Brow Lift

A brow lift, also called a forehead or eyebrow lift, is a cosmetic procedure. It is one of the most effective ways to restore a more youthful, refreshed appearance to the upper face.

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What Is a Brow Lift?

A brow lift (eyebrow lift) is a surgical procedure that raises the position of the eyebrows, smooths forehead lines, and restores a more natural contour to the upper face.

Over time, gravity, aging, and muscle changes can cause the brows to droop, a condition known as brow ptosis. Brow ptosis occurs when the muscles and skin supporting the brow begin to weaken, causing the brow to descend and press on the eyelids.

This can create:

  • Hooded upper eyelids
  • Reduced peripheral vision
  • Deep forehead wrinkles
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Brow lift explained by Dr. Coby Ray, oculoplastic surgeon in Lubbock, TX, specializing in eyebrow lift and brow lift surgery.

Brow Lift Surgery Options

There is no single one-size-fits-all brow lift procedure. The right operation depends on your hairline, degree of brow descent, wrinkle pattern, facial asymmetry, and whether you also need eyelid lift surgery.

An endoscopic brow lift (also known as an endoscopic forehead lift, or endoscopic lift) is often the best-known modern technique. It’s a minimally invasive method that uses several small incisions hidden behind the hairline, along with an endoscope to help the surgeon visualize and elevate the brow tissues. This method is common for mild to moderate brow droop and horizontal forehead wrinkles.

A temporal brow lift (also known as a temporal lift or lateral brow lift), focuses more on the outer brow tail than the full forehead. The procedure has minimal downtime and leaves minimal scarring in the temporal hairline.

Hairline and techniques matter when forehead height and hairline position are part of the plan. A hairline brow lift places the incision at the hairline and can be useful for someone with a high or receding hairline, though scar visibility depends on placement, hairstyle, and healing. Open brow lift or coronal approaches can address more advanced brow droop and deeper wrinkles, but they also involve longer incisions.

The direct brow lift begins with a small incision just above the brow. It removes a narrow strip of skin and tissue and carefully closes the deeper and outer layers to reduce tension and support a cleaner scar. Every effort is made to keep the scar as inconspicuous as possible. For some patients who use search terms like direct brow lift, mini brow lift, or how is a brow lift done, that kind of precise, anatomy-driven explanation is exactly what they need before booking a consultation.

Brow Lift vs Blepharoplasty

One of the most common patient questions we receive is whether to have a brow lift or eyelid surgery (blepharoplasty). Blepharoplasty alone cannot reposition the eyebrow. There is a relationship between brow descent and excess upper-lid skin, which is why many patients report droopy eyelids, brow descent, excess upper-lid skin, or all three.

Blepharoplasty removes or repositions excess eyelid skin and fat. Eyelid surgery is a procedure that improves the appearance of the eyelids and can treat loose or sagging upper-lid skin that may affect vision. A brow lift surgery, by contrast, repositions the brow and forehead tissue itself. If the brow has fallen and is pushing skin downward, eyelid surgery alone may not create the full improvement a patient expects.

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A woman with a before and after of her brow lift.

Brow Lift Recovery Day by Day

Brow lift recovery, or surgical brow lift recovery, matters as much as the operation itself.

Brow Lift Recovery Timeline

  1. In the first 48 hours, cold compresses and head elevation are commonly recommended to reduce swelling. Swelling often peaks about 48 to 72 hours after surgery and begins to improve after that.
  2. In the first week, bruising, tightness, and numbness are common, and sutures or staples are often removed around one week.
  3. By the second week, many patients return to work and routine social activities, but strenuous exercise still needs to be cleared by the surgeon.

 

Brow Lift Scars and Incisions

Any brow lift surgery creates incisions, so it is reasonable to ask your surgeon about brow lift scars, brow lift incisions, and temporal brow lift incisions. The good news is that most techniques are designed to hide scars within the hairline, the temporal hairline, forehead creases, or carefully planned brow incisions. The incision location will depend on your chosen technique and desired result.

For patients worried about “gone wrong” endoscopic brow lift scars, realistic education matters. An endoscopic brow lift typically uses small incisions behind the hairline, which helps camouflage scars. A direct brow lift places the incision above the brow, which is why surgeon judgment, closure technique, skin characteristics, and scar care matter so much. In a direct brow lift, the incision is just above the brow, and every effort is made to keep the scar as small as possible. In other words, the best conversation is not whether incisions exist, but how they are planned, protected, and monitored during healing.

How Much Does a Brow Lift Cost

The average cost of a brow lift is $5,460, but that number is only part of the total price and does not include anesthesia, operating-room or facility costs, or other related expenses. Your cost will depend on the surgeon’s experience, the type of procedure used, and the geographic location, which affects the final fee.  A real quote depends on your anatomy, your surgical plan, and whether you are combining procedures such as blepharoplasty.

There is a second cost question many of our patients ask: What is the cost of a Botox brow lift? A Botox brow lift uses neuromodulator injections rather than surgery, so pricing varies and usually depends on the number of units and treatment areas.

Brow Lift: Commonly Asked Questions and Answers

A brow lift, also called an eyebrow lift or forehead lift, is a surgical procedure that raises the eyebrows, smooths forehead lines, and restores a more youthful, natural appearance to the upper face .

A brow lift addresses drooping eyebrows, while blepharoplasty removes excess eyelid skin. Many patients need both, since brow descent can contribute to heavy upper eyelids and vision obstruction

Common types include:

  1. Endoscopic brow lift
  2. Temporal (lateral) brow lift
  3. Direct brow lift
  4. Pretrichial (hairline) brow lift

Yes. A Botox brow lift can temporarily elevate the brow by relaxing muscles that pull it downward. However, results are subtle and require repeat treatments

A surgical brow lift provides long-lasting results, often for many years. However, it does not stop the natural aging process.

Most brow lifts are considered cosmetic and not covered by insurance. However, if brow ptosis significantly affects vision, it may be considered medically necessary in some cases

You may be a good candidate if you:

  • Have drooping eyebrows or forehead wrinkles
  • Experience heaviness above your eyes
  • Are in good overall health
  • Have realistic expectations

Research:

  • Specialized training (ideally an oculoplastic surgeon)
  • Experience with facial procedures
  • Before-and-after results
  • A personalized consultation approach

Yes, combining procedures can provide more balanced and comprehensive results. Brow lifts are commonly combined with:

  • Eyelid surgery (blepharoplasty)
  • Facelift
  • Skin resurfacing

The procedure itself is not painful due to anesthesia. After surgery, patients typically experience mild discomfort, tightness, and swelling rather than significant pain

Incisions are typically hidden within the hairline or natural creases. While all surgery creates scars, they are usually minimal and well-concealed when performed correctly

Locations

3611 50th St
Lubbock, TX 79413

Clinic

12210 Quaker Ave
Lubbock, TX 79424

Clinic

Doctors

Coby Ray, MD, FACS
Coby Ray, MD, FACS

Director of Aesthetics and Cosmetic Surgery, Oculoplastic Surgeon