Search the Health Library
Get the facts on diseases, conditions, tests and procedures.
I Want To...
I Want To...
Find Research Faculty
Enter the last name, specialty or keyword for your search below.
School of Medicine
Browlift (Forehead Lift)
- Endoscopic brow lift
- Innovative Temporal Lift
- Is a Browlift for You?
- Making the Decision for a Browlift
- What to Expect After Browlift Surgery
- Recovery from browlift surgery
- Follow-up Care
- Request an Appointment
The effects of aging are inevitable, and, often, the brow and forehead area show the first signs. The brow or forehead lift raises the brows in order to remove the appearance of forehead wrinkles and frown lines. It also improves the overall appearance of the upper eye. Based on variations in how men and women age and on new advances in medical technology, different methods are used to perform this procedure.
At the Johns Hopkins Center for Facial Plastic and Reconstructive Surgery, our physicians approach the aging face in a holistic manner. They may recommend a browlift or forehead lift surgery to improve the look of the aging face.
By analyzing where volume has been lost and gravity has caused pulling or sagging, our surgeons can correct the aging face by replacing volume and gently pulling specific areas. Our physicians are also strong proponents of excellent skin care in combination with surgery to treat the aging face. There are a couple of options for browlifting.
This minimally invasive procedure is performed in the operating room. It involves small incisions hidden within the hair. Fiberoptic equipment is used to release and elevate the tissue of the brows. Bruising in most patients is minimal and healing time quick.
One of the innovations at our Center is the temporal lift. This is a minimally invasive procedure that your facial cosmetic surgeon can perform under local anesthesia in the office. It is essentially a scaled back version of the minimally invasive endoscopic browlift. Patients report excellent results and enjoy the benefits of a browlift with a minor procedure.
The goal of a browlift is to tighten excess loose skin, smooth forehead wrinkling and modify drooping brows. If necessary, the surgeon removes part of the muscle that causes vertical frown lines between the brows. The result can be a smoother brow and a more youthful expression. One primary goal, in most patients, is to rejuvenate the eyes, making them look more rested and youthful.
Important factors to be discussed with your surgeon include:
- Type of browlift surgery that is best for you
- Skin type
- Ethnic background
- Degree of skin elasticity
- Individual healing rate
- Realistic expectations for the surgeries
This procedure is usually done between age 40 and 65; it may be necessary at an earlier age.
What you should expect:
- During the preliminary consultation, your surgeon will take a thorough medical history, as well as assess the your mental and emotional attitudes toward the surgery. Because a realistic attitude is crucial to the success of the surgery, the surgical procedure and realistic expectations will be discussed.
- Your cosmetic surgeon will examine the structure of your neck and face, skin texture, color, and elasticity.
- Photographs will be taken so the surgeon can study your face and forehead.
- Individual risks will also be examined, especially those related to medical situations such as high blood pressure, a tendency to scar, smoking, and any deficiency in blood clotting.
- After the decision to proceed with a browlift is made jointly by you and your surgeon, the surgeon will describe:
a. The technique indicated
b. Type of anesthesia recommended
c. The surgical facility
d. Any additional surgery
e. Possible complications
f. Costs of the procedure
Note: These are general guidelines. Please ask your doctor to fully explain what your expectations should be post surgery.
- Even though most patients experience very little pain after surgery, the surgeon will still prescribe medication.
- Some degree of swelling and bruising is unavoidable, and your surgeon may instruct you to use cold compresses to keep swelling to a minimum.
- If a dressing has been applied, it will be removed within one to two days.
- The surgeon will also instruct you to keep your head elevated when lying down, to avoid as much activity as possible, and to report any undue discomfort. Though there are few risks in necklift surgery and thousands are performed every year, some risk exists in any surgery.
- In some cases, a drainage tube may have been inserted during surgery. This will be removed on the first or second day after surgery.
Recovery usually takes two to three weeks, though many patients go back to work in two weeks. Scars are usually not noticeable after enough time has passed for them to mature. In any case, they are easily disguised in natural skin creases, by the hair, or, in persistent cases, by makeup until total healing has occurred. Bear in mind that the aging process continues after surgery and that some relaxation of tissues will occur during the first few weeks.
Follow-up care is vital for this procedure to monitor healing. Obviously, anything unusual should be reported to your surgeon immediately. It is essential that you keep your follow-up appointments with your surgeon.
Read more about what you should do before and after your procedure.
To request an appointment or to get more information about the Johns Hopkins Center for Facial Plastic and Reconstructive Surgery, please call 877-546-4530.
Illustrations courtesy of the American Academy of Facial Plastic and Reconstructive Surgery