Forehead Lift /Brow Lift

Project decription


A forehead lift, also known as a brow lift, reduces the lines and wrinkles that develop horizontally across the forehead and on the bridge of the nose between the eyes. There are multiple factors contributing to the lower position of the brows. These include genetic predisposition, aging, prolonged and repeated sun exposure due to work or recreational activities, and anatomical differences from person to person. Forehead wrinkles may be dynamic, which means they are more noticeable during contraction of certain muscle groups; or static, which means they are present all the time regardless of muscle action. Wrinkles may also have characteristics of both static and dynamic elements.

Improvement of dynamic wrinkles and some elevation of the brows can be achieved by relaxing specific muscle groups with Botox injections. Static wrinkles may improve with fillers, peels, or skin resurfacing procedures. These treatments are more suitable for patients who do not have excess skin or have minimal skin laxity. For patients with significant skin laxity, a brow lift is more appropriate. There are various techniques used for brow lift surgery and depend on patient specific needs and preferences, such as the amount of skin laxity, hairline position, height of forehead, brow position in relation to the bony eye socket, as well as surgeon experience and preferences.

Endoscopic brow lift utilizes small incisions behind the hairline, absorbable bone screws and permanent sutures to elevate the brows and secure them in a new position. It is more suitable when there is little skin laxity. An open brow lift is more suitable for patients that have excessive skin laxity. Brow lift may be performed alone or can be combined with other facial rejuvenation procedures. The treatment that best fits your needs and expectations, can be further discussed with your surgeon during your consultation.


  • Improves frown lines
  • Raises sagging brows
  • Repositions eyebrows to appear more alert and youthful


Brow lift is a good option for patients who have excess skin on the forehead and low position of the brows, are in good health and have realistic expectations. Patients who smoke, have high blood pressure that is not under control, have blood disorders or take blood thinners, such as Aspirin, Coumadin or Plavix, may experience healing problems.


Most patients tolerate the procedure well and are able to go home the same day. Medications for pain and nausea to be taken by mouth, are routinely prescribed with an occasional short course of antibiotics. Some bruising and swelling are expected but are generally well tolerated and improve over several days. Using extra pillows while you sleep will help you reduce swelling. Strenuous exercises and lifting heavy objects should be avoided for few weeks.

All patients considering elective surgery should abstain from smoking, including secondhand smoke, and avoid any nicotine containing products, both before and after surgery. Dr. Ziakas strongly advises all his patients to quit smoking for good. The sutures used in brow lift surgery are absorbable and dissolve over time. All patients are advised to use a good quality sunscreen when outdoors (minimum SPF 30) to minimize the hazardous effects of sun radiation on the incisions and the rest of the skin. The majority of patients are able to return to their routine activities in about a month.

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