Brow Lift Surgery in Los Angeles

LA Brow Lift SurgeryAs we age, gravity and deflation causes the skin and facial muscles of our forehead to descend, and our eyebrows descend along with it. The result is a creased forehead, droopy eyebrows and often a “hooded” look to the eyes. This gives the entire face a tired, aged look. Brow lift surgery corrects these problems by lifting and re-filling the upper third of the face, including the forehead and brow line, which gives the entire face a more youthful, rested appearance.

What causes changes to the eyebrow?

The most common reasons for changes to the appearance of the brow and forehead are age-related, including skin revitalization, facial volume loss and descent, and the chronic effects of gravity. Additional factors include sun damage, smoking or smoke exposure history, and chronic illness. Some patients may even have brow changes as a result of damage to the facial nerve from previous trauma, surgery, or viral infection.

How do I know if a brow lift is right for me?

Lifting the brow not only restores a more youthful contour of the brow, but can also improve the position and appearance of the forehead and upper eyelid. A brow lift can enhance the appearance of the face by restoring a pleasing and rejuvenated look without greatly altering one’s identity. Are you wondering if a brow lift is for you? You may be a good candidate for the surgery if you have:

  • Droopy or sagging brow line
  • Wrinkles on the forehead
  • Lines or creases between the eyebrows

What are the surgical and non-surgical options available for the brow?

At Eyesthetica, we offer brow lift options that are tailored to each individual patient’s needs, depending on the severity of their eyebrow ptosis (drooping of the eyebrows). Our doctors are board-certified in ophthalmology and fellowship-trained in Ophthalmic Plastic & Reconstructive Surgery, and we share a combination of education and experience that makes us especially qualified to handle the delicate skin and muscles around the eye and brow with care, precision, and an artful eye for aesthetic detail.

We understand that every patient is different, and the approach to your face and brow will depend on your unique anatomy. For more mild brow changes, we offer minimally invasive, in-office procedures to lift the brow and restore youthful contour, including botulinum toxin (Botox) and dermal fillers.

The surgical options for addressing the brow also vary depending on your unique appearance and the degree of brow descent. We offer several different options for brow surgery including endoscopic brow lift, transblepharoplasty brow lift, direct brow lift, midforehead lift, and hairline brow lift.

An endoscopic brow lift elevates the forehead and eyebrows from the hairline. This type of brow lift can be performed on its own or with upper and lower blepharoplasty. In an endoscopic brow lift procedure, small incisions are made at the hairline, and an endoscope with a camera is inserted into the incisions to guide the doctor during the procedure. Excess skin is removed, and muscles are repositioned in the forehead. This smooths forehead creases and lifts the brow position, anchored through small tunnels into the bone and deep tissues in the temples.

A transblepharoplasty brow lift, which is the least invasive brow lift, repositions the eyebrows to an elevated position and helps correct drooping upper eyelids that give the eyes a “hooded” look due to excess skin hanging from the upper eyelid. As the incision point for this surgery is along the upper eyelid, this is an ideal surgery to combine with upper eyelid blepharoplasty.

A direct brow lift is most often used to correct droopy upper eyelids. A direct brow lift removes a section of skin and underlying tissue from above and on the outer portion of the eyebrows. The incision point is made directly above each eyebrow, with a resulting scar that is covered by thick eyebrows.

LA Brow Lift SurgeryOther options for brow lifting include hairline, or “pretricheal,” and midforehead approaches. With these techniques, the incision is hidden either in a natural crease of the forehead in near the hairline.

Do you have more questions about the different brow lift surgery procedures? Eyesthetica board-certified and highly trained surgeons are happy to answer any questions you may have and help you choose the right procedure to fit your desired look.

Brow Lift Surgery Recovery

As all forms of brow lift surgery are outpatient procedures, you will return home the day of the surgery. After surgery, there may be slight to moderate discomfort and tightness in the forehead, and possibly swelling and bruising in the area, which will subside within the first week or two. One can typically return to work a week after surgery.

Cost of Eyebrow Surgery

The cost of eyelid surgery varies, depending on the patient and the scope of the case. We can provide specific pricing information upon consultation, once we have a clearer idea of your needs. Typically, brow surgery cost includes the facility fees, surgeon’s fees, and cost of anesthesia.

Will Brow Surgery Be Covered by Insurance?

In many cases, brow surgery is considered an elective cosmetic procedure and therefore patients do not qualify for health insurance coverage (including coverage in the case of a complication). However, sometimes surgery is performed to help with eyelid skin that hangs over the eyelash line into the line of sight. In this case, surgery may be covered by insurance because of the element of visual impairment. Please check with your individual policy and insurer for details.

Frequently Asked Questions (FAQs)

Will brow surgery get rid of my wrinkles?

The answer to this question depends on the type of brow surgery performed. Some types of brow lifting surgery can reduce or eliminate wrinkles in forehead. It is important to discuss this goal with your surgeon. Forehead wrinkles can often be additionally treated with Botox, laser resurfacing, and chemical peels. It is best to consult with a qualified surgeon that can evaluate your needs and recommend an appropriate solution.

When will I be able to see the results?

Every patient heals at his or her own pace, but typically patients see noticeable improvement in their brows and eyelids two to four weeks after surgery. The final results of surgery can usually be seen two to three months after the operation.

What are the risks of brow surgery?

When performed by a qualified surgeon, brow surgery is safe and complications are rare. However, any surgery carries some degree of risk. Possible complications include infection, bleeding, adverse reaction to anesthesia, damage to the eye or nerves of the face, chronic dry eye, poor results, and recurrence of the drooping brow.

Browlift vs. blepharoplasty: Which is best for sagging eyelids?

Browlift and upper eyelid blepharoplasty are designed to accomplish different goals. Blepharoplasty focuses on correcting loose, sagging skin on the eyelids while a browlift raises a drooping brow to a more youthful position. By elevating the brow, browlift can sometimes lift the eyelid skin, but in general, upper eyelid blepharoplasty may be the more appropriate treatment option for sagging eyelids.

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