How it works
Everything begins with a consultation. Your surgeon listens to what is bothering you and examines your forehead, brows, upper eyelids, and hairline. They watch your face at rest and when you make expressions, and they take note of the height of your forehead and how balanced your two brows are. From there, your surgeon discusses how much to raise the brows, whether to address the forehead lines or frown lines, and explains clearly what surgery can and cannot do in your case.
A brow lift is usually done under general anesthesia, or under local anesthesia with sedation so you stay relaxed throughout the operation. The exact type of anesthesia is assessed and decided by the anesthesiologist, based on your health and how much work is involved.
There are several approaches, and your surgeon will choose the one that fits your forehead structure and hairline. The endoscopic method uses a few small incisions hidden behind the hairline, through which a small camera and instruments are passed to lift and re-secure the forehead tissue. The open method uses a longer incision along the hairline or within the hair-bearing scalp. Each has its advantages and trade-offs, and each affects scar position and forehead height differently.
Through the chosen incision, your surgeon releases and lifts the forehead tissue, adjusts or softens the muscles that create frown lines where needed, then secures the tissue in its new position to raise the brows. Once both sides are balanced, your surgeon closes the incision and often places a light dressing or drain for the first few days. The total operating time varies from case to case and with the method used. Whether you go home the same day or stay overnight depends on the type of anesthesia and your condition.