A brow lift is a cosmetic procedure that helps raise sagging eyebrows, smooth forehead wrinkles, and create a more refreshed, youthful look. Anyone looking to reduce frown lines or lift their brows to a natural position can benefit from a brow lift. This procedure is also sometimes called a forehead lift and is commonly chosen by adults who notice signs of aging in the upper part of their face.
The details of a brow lift may vary, but it often targets drooping skin and deep furrows across the forehead. Patients find that it not only improves the shape of the brows but also restores confidence by making the face look more alert and relaxed. You can learn more about how a brow lift works and its potential benefits at the American Society of Plastic Surgeons and Cleveland Clinic.
Understanding Brow Lift Procedures
A brow lift is a type of plastic surgery that changes the position of the eyebrows and can smooth wrinkles in the forehead. The procedure can be done in several different ways, each with its own benefits and reasons for use. Brow lifts and forehead lifts are somewhat similar but have important differences.

What Is a Brow Lift?
A brow lift, also known as a forehead lift, is a surgical procedure designed to raise the skin and soft tissue on the brow. This helps reduce forehead wrinkles, improve frown lines, and make sagging eyebrows look more youthful.

During brow lift surgery, excess skin and fat are often removed. The underlying muscles may be tightened to give the brow and upper face a smoother look. People may choose this surgery to fix drooping eyebrows or deep lines caused by aging or genetics.
Brow lifts are usually done by a plastic surgeon using local or general anesthesia. Recovery often involves swelling or bruising for a few weeks. Most people see results that last for many years, giving the upper face a refreshed look as described by Johns Hopkins Medicine.
Types of Brow Lift Surgeries
There are several kinds of brow lift surgeries. Each is chosen based on the patient’s needs, the amount of skin to be lifted, and other factors.
Common types include:
- Open brow lift: Involves one long incision along the hairline or scalp.
- Endoscopic brow lift: Uses several small cuts and a camera to guide the surgeon.
- Temporal brow lift: Focuses on lifting the outer part of the eyebrows.
- Direct brow lift: Removes skin just above the eyebrows; often used for people with thick brows.
An open brow lift offers the most dramatic change but may leave a longer scar hidden at the hairline. An endoscopic brow lift usually means smaller scars, less bruising, and a shorter recovery. Each type aims to improve forehead lifting and restore a youthful contour, as stated by the American Board of Cosmetic Surgery.
Brow Lift vs. Forehead Lift
The terms “brow lift” and “forehead lift” are often used to mean the same thing. Both surgeries work to raise the position of the brows and smooth the forehead area.
However, some doctors use “forehead lift” to talk about procedures that target the skin and wrinkles higher up on the forehead. “Brow lift” sometimes means lifting just the eyebrows or the skin nearby.
Both surgeries help reduce frown lines and sagging, but the exact surgical technique and area of focus may differ. Patients should talk to a surgeon about which procedure fits their needs best. The Mayo Clinic notes that both types can improve the look of the upper face and may be called by either name.
Candidacy and Consultation
Brow lift procedures are suited for people who have specific concerns about drooping brows, brow ptosis, or sagging in the upper face. Understanding who benefits and what happens during the consultation can help patients make informed decisions.
Ideal Candidates for Brow Lift
The best candidates for a brow lift are those who have visible signs of aging such as a sagging brow, deep forehead wrinkles, or drooping eyebrows. These changes may also cause the upper eyelids to look heavy or tired. This is common for people over 40, but younger patients with hereditary brow ptosis may also seek treatment.
Ideal candidates:
- Are in good physical health
- Do not smoke
- Have realistic aesthetic goals
Patients should also have a positive outlook and reasonable expectations about results. Good candidates often notice their brow position makes them appear upset or fatigued, even when they are well-rested. Those with certain medical conditions, or who cannot stop smoking, may not be good candidates. More details can be found about who may be ideal candidates for a brow lift.
Consulting With a Facial Plastic Surgeon
A consultation is the first step in exploring brow lift surgery. The surgeon will review medical history, discuss any previous procedures, and examine facial anatomy closely. They will look for brow sagging, signs of aging, and the effect on the upper eyelids.
During this appointment, the patient’s goals and expectations are discussed in detail. The surgeon will explain what outcome is possible and recommend the best options based on individual needs.
Questions about risks, recovery, and different technique options should be openly addressed. Consent and understanding are important at this stage. Patients can bring a list of questions to make sure all concerns are covered. For more on what to expect during consultation, visit this page on brow lift surgery process and preparation.
The Brow Lift Surgery Process
Brow lift surgery raises the position of the eyebrows to give the face a more refreshed look. The surgeon chooses the technique based on the patient’s needs, health history, and aesthetic goals.
Preparing for Surgery
Patients usually have a pre-surgery appointment to review their medical history and discuss expectations. This meeting often covers past surgeries, current medications, and any health conditions. The doctor may request blood tests or tell the patient to stop taking certain medications—such as aspirin or herbal supplements—to reduce bleeding risk.
Doctors provide instructions about eating and drinking before anesthesia. Smokers are strongly advised to quit before surgery to promote better healing. Some patients may combine brow lift surgery with eyelid surgery or facelift if needed for enhanced results.
