Brow Lift Surgery
A brow lift (forehead lift) elevates sagging eyebrows, smooths forehead wrinkles, and reduces frown lines between the eyebrows. Brow descent occurs with ageing, gravity, and loss of skin elasticity, creating a tired, heavy, or aged appearance. Lifting a descended brow can also reduce upper eyelid hooding that is caused by brow position rather than true eyelid excess, making brow position assessment essential before any upper eyelid surgery.
What does a Brow Lift procedure involve?
Your surgeon will assess brow position and symmetry, degree of ptosis, forehead height, hairline density, glabellar frown lines, and upper eyelid appearance. Several techniques are available:
Endoscopic brow lift: The most common modern technique. Several small incisions behind the hairline allow a camera and instruments to release forehead tissues and lift the brow, secured with fixation devices. Smaller scars and faster recovery than open techniques. Best for moderate ptosis with good skin elasticity.
Coronal brow lift: A long incision across the top of the head. Provides maximum lifting but results in a longer scar, more numbness, and longer recovery. Less commonly performed.
Pretrichial/hairline brow lift: Incision along the front of the hairline. Lifts the brow without raising the hairline — ideal for patients with high hairlines.
Temporal/lateral brow lift: Targets the outer third of the brow through small temple incisions. Less invasive, often combined with eyelid surgery.
Surgery takes one point five to three hours under general anaesthetic.
Your Recovery
Swelling and bruising of the forehead and upper eyelids are expected for one to two weeks. Some scalp numbness is normal with all techniques and usually resolves over three to twelve months. Sutures or staples are removed at seven to fourteen days. Desk work is possible within seven to fourteen days, with strenuous activity avoided for three to four weeks. The brow may initially appear over-elevated but settles over four to six weeks.
Risks and Complications
Asymmetry in brow height or shape
Scalp numbness (expected; usually temporary)
Hair loss along incision lines
Nerve injury (rare)
Overly arched or surprised appearance
Recurrent brow descent over time
Scarring
Need for revision surgery
Frequently Asked Questions
How do I know whether I need a brow lift or eyelid surgery?
Many patients need both. A useful test is to manually lift your brow and observe whether the eyelid appearance improves — if it does, brow position is contributing to the problem.
Will I have a surprised or unnatural appearance?
A well-planned brow lift creates a refreshed, alert look. Your surgeon will plan appropriate elevation based on your anatomy.
THE SPECIALIST CLINIC DUBLIN
Plastic, Reconstructive & Aesthetic Surgery performed with Care & Compassion
To discuss whether a brow lift is right for you, contact us to arrange a consultation. We will assess your brow position and overall upper facial ageing, and explain the technique most appropriate for your anatomy.