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 NC 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 was referred to Dr. Mettu by my primary eye doctor.
My low review rating is based on how this office makes you feel.
Dr. Mettu's office is inside a medical complex, with many other specialists. Not a single other one requires you to text to be allowed inside. I find that very off putting and unwelcoming to his patients. I know they say it is to deter "salesman or soliciting" but it is also deterring of patients. You want your office to feel like a welcome place to sit and wait.
Again, his office is the ONLY one in that building that does it. So it is his own personal issues causing that, apparently no other specialist in the building feels the need to have a waiting room, but NOT use it.
Upon actually meeting him and his office employee who also did my check-in, I did not feel anything but awkward and I am not an awkward person....
First of all, they wear masks, which is fine, if that makes them feel better, no problem.
The PROBLEM is that they act literally afraid of their shadows. Staying 4ft away or more....
When being afraid to be near your patients for eye / vision evaluations affects them properly doing those, that is an issue.
It made me feel incredibly uncomfortable. I was unable to properly do my eye evaluations due to them trying to stay as far away from a human as possible.
I have no input on if Dr. Mettu can do procedures correctly or not, but I do know that he and his office worker/assistant make you feel very uncomfortable. I think he could do a good job, or at least well enough, but he needs to work on his patient bedside manner.
Working in the medical field personally, I am not sure why they act so impersonal and afraid of patient contact, because that goes with the actual job that you have chosen.
I would not personally go back to this location and have since told my primary eye doctor of my opinion and why I have chosen to NOT use this specific office.
Also they are VERY and I mean almost ridiculously intense on their MANY office rules and practices. They have pages of it for you to read and sign. It really is another red flag and makes me think that possibly Dr. Mettu has some sort of OCD.
M. Kat on Pradeep Mettu, Dr via Google Reviews
I brought my mother in law in for a lower bleph and was amazed by not only Dr. Mettu's professionalism and kindness, but also by his technique and knowledge! My mother in law does not speak English and they made her feel very comfortable with the procedure, made sure she asked questions, & gave her so much knowledge on the procedure, technique, risks, etc. I was there with her for all her appointments and knew a lot already about the procedure as I had done extensive research before but still even with all my research, Dr. Mettu taught me more about the procedure! Just shows how much he cares to take the time to make sure his patients are fully informed. They made sure to do thorough eye exams as well which made me feel comfortable in knowing they truly cared. They were also very transparent about pricing and didn't add in any sneaky hidden fees which is always appreciated. Overall, I would recommend Dr. Mettu to literally anyone, it was such a great experience not just for me, but also my mother in law! I saw a comment reviewing with low stars because the environment was "awkward" and "unwelcoming" and I truly disagree. Dr. Mettu and his staff are serious, but friendly and they were very kind to us. Looking for an office with a better "vibe" can not only cost you more money, but also your procedure so always prioritize the more important things!!!
I also want to note, if you're thinking about a blepharoplasty, please make sure you are seeking an ocuplastic surgeon. I've seen horror stories about a lower or upper bleph gone wrong and it is because they don't see an ocouplastic surgeon!! Dr. Mettu is truly the best and the results speak for themselves!
Jas Anahis on Pradeep Mettu, Dr via Google Reviews
I am very pleased with the results of my eye operation performed by Dr Mettu. He is a skillful surgeon with a great support staff. His attention to detail is reassuring, but his communication skills are outstanding. You will always receive a response to a call or text before and after surgery. I heartily recommend Dr Mettu.
Wayne Anderson
New Bern, NC
Wayne Anderson on Pradeep Mettu, Dr via Google Reviews
Dr. Mettu did my procedure with excellent results, blepharoplasty (my eyelids). He communicated clearly so that I knew exactly what to expect throughout the process. He spends adequate time during appointments and is thorough and thoughtful. Great experience!
Kate Peterson on Pradeep Mettu, Dr via Google Reviews