Brow Lift

The youthful male and female eyebrow positions begin at different levels on the forehead, but with aging both genders exhibit various degrees of sagging that produces a tired, sad or even angry appearance.  This is often further accentuated by deepening of furrows and ridges in the forehead.  A brow lift gently raises the eyebrow to its former, more youthful position, and reduces the furrows and frown lines creating a more refreshed and pleasing appearance.


The youthful male eyebrow is horizontally oriented and lies directly against the bony upper border of the eye socket, but progressively droops with aging.  As the thick brow skin descends, it weighs heavily on the upper eyelid and together with herniation of fat in both eyelids causes a tired and sallow appearance.  This haggard look is often further accentuated by deepening of furrows and ridges in the forehead.


Brow lift surgery may be done through a variety of incisions and techniques depending on the patient’s anatomy and goals of surgery.  Patients have a choice of general anesthesia or “twilight” anesthesia, and brow surgery may be done alone or in conjunction with other facial procedures.  The most common and popular technique is the endoscopic brow lift.  Using three to five small (one centimeter) incisions hidden in the hair, an endoscope (a small “video camera”) is used to release the attachments tethering the brow, and to treat the small muscles responsible for “frown lines”.


Brow lift surgery is typically well tolerated by most patients and only requires minimal down time.  Pain is minimal, but bruising and swelling often occurs around the eyes.  Most patients resume normal activities within a few days, return to work within a week, and may resume exercise in two weeks.