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 TX 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 had a FUT hair transplant done by Dr. Lam about 1 year ago. The results were excellent, but I should mention that this was actually my second hair transplant, and that Dr. Lam was touching up the disappointing work done by a different (well-known in the area) hair transplant office.
You should definitely schedule a consultation ASAP because it can take months before he will be able to see you, and then potentially months longer before the actual operation takes place, and then of course there is a lengthy time you need to wait (about a year) before you actually see results.
The procedure itself was entirely painless and felt like it was over in an instant. They didn't use anesthesia or put me under, so I am shocked that I fell asleep so quickly and was out cold for the entire operation. At the other place I had gone to for my first hair transplant, I was awake and highly uncomfortable the entire time, and they had stretched out the surgery to take place over 2 days. So I can say from experience that having this procedure done by Dr. Lam was definitely as easy and painless as it gets. Dr. Lam's price was also slightly lower than the place I had first gone to.
Healing and results can be slow, but that's just how it is. After 1 year, I was really happy with the results. The top of my head does randomly get pretty itchy sometimes, but I couldn't say for sure whether this is simply my natural body being itchy normally, or a side-effect of the transplant.
The staff were very helpful and informative as well.
On a final note, I am a transgender woman and Dr. Lam was entirely sensitive and courteous towards me - not all of his staff always were, but he was quick to correct anyone if they misgendered me, which I thought was very kind of him. I was also impressed that he was thoroughly knowledgeable about working with transgender patients. At the first transplant office I went to, they had never worked with any women before, at all - which should have been a huge red flag for me, but hey I was ignorant and naïve at the time. Dr. Lam is definitely the person you want to go to, whether you're a man or woman.
Madison Scarrell on Sam Lam, Dr via Google Reviews
I received a 3,000-graft hair transplant in August 2021. I’ve waited over two years for my results to ensure I give an accurate and fair assessment of my experience.
The surgical procedure was exceptional. From the moment I arrived, the staff made sure I was comfortable and at ease. True to their word, I didn't feel a thing during the surgery. The coordination and nursing staff were incredibly attentive and made sure everything ran smoothly. I couldn't have asked for a better experience in that regard.
While I received some growth, I am not 100% satisfied with the results. When I raised my concerns with the surgeon, I was given unsatisfactory solutions, which was disappointing considering the amount of money spent on the hair transplant.
I was advised to try topical hair growth treatments, which was disheartening because I could have tried that option before opting for surgery, and I wanted a more permanent solution. The facility doesn't offer a satisfaction guarantee to its clients. The only option I was given was a "discounted" rate and hope for a better outcome the second time around. I was aware of the possibility of a second transplant to attain a denser hair coverage. However, I had hoped that the initial 3000 grafts would suffice and that I wouldn't need additional surgery.
Dr. Lam has a confident and convincing demeanor. He moves very quickly, making interacting with him tough - it was sometimes frustrating. During my consultation, he said, "I go big or go home," and mentioned that I would be absolutely satisfied with the number of grafts I was getting; which, in comparison to other consultations I had, was double the amount. While that could have been a red flag, the number matched what one other very experienced surgeon said. I figured since they were both experienced with Afro hair, it was the right thing. One thing that you should consider is that some people are better salesmen than they are surgeons.
With 3000 grafts, I still have bald patches in my hairline. The technician said they couldn't pack too much hair in one spot, or it wouldn't grow. I feel that should have been explained during the consultation. Perhaps fewer grafts would have been better, or my hair may have required different post-op instructions.
While my results were not everything I wanted, the staff fulfilled their responsibilities. I am grateful for the effort put into helping me achieve some new hair growth. Dr. Lam did an excellent job on my incision; the scar is barely detectable. However, I believe that there is room for improvement; especially in addressing the concerns of dissatisfied customers and taking appropriate actions to resolve them.
Akuoma Omeoga on Sam Lam, Dr via Google Reviews
This practice makes you sign an agreement not to leave negative reviews. I hope they come after me for this one. I'll not be trodden on. So think carefully...
Lee M. on Sam Lam, Dr via Yelp
Lip reduction
I chose Dr Lam because of his experience with lip reductions. Beautiful office and friendly staff. Everyone was very professional. I am very...
Cristina M. on Sam Lam, Dr via Yelp