A brow lift, also known as a browpexy, is a surgical procedure designed to elevate the position of the eyebrows. The procedure aims to raise, reshape, or tighten the brow area, which can also smooth the skin around the upper eyelids and soften some forehead wrinkles, especially those right above the eyes
A forehead lift alters the appearance of forehead lines, frown lines, and forehead heaviness. It is often sought by individuals who may perceive that their lowered brow contributes to a stern or less approachable expression. A forehead lift may help improve a more open and relaxed appearance while maintaining a natural facial expression.
What the Procedure Involves
Brow lift surgery is typically performed under general anaesthesia and takes between one to two hours. The surgical approach depends on your anatomy, the degree of brow descent, and your personal goals. Common techniques include:
- Endoscopic Brow Lift: Uses small incisions behind the hairline and a small camera (endoscope) to guide surgical tools for lifting brow tissues.
- Direct Brow Lift: Lifts the outer brow through short incisions at the temples and is often used for subtle enhancements.
- Coronal (Traditional) Forehead Lift: Involves a longer incision across the scalp from ear to ear, concealed within the hair, and is used for more significant lifting.
- Trichophytic Forehead Lift: Involves an incision along your hairline, suitable for a broad forehead person.
Your surgeon at Advanced Plastic & Cosmetic Surgery (APCS) will determine the most appropriate technique during your consultation.
What to Expect During the Procedure
- The forehead and scalp are cleaned and marked for precise incision placement.
- General anaesthesia is administered to ensure patient comfort throughout the procedure.
- Incisions are made in predetermined areas, depending on the selected method.
- Underlying facial muscles and soft tissues are repositioned to elevate the brows and smooth the forehead.
- Excess skin may be removed, and incisions are closed with sutures before being covered with a light dressing.
Potential Benefits of a Forehead Lift and Brow Lift
A brow lift may assist in:
- Raising lowered or heavy brows
- Reducing forehead lines and vertical frown lines between the eyebrows
- Creating a more open and rested appearance in the upper face
- Improving symmetry between the left and right brow
- Enhancing the harmony between the brows and upper eyelids
Outcomes vary based on individual anatomy and healing response.
Risks and Considerations
Modern surgery is generally safe, but as with any surgical procedure, the brow lift procedure carries risks. These include temporary or prolonged numbness of the scalp or forehead and asymmetry between brows. Rare complications may include hair thinning around the incision area, infection, or bleeding. Working with a certified and experienced plastic surgeon significantly minimises these risks. For a list of general and specific risks and complications associated with forehead lift and brow lift surgery, please click here to download.
During your consultation, your APCS surgeon will talk about possible risks and complications. It is essential to grasp these factors before deciding to proceed with any surgical procedure. Any concerns should be communicated to the team at Advanced Plastic & Cosmetic Surgery.
Recovery and Aftercare
While recovery experiences may differ, typical stages include:
- First Week: Swelling, bruising, and mild discomfort around the forehead and temples. Dressings are typically removed within a few days.
- 2–4 Weeks: Most people return to light daily activities. Residual swelling and numbness may persist.
- 3–6 Months: The surgical area continues to heal, and scars become less noticeable.
Post-operative care instructions will be provided to support your recovery and reduce the risk of complications.
Who Might Be Suitable for a Brow Lift?
You may be a suitable candidate for brow lift surgery if you:
- Have a low or lowered brow position
- Experience deep forehead wrinkles or frown lines
- Are in good general health
- Have realistic expectations about surgical outcomes
A detailed consultation with a qualified plastic surgeon is essential to determine whether this procedure is appropriate for your needs.
Frequently Asked Questions
Q: Will a brow lift make me look surprised?
A: The goal is to reposition the brows for a refreshed look, not to over-elevate or change your natural expression.
Q: Where will the scars be located?
A: Scars are usually hidden within the hairline or placed in discreet areas. Your plastic surgeon will be able to explain which is most suitable for you.
Q: How long do results last?
A: Brow lift results are long-lasting, but natural ageing will continue over time. Maintaining a healthy lifestyle may help preserve results.
Important Note
Surgical outcomes can vary significantly between individuals. Any before-and-after images or descriptions of outcomes (not included here) are not indicative of what every patient may achieve. Only a consultation with a RACS Certified plastic surgeon can determine whether a brow lift procedure is suitable for you.