Brow Lift Surgery

A brow lift, or forehead lift, elevates drooping brows and smooths forehead wrinkles, rejuvenating the upper face. The result is a more youthful, alert look with smoother skin and a more defined brow arch.

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white woman face close-up

What Is a Brow Lift?

A brow lift, also known as an eyebrow lift or forehead lift, is a popular procedure for the rejuvenation of the forehead and eyebrows. It’s particularly applicable for patients who want to correct the signs of ageing.

Repositioning the brow and forehead raises the brow and enhances the eye area, while also restoring a youthful shape to the brow line. The eyebrow lift surgery aims to restore the natural appearance of the upper facial area, ensuring it looks in line with the rest of the face.

At The Ezra Clinic, our approach to brow lifts exemplifies our commitment to achieving perfection through meticulous planning, care and expertise. Our oculoplastic specialists, renowned for their academic contributions and affiliation with prestigious institutions like Moorfields Eye Hospital and the Western Eye Hospital, ensure that each procedure is tailored to meet the unique needs and expectations of our discerning clients.

By focusing exclusively on the delicate art of oculoplastics, we offer a level of precision that enhances your natural beauty and boosts your confidence, enabling you to reflect your inner vitality and success outwardly.

Why Undergo Brow Lift Treatment?

A brow lift procedure is most commonly carried out to correct the signs of ageing, in which forehead creases and the descent of the brow have caused a worn-out or aged look. This can also occur in younger patients, leading to crowding of the eyebrow/eyelid complex, giving a tired, concerned appearance. This crowding can make the upper lid skin appear hooded, giving the impression of excess skin. The contour of the brow also changes with the loss of its natural arc.

Brow lifting is usually performed as an adjunct to upper lid blepharoplasty as a Blepharoplasty Plus procedure. It can allow for a significant additional boost and enhancement of the blepharoplasty result in appropriate patients.

Brow lifting is not just performed for aesthetic reasons. In many cases, the drooping of the brow can affect vision and, therefore, a brow lift procedure can significantly improve the lateral visual field.

Types of Brow Lift

At The Ezra Clinic, we recognise that surgical brow lifting is among the most nuanced of aesthetic procedures, requiring a high degree of precision and expertise. The range of brow lifting techniques is wide and can be confusing. Our clinic offers a wide range of these treatments, custom selected to meet your needs and expectations.

Endoscopic Brow Lift

One of the most common methods is the endoscopic brow lift, or keyhole brow lift, which hides between three and five small incisions on the scalp, behind the hairline. A surgical telescope (endoscope) is then passed through these and is used to visualise the areas requiring lifting, via a small camera.

The images are shown on a screen so that the surgeon can see where to operate on the tissue and muscles behind the hairline. The area will be lifted, and stitches or tiny temporary screws will keep it in place. You will not be able to see these due to the careful positioning behind the hairline. The endoscopic lift eyebrow surgery is for mild to moderate brow droop.

Internal Browpexy (Transblepharoplasty)

This procedure is suggested for mild brow ptosis if blepharoplasty or another type of upper eyelid surgery is also being considered. This technique allows for a minimally invasive approach through the same incision as the blepharoplasty, meaning that there is no additional downtime. The drawback is that it is not always effective, given the minimally invasive nature of the technique.

Direct Brow Lift

This is a powerful and effective eyebrow surgery lift that offers excellent and long-lasting outcomes, and requires a small incision just above the eyebrow hairline. The downside is that there is a scar along the upper brow line. The scar is usually very light, but in patients with very thin brow hair, this can be noticeable. However, the effects are usually long-lasting and highly effective.

Temporal Brow lift

This refers to a brow lift concentrating on lifting the outer part of the brow. This is usually performed through an incision behind the hairline and may require the removal of hair-bearing skin.

Chemical Brow Lift

Sometimes called the mini brow lift, BoNT and other chemicals work to adjust your brow in this treatment. Using a combination of BoNT and filler injections, the brow can be reshaped and lifted considerably. Essentially, by weakening depressor muscles and providing filler-based lift, a very significant improvement can be achieved. Brow lift injections are less invasive than full surgery, but the results may not be as dramatic.

Other procedures to address brow droop involve larger incisions along the hairline or forehead, such as a coronal brow lift, and can also be offered in selected cases.

What to Expect from Your Procedure

At The Ezra Clinic, a brow lift procedure usually spans 1-2 hours, tailored to the specific technique that best suits your aesthetic goals and medical needs. We commonly perform this surgery under general anaesthetic, ensuring you can return home the same day in comfort. For your safety and convenience, it is imperative that you arrange for a friend or family member to drive you home post-surgery, as you will not be in a condition to drive yourself.

Before Brow Lift

Useful tips to know before undergoing brow lift at The Ezra Clinic:

  • Smokers should quit several months before surgery since smoking can slow down blood flow and prevent a smooth and fast healing period
  • Medications containing aspirin and anti-inflammatories should be avoided for two weeks before surgery as they can cause increased bleeding
  • All patients having local anaesthesia with sedation or general anaesthesia will be required to fast (no food, water, cigarettes, or gum) for 7 hours before surgery
  • Not to wear any make-up or apply creams on the day of surgery

Brow Lift Surgery

Your surgical procedure will follow the plan set out to you by your Ezra Clinic expert oculoplastic surgeon. If you’ve opted for a signature treatment such as Blepharoplasty Plus, you will undergo surgery for the eyelids as well as a brow lift. You will be treated under general anaesthetic and may be at our comfortable clinic for several hours.

