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 KS 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
Cannot recommend Dr. Poggi highly enough. I had two procedures by him and I'm thrilled with my results. His skills as a surgeon are unparalleled in Wichita. His bedside manner and great sense of humor made me feel like I could trust him and that he really cared about me as a patient. I never thought I could be so completely comfortable with a male doctor, but he's a perfect balance of professional and personable. His staff are also perfectly professional and friendly. I'd have him as my GP and go to him for all my medical needs if I could.
Christine Bradshaw on Joseph Poggi, Dr via Google Reviews
I went to Dr Poggi for a revision on my lip due to an injury. He asked me if I was “ready to stop looking like a boy”. I was only nine years old when this injury happened so it was incredibly hurtful to hear a doctor speak to me so disrespectfully. I would NEVER recommend him to anyone due to his disrespectful nature. He belittles his patients into believing they need additional cosmetic help. 0/5 stars.
Cassie Drendel on Joseph Poggi, Dr via Google Reviews
Armed with a very good recommendation and a thorough all questions answered first consultation I chose Dr. Poggi to perform my belt lipectomy in November 2016. My first impression was that he was honest and took my concerns seriously. As I sat across from him I thought this man is someone I can trust. He did not disappoint and I am blown away by the results. He is an excellent surgeon and a true artist in the world of plastic surgery. I would go to him again if I were to consider another procedure. His nurse Celeste and entire staff are genuine, accessible and professional. He gave me my body back and I am so grateful!
Jennifer Moon on Joseph Poggi, Dr via Google Reviews
I have 184 Google reviews. This is the first one star I have EVER left. So trust me when I say that it took a lot to post this. I had my surgery here in January 2024 and my personal experience with Dr. Poggi has been absolutely terrible. He has only what I can describe as a very sensitive ego. The women working here are incredible though.
During my first consultation Poggi had zero regard or care for what I was saying to him. He continuously interrupted me any time that I attempted to get a word in and talked over me rather than listened. A couple of years later I come back to Poggi as I had saved up more money for this surgery. Poggi’s immediate comment to me was “Wow you got fat, man”. I had gained 15-20 pounds by that point due to a medication and it was humiliating to hear a doctor say that, especially in his field of plastic surgery. He later claimed to be joking, but why would you joke like that when your patients come to you with physical insecurities that they are wanting fixed?
Surgery day I bring in example photos of what I am wanting as I was worried he had ignored what I asked for previously (he did) and he shoos away the photos and says “We’re making your chest more masculine. I don’t need to see those.” Again ignoring any of my concerns.
Five months after my surgery was over with I regrettably scheduled an appointment with Poggi as I felt that he didn’t take enough of the gland or fat out of my chest. If he had listened to what I was asking for from day one then this wouldn’t have been a problem.
This is where his sensitive ego really came to light. He walked into the room immediately on the defensive and clearly angry demanding that I be honest with him and tell him what the problem is. I try explaining my concerns to him but he continues to interrupt and talk over me with a negative attitude. He is raising his voice at me so much that his nurse had to intervene and tell him to stop. I was trying to show him photos on my phone and he’s forcibly tapping and grabbing at my phone clearly angry at the situation and practically yelling that he doesn’t know what I’m talking about. And remember at this point I simply came in to have a conversation with them. After the surgery was over I was told that I could come in at any point if I had any concerns at all. While trying to explain my concerns he is very loudly and aggressively speaking over me. I told him that he’s being difficult to talk to at one point and he responds “Well maybe you just don’t know how to talk”. I have a slight stutter naturally and freeze up when nervous and I can only assume that this was his way of teasing me about it. His nurse had to tell him to stop again. For the rest of this meeting he became completely obsessed with my comment about him being hard to talk to that he would not stop prying. He wanted exact and specific examples. At this moment he was more worried about his hurt ego during this meeting than he has ever been over my procedure or concerns. I gave him examples of how he hasn’t been the best listener in hopes that we could move on from this fixation but rather than respond he just sits there and stares at me. Concerned I asked what was going on and he sarcastically responds “Well I’m listening like you wanted now aren’t I?”
I scheduled the revision today while he sat there and berated me in front of his nurse, but I’ve decided to cancel it and potentially pay the $6,000 again to another plastic surgeon that is more experienced as I just want to put this entire situation behind me and move on from this awful surgeon. I can’t imagine this man going anywhere near me with a sharp object after his tantrum today.
I also later found out that my sister went here when she was 9 years old for reconstructive surgery on her lip. He asked her if she was “ready to stop looking like a boy”.
I wouldn’t recommend Poggi Plastic Surgery to anyone. Poggi does not stand behind his work and uses what I can only describe as intimidation tactics to avoid any sort of revision surgery.
Daniel on Joseph Poggi, Dr via Google Reviews