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
Dr Tracy Pfeifer and her staff are indeed very gentle and nice people. They are thorough and professional. I would not recommend for any revision surgery. That type of surgery requires a higher skill set and I am very disappointed and saddened by my own results with Dr. Pfeifer. I've just booked with another doctor to repair the damage she did to me. First, my breasts by the original doctor in England were beautiful-no scars-great shape etc...after 15 years I felt it was time to replace. She never spoke with me about new styles or technologies and in fact strongly recommended textured, tear drop shape 'gummy bear' implants. Research those yourself.
I said I had no interest in those so she simply looked up the exact same old ones I had and ordered those. I have since found out that no other doctor would have done that. They would have gone over options. I'm very inquisitive and would have welcomed such an educational discussion but there was none of that. I said what was very important for me was a natural result with no visible scars. She assured me of that.
The implants were 220 cc's. I previously had no scars as they had been put in through the armpit. She said she couldn't remove them that way. I have since found that other doctors can.
After surgery with Dr. Pfeifer I am left with 5 inches of inframammary scars on my chest and drain hole scars on the side of my breasts. I have since found out that other doctors put the drains through the armpit so the breast has no further scars.
The breasts initially looked the same as before as far as size and shape but over the next few months I realized she had cut all the nerves to the nipples and severed all sensation for the rest of my life.
There is no going back to a doctor and 'crying over spilled milk' I am the one who is to blame for not doing better research about revision surgery in general, which would have been easy, but I relied on web reviews about how nice and comforting she and her staff were nothing about her medical performance of revisions is out there. I did hold her accountable for the nerves and jagged scars. She said that 'nerves were tricky' and when she looked at the scars she shrugged and brushed them off as if it was all OK. She is a doctor with a very nice and gentle manner as is her staff but is of inferior ability and skill. There are excellent surgeons in Manhattan who do extraordinary breast revisions and I now have to pay one of them to re-do what she botched-replacing old technology implants with softer and better newer ones. I also have to pay for scar revision surgery.
Space Thought on Tracy Pfeifer, MD via Google Reviews
I had surgery with Dr. Pfeifer about 2 1/2 years ago. I was left with terrible scars, went in for revision about a year later and still she left bad scars, not as bad but not at all what we discussed my breasts or scars from the lift would look like...Not even close. Both times I woke up from surgery she was not even in the room. First surgery, when I woke up she had already started her next surgery, second surgery, she wasn't even in the facility anymore, was gone already. I felt terrible that she treated me that way. When I came back for post-ops, she had me wait 1 1/2 only to be seen by the nurse (which I didn't mind), that seemed to be more involved with the entire surgery and selling me on the plastic surgeon. The last time I was there for a post op, I was in the room waiting 2 hours, meanwhile she was giving Botox injections next door to a patient that walked in 20 minutes after me. But the best part, I was able to listen to the entire conversation about politics, nothing related to anything that the patient was in for. I felt so mistreated I just left and said to her patient coordinator that I'm done with her, why do I have to wait two hours, what did I do to deserve that? No one deserves to have breasts that look worse off from before surgery, and no one certainly does not need to be mistreated in the way she has mistreated me and from what I understand other patients too. In hindsight, thinking about the process, I should've had a third and fourth opinion. This is your body that you have to live in take time to choose the right doctor, not one that doesn't take a personal care in her cases. I'm so embarrassed about my scars, I look like a patched up scarecrow. I did not want to write this review for a long time but reading past reviews and having great regret choosing this surgeon, people need to know about her practices, because you live with the results, not her.
Jessa Ge on Tracy Pfeifer, MD via Google Reviews
Dr. Tracy Pfeifer is without a doubt one of the most talented breast surgeons out there. I needed a very complicated Breast Augmentation Revision and went to 3 other incredibly reputable NYC plastic surgeons and each of them asked the names of the other doctors I was considering, and all of them recommended I go with Dr. Pfeifer. Initially I was upset because I thought they didn’t want to take on a case as complicated as mine. But now I realize they were right and were just trying to do the best thing for me in placing my case in Dr. Pfeifer’s hands. My initial Breast Augmentation through another doctor left me with a capsular contraction and implant pockets that were completely off and left my breasts uneven and quite honestly botched. What was even more upsetting is that all the doctors were surprised at how symmetrical my breasts were before my initial surgery, because they were so not symmetrical after! When I met with Dr. Pfeifer, I was depressed and felt hopeless. She was not only sympathetic and gave me hope, but she wanted to help me. Having said that, she was also quite realistic and did not give me any false expectations. I could not be happier with my outcome. If it wasn’t for her talent and willingness to take on my case I would still be horrified by my appearance and hiding my body.
Thank you Dr. Pfeifer!
Rachele Maye on Tracy Pfeifer, MD via Google Reviews
Dr Pfeifer( hope I spelled that correctly) was extremely empathetic, kind and guided me through every step of the process. She is incredibly meticulous and is gifted with great hands. Adore this woman!
Moselle B on Tracy Pfeifer, MD via Google Reviews