However, if you’ve opted for a chemical brow lift, the process is less invasive and may be faster. Your specialist will always ensure you understand every aspect of your procedure prior to starting treatment.

After Brow Lift

Directly after the procedure, you’ll receive the highest level of care at The Ezra Clinic. Your surgeon will make sure you understand all the necessary aftercare steps and if and when you need to revisit for stitch removal.

Recovery following brow lift varies from patient to patient and the technique used. The surgeon will advise you on how long you will need to be off work, but usually, this will be between 1-2 weeks to allow for adequate rest and healing. If an internal browpexy is performed with blepharoplasty surgery, there will be no additional downtime.

Bruising and swelling are commonplace after the surgery and bandages should be worn for the first 24 hours. There are ways to reduce swelling, such as sleeping in an elevated position with 2-3 pillows for the first week and gently applying ice packs to the affected areas.

Showering should not take place for the first 24 hours. After this, you can use a gentle baby shampoo to wash the hair, but the areas must be thoroughly dried to prevent bacteria which can cause infection, and patients should be cautious with heat when drying. It is better to dab gently instead of rubbing, using a soft towel to dry the scalp, hair, and face.

You should also avoid strenuous exercise, heavy lifting, or sexual intercourse for up to two weeks. However, it is important to be mobile and take gentle walks to aid circulation.

Stitches or staples will be removed around 6-10 days after the surgical procedure, and a follow-up consultation will be arranged to review progress and ensure proper healing is taking place. It is vital that patients attend their check-up meetings and always get in touch with any questions. Your aftercare from The Ezra Clinic continues until you’re delighted with your results.

Brow Lift Results

Most patients discover a more refined browline with any sagging and drooping skin significantly minimised. The previous concerned or worried expressions caused by hooded eyes may vanish, replaced with a youthful, invigorated appearance. Every individual is different; however, patients should find that the results are immediately visible once any swelling has reduced.

Are Brow Lifts Permanent?

While a direct brow lift is a long-term eyebrow surgery with fantastic results, it will not stop the ageing process and gravity. Descent of the forehead and fine lines can occur several years after the procedure, but most patients are delighted with the results and do not feel the need to undergo a second brow lift procedure.

To keep results at their best, it is advised to live a healthy lifestyle, including wearing sunscreen, exercising, eating well, and not smoking. This way, your skin can remain at its very best. We don’t guarantee permanent frown line removal, but we can state that our patients are always delighted with their results.

Our team focuses solely on oculoplastic surgery, so you have the peace of mind that comes from a highly specialised team. We only work with patients whom we genuinely believe we can provide with significant, transformative results.

You’ll start by booking a consultation and talking through your needs with a member of our team. You’ll be asked about your medical history, and our consultant will perform a thorough examination of your face. Together, you’ll decide if a brow lift is the right choice for you.

Brow Lift Before and After

white woman before and after blepharoplasty and direct brow

How Much Does Brow Lift Cost?

Your Brow lift cost will depend on the type of treatment you choose. As every patient is an individual, your procedure will be tailored to your needs. You’ll discuss your brow lift cost with the team here at The Ezra Clinic. We won’t proceed until you’re satisfied with your quote and the next steps of any procedure.

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Brow Lift FAQ

At what age should you get a brow lift?

While most patients tend to be between 40 and 65 years old, there is no definitively correct age to book a brow lift procedure. And, when it comes to brow lift, men and women are just as likely to opt for the procedure. A male brow lift works just the same as one performed on a woman, but the goals are different to ensure that a more masculine brow contour is created. Anyone who wants to address the signs of ageing or hooded eyes that are impacting their vision can book a consultation to discuss this procedure.

Are brow lifts painful?

The procedure itself is not painful as the team ensures patients are treated under anaesthetic or sedation, as appropriate. After the procedure, there may be some mild pain behind eyebrow areas which your specialist will prescribe pain medication for. Avoid aspirin and ibuprofen as these may increase the risk of bruising or bleeding. It is unusual to need anything beyond paracetamol to control the pain.

Does brow lift surgery leave scars?

Some procedures leave scars, but these are always minimal and fade within a few months of surgery. The expert team at The Ezra Clinic is highly experienced in hiding any necessary brow lift scars in the hairline or natural creases.

Will a brow lift change my eye shape?

A brow lift doesn’t directly impact your eye shape as it’s focused on the brow line and forehead. However, you may discover that by reducing drooping or sagging skin, your eyes appear more open and aesthetically pleasing.

Brow lift vs. Blepharoplasty?

Both brow lifts and blepharoplasty procedures can address the appearance of your face around the eyes. However, a blepharoplasty focuses on improving the eyelids while a brow lift doesn’t directly impact the eyes. Many patients opt for Blepharoplasty Plus which can combine eyelid surgery with a brow lift, for a thoroughly rejuvenating treatment.

What anaesthetic will be used for a brow lift?

The type of anaesthetic used depends on the method of brow lift chosen. For all surgical procedures, patients are likely to require general anaesthetic and should plan for a friend or family member to drive them home.