.
Philosophically, I have come to the firm conclusion that a child cannot possibly consent to an elective, non-medically necessary, life-altering, highly invasive reconstructive surgery, and that it constitutes a grave violation of bodily autonomy. I say this with the recognition that this responsibility falls more with the parents and medical community as a whole than the individual surgeon.
Still, he didn't seem to have much consideration for what consent I could give and did not really talk things through. At one point i remember my mom asking me a question, and being so overwhelmed by the situation, I was so choked up i could barely choke out an answer. While again, this responsibility to recognize the discomfort here belongs more with the parents, that should've been a red flag for any doctor to slow this things down. For a procedure this big and consequential, I would expect a doctor to have a direct conversation with the patient, preferably without the parents in the room (unless that breaks some sort of procedural code), even if they are a child, but especially if they are a preteen.
I do partly feel bad disparaging this man's life work as I do believe he's coming from a good place, but I felt it was important to share my experience in case a parent reading this is considering the surgery for their child.
Katie Esterly on Charles H. Thorne, Dr via Google Reviews
Five stars is not nearly enough for Dr. Charles Thorne, the man who gave me my life back. My story is as follows. In the beginning of 2020, I had a deep plane facelift with a “triple board”, 5 star facial only surgeon in Orange, CT. I had the beginning of slight jowling, (the only thing that bothered me). Although he did a good job on my jowls, my ears went from small, unattached to horrific, pulled down pixie ears that looked glued to my face. As if that were not bad enough, the worst possible thick,red, ropey scars around them. My tragus was flat, (I didn’t even know what a tragus was prior to a lift but once it is gone you will know because you will look weird). The original doctor did 3 rounds of steroids which made the scars flatter but wider. My sideburn hair was gone so I will need a hair transplant there. The scars under my hairline were also thick and lower than he told me it would be. I had makeup tattooed there but it did not help much to cover the scars. I looked fine from the front IF my hair was in front of my ears. If the wind blew I looked like a freak. I had to cover the scars with tons of makeup but you could still see them. I declined vacations with friends even though I told them I had a fl. My life consisted of work, reading, netflix and googling reasons why bad face lifts happen. In my case too much skin was removed as well as too much tension. I decided to try and find someone to give me a scar revision. I was told I would need a mini lift or a V-Y plasty (that would leave a 1-2 inch scar along your cheek to jawline) After spending hundreds and hundreds of dollars (more like thousands) on consultations, I found either the surgeons don't want to fix someone else's mess, or they don't KNOW how. But I did notice the look of horror when they examined my ears. A couple of doctors had even suggested going back to the original doctor. My original doctor said he will need to do a redo mini lift and it will only cost me $1K for the local anesthesia (Of course I had to pay for hotels, not to mention a couple of weeks off work) Well the same thing happened, I should have known if he didn't do it right the first time he doesn't know what he's doing. I spent thousands on lasers that did nothing to help the scars. Then I came across Gia and another woman's review of Dr. Thorne and how he did their revisions (for other issues and other doctors) and they were happy. Looking at Dr. Thorne’s instagram, I noticed doctors commenting on how brilliant he is. I felt hope for the first time in 3 years. Dr. Thorne is incredible. He fixes ears that were bitten off by a dog, or mangled in an accident or children born with deformed ears. Check his work out. Dr. Thorne suggested against a V-Y plasty (which was how my original doctor wanted to fix it for a 3rd time.) due to the scar it would leave along my jawline.
Fast forward, I had my surgery 8 months ago (a pixie ear revision but with a slight facelift.) My ears are like almost like they were prior. The thick scars all around my ears are mostly gone and He removed a ton of scar tissue to give me back my tragus. He even pulled up the scars along my hairline near my neck so they look much better. My friends & family could not believe the difference. How he did this without making me look like Joan Rivers I don’t know. My face came out even better than I thought possible. I think it came out even better than the doctor thought possible. A revision is not as simple as a facelift. A 3rd revision takes real talent and many doctors just can’t do it. Make sure when considering a facelift you look at ears, scars, tragus and not just the jaw line. If hair is covering those areas in the after picture that is not a good sign.
He is also honest and told me I do not need my eyes done yet.
Linda C on Charles H. Thorne, Dr via Google Reviews
Five stars is not nearly enough for Dr. Charles Thorne, the man who gave me my life back.
My story is as follows. In the beginning of 2020, I had a deep...
Lynda S. on Charles H. Thorne, Dr via Yelp