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 NJ 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
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If you are looking to have any facial plastic surgery, you must go see Dr. Mark Karolak!! There are no words that can adequately describe his talent. If I could rate him 1000 stars, I would. I had a lower face lift, upper blepharoplasty, and fat transfer. While good cosmetic results are important, other factors are equally important. Let’s start with his exceptional work. I have received so many compliments and requests for his contact information. My results greatly exceeded my expectations. As to Dr. Karolak as a person, he is kind, caring, sensitive, knowledgeable, confident and patient. He always has a smile on his face and truly is a beautiful person inside and out. Dr. Karolak went above and beyond in every phase of the procedure. He prepared me for every stage of the procedure and recovery so that there were no surprises. He personally explained everything I needed to know at the pre op appointment. He was patient and answered every question. He gives his patients his cell phone number after the surgery to alleviate any anxiety and know that he is there to answer any questions or concerns. I reached out to him on a Sunday morning via text and I don’t think 3 seconds passed before he called me back. He made me feel comfortable from the beginning of the process up until now. Dr. Karolak’s office staff (especially his assistant Paola) is exceptional. The office is impeccably clean and has a relaxing atmosphere. I can’t even think of any negative to this experience and his work. I highly recommend him and would never go anywhere else.
Robyn Brilliant on Mark Karolak, Dr via Google Reviews
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Dr. Karolak is by far the best surgeon out there!
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Dr. Karolak even though he’s located across the country from me. From the first consultation, I knew he was the right doctor for me, Dr. Karolak answered all my questions even after I went back home, and was able to hop on calls with me to calm my nerves and answer any lingering questions.
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Dr. Karolak and his office stuff truly care for your results, from detailed post-procedure care to calling you back if you need him after the procedure, all with pleasure and kindness. I am thrilled with my results, I look 20 years younger and truly love what I see in the mirror. I have friends who had undergone the same procedure with other well known doctors who are unhappy with their results and wish they went with Dr. Karolak.
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yochi ben on Mark Karolak, Dr via Google Reviews
I had the incredible pleasure of undergoing a facelift performed by Dr. Mark Karolak, and I can't express how thrilled I am with the results. From start to finish, the experience was nothing short of exceptional.
Dr. Karolak is not only an incredibly skilled and knowledgeable surgeon but also a compassionate and attentive professional. He took the time to listen to my concerns and goals, making sure I felt comfortable and informed throughout the entire process.
The results of my facelift have been truly transformative. When I catch my reflection while passing by a mirror in a store now, there's a newfound confidence that I never had in a long time. The changes are subtle yet incredibly effective, giving me a natural and refreshed appearance. I no longer feel hesitant to look at my reflection – in fact, I can't help but smile at the wonderful work Dr. Karolak has done.
The entire staff at Dr. Karolak's practice deserves praise as well. They were warm, friendly, and supportive, creating an environment that's conducive to a positive healing journey.
If you're considering any cosmetic procedure, I wholeheartedly recommend Dr. Mark Karolak. His expertise, coupled with his genuine care for his patients, sets him apart in the field of plastic surgery. Thank you, Dr. Karolak, for helping me regain my confidence and for making the entire experience so remarkable.
Sami Lacher on Mark Karolak, Dr via Google Reviews
I chose to drive from NC to NJ to have a neck lift, face lift, upper blepharoplasty and lower blepharoplasty from Dr. Karolak. Not only do I marvel at the completely natural results every single day, I cannot say enough good things about the care I received from Dr. Karolak and his office staff. From my very first consultation, through pre-surgical guidance, through surgery day, two-week recovery, and follow-up -- I felt like I was in experienced and caring hands. If I had to do it all over (though I won't need to!), I would choose Dr. Karolak and his team again. He is a true artist and his staff provide impeccable, compassionate care.
Lauren on Mark Karolak, Dr via Google Reviews