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The Brow 

Age, sun exposure and gravity often produce a descent in the normal position of the eyebrows. Stress and muscle over-activity, in an attempt to elevate the position of the brows, contribute to forehead wrinkling, and an aged look. A forehead lift or browlift restores drooping eyebrows to a more natural and youthful position and smoothes the horizontal lines of the forehead. The browlift or forehead lift procedure provides a fresher, more rested appearance to the eyes and face. A brow lift is often performed in conjunction with eyelid lift or blepharoplasty surgery.

Need more information? 

If you would like to learn more about having a brow lift technique that will suit you best, we invite you to meet with Dr. Nabil Fakih for a private consultation at our office.


Please contact us to schedule an initial consultation with Dr. Nabil Fakih to make an appointment. You may also fill out our contact form to make an appointment.

What is Brow Lift surgery? 

The forehead lift or brow lift procedure is the surgery of choice when excess upper eyelid skin is caused by drooping eyebrows or when deep forehead wrinkles are present. Upper eyelid skin excess may, in many cases, be treated by a blepharoplasty or upper eyelid lift alone, however when the moderate or severe excess is due to brow droop or brow ptosis, a brow lift procedure should be considered.


• Excess skin of the upper eyelids

• Drooping eyebrow position


• Removes excess “brow” skin from upper eyelid

• Returns eyebrows to a more youthful, natural position

• Smooths lines of the forehead


• Temporal Brow Lift

• Endoscopic Brow Lift

• Blepharoplasty Browpexy


• Length: 1 to 3 hours

• Back to Work:

4 to 7 days

• Return to Exercise:

4 to 5 days (light cardio)

2 to 3 weeks (more strenuous exercise)

Who is a candidate for Brow Lift? 

Aging changes begin around the eyes in the mid-thirties. Most women become candidates for brow lift surgery in their early forties and men about ten years later.


Browlift technique 

Browlifts today are accomplished through a half inch scalp incision just above the hairline on each side, usually in conjunction with upper eyelid incisions used to remove excess upper eyelid skin. The forehead skin is loosened, lifted, and then fixed in place with the aid of small dissolvable anchors set into the bone underneath. For the patient with a very high hairline, the hairline may be lowered at the same time the brows are raised. With this procedure, an incision is made at the hairline and a small strip of forehead skin may be removed. This may be combined with the endoscopic approach for ideal repositioning of the brows.


What should I expect from my consultation? 

During your consultation, you will learn about the surgery, its limitations and risks, and discuss your needs and concerns. This will help Dr. Nabil Fakih understand your expectations and determine whether they realistically can be achieved. Dr. Nabil  Fakih will conduct a thorough examination of your eyes and face, including your skin tone, texture, and elasticity, facial soft tissue relationships, bone structure, and muscle dynamics of the areas around the eyelids, between the brows, and of the forehead.

After your consultation we will take photographs for your medical record and we will discuss the surgery fees and scheduling dates. You should come to the consultation prepared to discuss your medical history. Also provide information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries and medications that you currently take. It is important for you to provide complete information. All our patient are prepared by Dr. Paula Martin-Marfil with the Pre / Post surgical preparation program to enhance a quick recovery.


What to avoid before surgery? 

It is vitally important to avoid all blood thinning medications/supplements for 2 weeks prior to surgery. This includes any aspirin or aspirin-containing products as well as any anti-inflammatories such as ibuprofen or naproxen (including Motrin, Aleve and Advil). It is generally fine to be take Tylenol (Acetaminophen). Avoid supplements such as Vitamin E including multi vitamins, omega 3 fatty acids such as fish oil and flax seed oil. All these medications can contribute to bleeding problems following surgery and can increase the amount of bruising.



Browlifts are performed under intravenous sedation or general anesthesia. All our patient are prepared by Dr. Paula Martin-Marfil with the Pre / Post surgical preparation program to enhance a quick recovery. Incisions are closed with sutures or staples and a compression dressing is sometimes placed on the forehead. Bruising may occur in around the eyes, which may last from seven to ten days.

Makeup may be used to camouflage bruising at approximately four days. Sutures are removed at five to seven days and swelling slowly resolves over one to three weeks. At times, there is a temporary numbness to the forehead, which may last from two to four weeks. Ice packs will help for the first twenty-four hours and it is important to minimize vigorous physical activity for approximately four days following surgery.

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