
A Brow Lift, or forehead lift, is a surgical procedure designed to reposition a sagging or "hooded" brow, reduce forehead wrinkles, and open up the appearance of the eyes. In 2026, it is frequently combined with blepharoplasty (eyelid surgery) for a complete and harmonious upper-face rejuvenation.
A brow lift is ideal for patients who look "tired," "sad," or "angry" even when well-rested. Key indications include:
Sagging Brows: Eyebrows that have dropped into a low position, creating a heavy appearance.
Hooded Eyes: Excess skin from the brow area weighing down the upper eyelids.
Forehead Furrows: Deep horizontal wrinkles across the forehead that do not respond to non-surgical treatments.
Frown Lines: Vertical creases between the eyebrows (glabellar lines).
Asymmetrical Brows: When one eyebrow is significantly lower than the other.
Endoscopic Brow Lift: The most common modern technique, utilizing a tiny camera and specialized tools through small incisions hidden within the hair.
Temporal (Lateral) Brow Lift: Focuses specifically on lifting the outer corners or "tails" of the eyebrows.
Trichophytic Brow Lift: An incision is made at the hairline, specifically designed for patients who wish to lift the brow while lowering a high hairline.
Coronal Brow Lift: The traditional method involving an ear-to-ear incision; reserved for severe sagging cases.
Non-Surgical Brow Lift: Using neurotoxins or thread lifts for temporary elevation without surgery.
Surgical Access: Depending on the technique, small incisions are made within the hair or along the hairline to ensure scars remain hidden.
Tissue Repositioning: The surgeon lifts the skin and underlying tissues of the forehead to a more youthful, elevated position.
Muscle Modification: The muscles that cause deep frown lines are weakened or released to smooth the forehead surface.
Securing the Lift: Specialized sutures, screws, or absorbable devices are used to hold the brow in its new position during the healing process.
Closure: The incisions are closed with sutures or surgical staples, and the head is typically wrapped in a supportive bandage.
Fasting: Patients are typically required to fast for 8–12 hours before the surgery.
Medical Clearances: Comprehensive blood tests and a physical exam are conducted to ensure fitness for anesthesia.
Hair Care: Patients may be asked to wash their hair with antimicrobial soap but avoid any chemical treatments (dyes/perms) several days prior.
Medication Review: Avoiding aspirin and anti-inflammatory drugs for 2 weeks to minimize the risk of bruising and bleeding.
Basic Blood Panel: To evaluate overall health and ensure proper blood clotting.
ECG: Performed for older patients to monitor heart rhythm during the 1 to 2-hour procedure.
Physical Assessment: To evaluate the degree of brow ptosis (sagging) and forehead skin elasticity.
3D Facial Mapping: Often used to plan the desired height and arch of the brow for a natural result.
Hospital Stay: Usually performed as an outpatient procedure; patients return home the same day.
Initial Milestones: Bandages are removed within 1–3 days; sutures or staples are typically removed by the end of the first week.
Scalp Management: Temporary numbness or itching on the scalp is common and usually resolves within a few months.
Activity Timeline: Most patients return to work within 2 weeks; strenuous exercise can typically be resumed after 1 month.
Refreshed Appearance: Eliminates the "tired" or "angry" look by opening up the eye area.
Smoother Forehead: Significantly reduces deep horizontal furrows and frown lines for a more youthful look.
Long-Lasting Results: Provides a durable correction that typically remains effective for 10 to 12 years.
Natural-Looking Scars: Advanced endoscopic techniques ensure that surgical marks are completely concealed within the hairline.