Brow lift surgery, also called a browplasty or forehead lift, is a popular plastic procedure that helps create a lifted brow appearance, which offers a younger look to the top section of the face. A droopy brow can oftentimes create a tired or angry look. A brow lift surgically raises a sagging brow to provide a rejuvenated facial appearance. Drs. David G. Genecov, Carlos Raul Barceló and Dr. Huay-Zong Law are Dallas, TX plastic surgeons who have years of experience in performing brow lifts on both men and women to create a younger-looking profile. While a browplasty focuses on the brow itself, it may also have an impact on the upper eyelid, Crow’s feet, and portions of the forehead. BOTOX® and dermal fillers are frequently used in conjunction with brow lift surgery at Sage Plastic Surgery for ideal results, creating a softer and smoother look.

As we get older, skin laxity reduces and causes many areas of the face to sag. This is especially critical in the upper face region and can affect men and women. When seeing yourself in the mirror, if you think that you appear tired or angry, or you notice frown lines between the brows, or you are bothered by a drooping brow, a browplasty at Sage Plastic Surgery may be the right cosmetic treatment for your needs.

Prior to surgery, anesthesia will be given to the patient. This can be done under general anesthesia or IV sedation depending on the extent of the surgery. The incision technique used during a brow lift is determined based on the severity of sag, whether or not the forehead is affected, and the position of the hairline. There are many approaches to consider:

Traditional Incision

Also called the open lift incision, this places the incision at the top of the head behind the hairline. The traditional incision not only masks scarring, it provides a certain degree of controlled lifting during the procedure. The traditional incision works well for those with both a sagging brow and frown lines. This is the better technique if you are at risk for having a receding hairline.

Trichophytic Incision

This incision is placed right along the hairline. This incision allows significant lifting of the brow in women and men who have a strong hairline with little risk for recession.

Lateral Brow Lift

Also known as a temporal brow lift, this technique sets the incision inside the hairline just above the temples. The lateral incision allows for the outer areas of the brow to be raised and helps reduce any sagging. The lateral technique also helps to correct Crow’s feet.

Endoscopic Forehead Lift

This is one of the more modern techniques used in a brow lift. It places several tiny incisions in the hairline and inserts an endoscope, which moves down to the area of the eyebrow, releasing its attachments. Through the camera of the endoscope, the brow tissue is suspended using stitches to keep the brow in its higher position.

Recovery following brow lift surgery can vary, with the most post-operative discomfort and swelling happening with the open technique versus the endoscopic or temporal approaches. Overall, there will be slight bruising and swelling in the upper face near the brows and possibly around the eyes. Cold compresses may help to decrease the swelling and patients are encouraged to sleep upright for the 3 – 4 nights following their surgery. It is important to avoid any movement or activities that may place stress on the face. The average recovery time from this procedure is about 2 – 3 weeks. The outcome can usually be seen immediately, resulting in a rejuvenated appearance that looks softer, more alert and with a noticeable reduction in fine lines and sagging in the upper half of the face.

Don't let your sagging brow make people think you're mad, sad, tired, or angry; schedule a consultation to learn more about a brow lift with plastic surgeons Dr. David G. Genecov or Dr. Carlos Raul Barceloó at Sage Plastic Surgery in Dallas, TX. By lifting your brow, you can improve your whole appearance so you look younger and more refreshed. Drs. Genecov and Barceló strive for natural-looking results so your forehead lift will leave others thinking you got a haircut or new outfit, but not questioning if you had plastic surgery.