What it addresses
Brow descent is a common, under-recognized contributor to upper-eyelid heaviness. A brow lift restores the brow to its natural position rather than creating a surprised look.
Endoscopic, temporal, and direct techniques each have specific indications based on brow shape, hairline, and skin quality.
Who it suits
- Brows sitting at or below the bony rim, deep horizontal forehead lines, or frown lines between the brows.
- Often evaluated together with the eyelids, since treating one affects the other.
Recovery
Swelling and tightness for one to two weeks; numbness or itching of the scalp can persist longer as nerves recover.
Return to non-strenuous work is typical within seven to ten days.
Risks worth understanding
- Temporary or, rarely, lasting weakness of the forehead branch of the facial nerve.
- Hairline elevation or thinning around incisions.
- Over-elevation — the aesthetic risk modern techniques are designed to avoid.
Common questions
- Can neurotoxin do the same thing?
- Neuromodulators soften lines and can slightly elevate brow position, but cannot reposition significant descent. Many patients start there and graduate to surgery.