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 CA 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 am very unhappy with my results, or lack of results actually. i don't think Dr. Lin is very skilled in what he does. i had 3 procedures done with Dr Lin. And each time i had to get free revisions. He was never able to do it right the first time and i had to suffer through the pain and healing twice each time. The first time i had my procedure with Dr Lin, i didn't receive what i asked for so he had to do a revision, and although it looked a little bumpy i was satisfied with it (still very dented after several years) The second time i saw Dr Lin, again he didn't do it right the first time and then i had to go back again for another revision. Even after the revision it was just ok, not what i asked for or expected but a small improvement. Now the third time i went to Dr Lin, i did go see other doctors and was skeptical about going to him again. But i was already comfortable there, i knew what to expect and i knew he would do a second procedure for free when he inevitable doesn't do a good job the first time. Now this third and last time was the worst! i suffered the pain and healing twice (total of 6 times) and i can honestly say i looked better before he touched me.
he doesn't take accountable for his mistakes and he blames the patient. Saying i need to work on it myself and i need to do this and that. No doctor! it's physically impossible!!! Also looking at my before and after photos i regret wasting my money, and suffering thru the pain with him.
initially he and his staff were really nice but of course when you ask him to fix it, he becomes really short, mean and rude.
i would not recommend Dr Lin. And i should have been smarter, but he is charming and i fell for the false expectations that he is not able to deliver.
Diana on Daniel H. Lin, Dr via Google Reviews
Dr. Lin is the best around for injections.you will look refreshed not overdone. I’ve also had liposuction with him and he was honest about expectations and has excellent bed side manner. All staff is highly knowledgeable and extremely sweet to his patients.
Jessica Carrasco on Daniel H. Lin, Dr via Google Reviews
I can't say enough great things about Dr. Lin. He was so knowledgeable and skillful and clearly an expert surgeon! He explained everything clearly, accurately and in a way that made me really know what to expect. I'm nervous about having things done even at the slightest procedure, but Dr. Lin's warmth made me feel incredibly relaxed and in the best hands. Good docs are so hard to find. And the fact that his philosophy is "the natural look" seems especially rare and so essential for a plastic surgery.
Before having my surgery, I spent over three months researching cosmetic surgeons, which eventually whittled down to five, which I met in person. Dr. Lin was the only doctor who did not take the pushy, car salesman approach. He listened intently, answered all of my questions, and provided me with a sense of calm amid a nerve-racking decision. His beautiful staff, Megan, is also amazing, thorough, and incredibly professional from the first visit to the final check-in. She spent time answering my questions and made me feel at ease. She is such an angel!
My results were better than I could have ever imagined, and I have doctor Lin to thank. He is a kind person and a very talented doctor. Would highly recommend him.
Tina on Daniel H. Lin, Dr via Google Reviews
This is a long overdue review. Dr. Lin and his team are the sweetest most accommodating group I've ever encountered. I had visited a handful of different clinics to perform my surgery and I almost immediately decided to trust Dr. Lin after our consultation. He is very knowledgeable and manages expectations. The actual procedure itself also went very well and he paid attention to all my flinches and paused to make sure I was doing okay. He was also very helpful through the recovery process and follow ups, and after months I'm happy to say that I am very satisfied with my results! Definitely schedule a consultation with him and you will see what I mean :)
Thank you so much Dr. Lin!
Heewon - on Daniel H. Lin, Dr via Google Reviews