Checklist for Preparation:
- Stop smoking
- Review current medications
- Follow pre-surgery dietary advice
- Arrange for a ride home after the procedure
Surgical Techniques and Incisions
There are several techniques for brow lift surgery. The main options are the coronal incision, endoscopic approach, and hairline (pretrichial) lift.
A coronal incision involves making a cut behind the hairline, across the top of the head, from ear to ear. This allows the surgeon to lift the entire forehead. It is effective but may leave a longer scar, hidden by the hair, and is usually recommended for people with thick hair.
The endoscopic technique uses small incisions hidden in the hair and a thin camera called an endoscope. This minimally invasive approach often leads to less scarring and a faster recovery than traditional methods. Surgeons may also use a hairline incision for patients with high foreheads, helping avoid raising the hairline further. For more on these techniques, visit this guide to brow lift procedures.
Anesthesia and Safety Considerations
Brow lift surgery is almost always done using local anesthesia with sedation or general anesthesia, depending on the procedure’s complexity and the patient's preference. The anesthesia keeps patients comfortable and pain-free during the operation.
Safety is a top priority. The surgical team monitors heart rate, blood pressure, and oxygen during the procedure. Patients with certain health risks may need extra screening or special care. The doctor explains the risks, such as infection, minimal scarring, nerve injury, and swelling, during the consultation.
All instructions for aftercare and medications must be followed closely for a safe and smooth recovery. Knowing what to expect, including the type of anesthesia used and possible risks, helps patients make informed decisions about brow lift or forehead surgery. For more, see the Mayo Clinic’s brow lift overview.
Recovery, Results, and Potential Complications
Most people have some bruising, swelling, and mild discomfort after a brow lift. Recovery time, results, and potential risks can vary depending on the type of procedure and the individual’s health.
Recovery Timeline and Aftercare
Right after a brow lift, patients often experience bruising, swelling, and temporary numbness in the forehead and brow area. Swelling and bruising are usually most noticeable during the first week, then begin to fade. Bruising often lasts up to 10 days, and swelling lessens shortly after.
Stitches or staples may be used to close the incisions. These may dissolve on their own, or a doctor may remove them one to two weeks after surgery. Using cold compresses on the forehead can help manage swelling and itching.
During the early recovery period, it's best to keep the head elevated when sleeping and to avoid heavy physical activities. Most people can return to light daily routines within 7 to 10 days. Strenuous activity can usually resume after a few weeks, once the recovery process is further along. More information on the recovery process can be found here and here.
Expected Results and Aesthetic Benefits
The main goal of a brow lift is facial rejuvenation. The procedure helps reduce fine lines, wrinkles, and frown lines on the forehead and between the eyebrows (the glabella).
Most patients notice a refreshed appearance as swelling goes down. Early results become visible in the first two weeks, but it may take up to 6 to 12 weeks for the final outcomes to show. By this time, most of the swelling has faded and scars are much less noticeable.
People often see improvement in sagging skin, smoother forehead wrinkles, and a more youthful look. The effects typically last several years, depending on lifestyle factors, skin quality, and aging.
Frequently Asked Questions
Brow lift treatments vary based on the technique used, length of recovery, and expected results. Both surgical and non-surgical methods are available, and each comes with its own benefits and potential drawbacks. It is helpful to know what to expect when considering these procedures.
What are the differences between surgical and non-surgical brow lift procedures?
Surgical brow lifts involve making incisions to raise the position of the brow and smooth forehead wrinkles. These options may include traditional, endoscopic, or limited incision techniques.
Non-surgical treatments, such as injectables like Botox, do not require incisions or long recovery times. Instead, they relax the muscles that pull down the brow, creating a lifted look. Surgical results usually last longer than non-surgical ones.
How long does the recovery period last after a brow lift surgery?
Recovery from brow lift surgery depends on the individual, but swelling and bruising are common for the first few days.
Most people can return to normal activities within 10 to 14 days. Some swelling or tightness may last longer, but discomfort usually fades quickly. For more details, see the recovery period after a brow lift surgery.
What should I expect in terms of results from a brow lift before and after the procedure?
After a brow lift, the forehead usually appears smoother and the eyebrows are positioned higher. This can make a person look less tired or angry.
Before surgery, it is important to discuss realistic expectations with your surgeon. Most patients see noticeable improvement, but final results will depend on the technique used and their facial features.
How do I choose the best type of brow lift surgery for my facial structure?
The right type of brow lift depends on factors such as skin elasticity, hairline, age, and the desired changes. A plastic surgeon can assess the face and recommend a method that matches a patient’s needs.
Board-certified plastic surgeons are trained to help patients select the approach that can best enhance their appearance. Learn more from the American Society of Plastic Surgeons.
Can Botox be used as an alternative to a traditional brow lift, and what are the implications?
Botox can serve as a non-surgical alternative to a brow lift. It helps reduce wrinkles and gently lifts the eyebrows by relaxing certain muscles.
However, the effects of Botox are temporary, usually lasting three to four months. Surgical brow lifts provide longer-lasting results but come with more risks and downtime than non-surgical treatments.
What kind of scarring should be anticipated with an endoscopic brow lift?
An endoscopic brow lift uses small incisions hidden behind the hairline. Scarring is generally minimal and well-hidden within the scalp.
Most people find that these scars fade over time and are not easily noticeable. The endoscopic technique may be preferred for those worried about visible scars from surgery. For more on this approach, see brow lift procedure options.
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