
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 MN 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. Dewan is extremely experienced and highly skilled. I felt comfortable from our first meeting to discuss the possibility of upper eyelid surgery. I went to him first knowing that ALL he does is eye plastic surgery. Other doctors I had consults with did a lot of other types of surgeries and only did eyes in surgery centers. They also had long wait periods to perform the surgery. Because Dr. Dewan can do it right in his office, there aren’t expensive day surgery fees associated with it. (I’m sure he will do it in a medical center if his patient needs or wants to.) It also meant I could schedule the procedure quickly. I wasn’t nervous at all and it was quick and painless. I had a lot of swelling (I usually swell badly from anything) but it subsided in a week. Dr. Dewan was readily available available for questions I had during recovery. I didn’t feel like just a number at a larger plastic surgery center. This place gives great one on one attention.
I’ll attach photos of my eyes before, and another photo from a week post op. There is still swelling and under eye bruising but you can see the initial result. Dr Dewan explained that it will take months for the internal healing to complete. Overall I feel less tired in my eyes and I look younger. I can’t wait until I can put eye makeup on again and make my eyes look like they did 10 years ago!
I highly recommend Dr. Dewan and am glad I did my research and chose him after other consults.
Leah Kelly on Mohit A. Dewan, Dr via Google Reviews
I came to Dr. Dewan for a revision on of my blepharoplasty that I had 1 1/2 yrs ago. I never felt like my eyes were even after the initial surgery. I would recommend him over and over again and should have had him do my surgery in the first place. He is so professional, explains everything and made me feel so comfortable. I had no pain during or after surgery and my results exceeded my expectations.
Jill Padden on Mohit A. Dewan, Dr via Google Reviews
I had very bad hooded eyelids that really bothered me. So I went online and typed “eye lid surgery “ . The first one that popped up was Dr Dewan , so I made an appointment. I was pleasantly surprised by his calm and caring demeanor , but I still had some reservations that I couldn’t believe everything I read on the internet ! He had very good reviews but I was nervous! Well i decided to go with my gut . It’s been 1 week since my surgery and let me just say I’m SO happy with the results! The procedure was painless as was the after care , I kept waiting for it to hurt but the only uncomfortable part was the numbing of the eyelid ! If you’re like me and are looking to have something done , but not sure where to go, DO NOT hesitate! Dr Dewan and his staff are wonderful! Thank you Dr Dewan !
cindy stevens on Mohit A. Dewan, Dr via Google Reviews
I highly recommend Dr. Dewan; it’s been almost 3 weeks since my transconjunctival blepharoplasty (with skin pinch) and I am very happy with my results. I consulted with 3 surgeons (Dr. Dewan was the first surgeon with whom I consulted). I appreciated his knowledge and sincerity at the initial consultation. No offense to the other surgeons I met with, but Dr. Dewan wasn’t trying to put on a show to make a sale - and I appreciated that. He was the only surgeon who I met with who did an eye exam at the initial consultation; he also asked me a lot of questions about my eyes. I felt like he cared about what was best for both my cosmetic “health” AND my eye health. I appreciated him being straightforward with me about the process and any risks. I also appreciated the time he spent answering questions at my consultation and once I scheduled my surgery. On the day of my surgery, Dr. Dewan was once again knowledgeable, sincere, and caring. After my surgery, when I had questions about post-operative care, I was able to email Rebecca and she would discuss my question with Dr. Dewan and quickly email me a response. My post-op appointment was great and now, almost 3 weeks later, my eyes look great. No more eye bags, and everything is almost completely healed, with no noticeable swelling. I am very glad that I chose Dr. Dewan as my surgeon.
Elizabeth Rosar Chermack on Mohit A. Dewan, Dr via Google Reviews