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 AZ 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. Menick is truly an amazing Plastic Surgeon. In 2014 I was diagnosed with skin cancer on my nose. I had a forehead flap done at that time. My Dr. at the time scheduled a home health nurse to come and change my bandage 2 times a week. On the first visit she cut my flap and of course it was destroyed . My Dr. at the time with the help of another Plastic Surgeon did what they could to get my nose back to normal, 8 surgeries later he finally said he could do no more, but stated he would find someone that could help me. A few months later he told me to contact Dr. Menick, so I did. Dr. Menick preformed a second forehead flap (after having a tissue expander in for 2 months). In July of 2014 my husband and I drove back to Tucson for the surgery. I have had 3 other surgeries since then and had the last surgery on January 31st. I am so pleased with the results, and I know it is only going to get better as times goes by. Dr Menick gave me my confidence back and a reason to smile. My husband and I are truly thankful for what Dr. Menick has done for me. Forever grateful Clete and Tammy Young
Tammy Young on Frederick J. Menick, Dr via Google Reviews
I originally went to this doctor for a nose consultation because he had five stars, I just assumed he would be the best because of his ratings. The first thing that threw me off was that they charged me $25 for a consultation that is usually complimentary. The doctor took pictures of me and printed them out and drew with pen on the pictures trying to give me an idea of what he wanted to do. ( I couldn't really see his vision in my head and we were on different pages). I got my quote at the end it was almost $10,000 ( feeling shocked and a little sad because it was a lot more than I had expected) I almost lost hope. My mom convinced me to get a second opinion (I'm SO GLAD SHE DID). I went to a FREE consultation with Dr Jerry Olson, it was beyond amazing! His staff was friendly and beyond helpful with my daughters. He took pictures of me and put them on his computer then with a digital imaging software showed me exactly what he could do for me and my nose! It was beautiful. I got my quote at the end, it was $7,100!!!! I couldn't believe it, all my happiness and excitement came back and I can't wait to proceed with this process. If this is the first doctor you go to I highly recommend you get a second opinion, maybe even a third.
Alyssa Nicole on Frederick J. Menick, Dr via Google Reviews
I was recently one of dr.menicks patients, had a really bad dog attack to my nose which caused it to completely fall off. I picked up my nose and they rushed me to the hospital. got it resowed the first night. The skin died and turned black. Tried to get surgery done from a surgeon that didn’t know what he was doing but didn’t want to tell me the trust. So ended up getting a forehead flap done by a surgeon in Minneapolis Minnesota. COMPLETELY messed it up. I wore a bandaid on my nose for a whole year and a half until me and my mom got a second opinion from this other doctor he recommended we go out of state to dr.menick. We flew to Arizona and dr.menick knew what he was doing he had many books of his before and after work and I almost cried I knew I was in good hands. FINALLY. The 2 ladies that work there are the sweetest most caring people you’ll meet. So anyway he told me I needed an expander in my forehead for anyone that does not know what that is. It’s basically a huge bag that goes under my skin to stretch it. Not to mention i got injections to make it bigger every week and ended up looking like I had a huge football in my forehead. Then I had to get another forehead flap and I didn’t have enough skin so that’s why they needed to stretch my skin. Then when I finally got it cut off. I can’t even describe in words how relieved I felt. I finally felt pretty again. It was such a long process but I COULD NOT have done it without him. He’s the sweetest man he’s very caring definitely knows what he’s doing! He has helped so many people that have a very inspiring story. And honestly he became the grandpa I never had. I highly recommend if you’ve gone though something tough like I did to go to him. He has a huge heart for the people that actually have experienced something serious in there life. literally saved my life That’s for sure. I was in a really bad spot and didn’t know what to do anymore. I bet I would be going through a 3rd forehead flap at this point if he never fixed me. I’m so beyond grateful for him. he’s the best thing that happened to me though this tough time. Not to mention I dropped out of school for all of this. So it’s been hard but I only got through it because I trusted him even when it was so so hard for me to. I love that whole entire office and I absolutely recommend him to anyone that needs him.
Katelyn Krohnfeldt on Frederick J. Menick, Dr via Google Reviews
After several botched attempts by 2 previous surgeons who only seemed interested in seeing patients in turnstyle fashion, I was fortunate in finding Dr. Menick. He, along with his kind, caring and considerate staff, were able to correct the poorly performed procedures done earlier. I sincerely love to smile, and Dr. Menick was able to give me back my smile, which was something I was unable to do comfortably for a long time. Again, I say thank you to Dr. Menick and I only wish that I could give him a lot more than just 5 stars.
clorinda chavez on Frederick J. Menick, Dr via Google Reviews