(352) 333-9600 217 NW 76th Dr., Gainesville, FL 32607

Brow Lift

A brow lift, also referred to as a forehead lift, is performed to eliminate the appearance of deep lines and furrows on the forehead. In many instances, a brow lift is performed in combination with a facelift or eyelid surgery / blepharoplasty in order to achieve a balanced, natural-looking result to facial rejuvenation surgery. We will be able to determine if you are a good candidate for a brow lift during your consultation at our practice.

During the brow lift procedure, one of several different approaches will be taken to allow Dr. Gaines to reduce forehead wrinkles and reposition the eyebrows. Often, if forehead wrinkles are not excessively deep, the brow can be lifted through a series of three very small incisions along the hairline that allow for release and lifting of the forehead tissues with the surgical endoscope. In addition to this Endoscopic Brow Lift, other approaches include an open incision across the top of the head (within the hair), or an open incision along the hairline on the forehead and temple. The final surgical plan will be decided upon by the patient and Dr. Gaines during the preoperative consultation visit.

A Brow Lift is often times combined with an Upper Lid Blepharoplasty to truly rejuvenate the upper third of the face. Improving the brows and the eyes together creates a brighter and more youthful appearance.

When you visit our practice, we will be able to give you more in-depth post-surgical instructions following a brow lift. In general, it is recommended that patients refrain from strenuous physical activity for several days. Furthermore, we’d recommend that patients avoid prolonged exposure to the sun or heat for several months.

What’s the difference between a traditional brow lift and an endoscopic brow lift?

Although the goals of these two methods are the same — to rejuvenate the forehead and the brows — the incisions used are dramatically different. Prior to the development and refinement of the endoscope, the traditional method was the only option, but its long incision created a more difficult recovery and could result in problems such as hair loss along the incision area.

Dr. Gaines now uses the endoscopic brow lift method whenever possible. He can achieve virtually the same result for our patients with much easier recovery and faster healing.

Here are descriptions of the two methods so you can see the difference between the endoscopic and the older traditional method for these procedures.

  •     Endoscopic brow lift — The endoscope has really changed the brow lift, making this method the preferred option. Dr. Gaines makes three to five short incisions within the patient’s hairline. An endoscope, a tiny instrument with a camera on the end, is inserted into one of the incisions to provide a visual. This eliminates the need to pull away the entire brow skin from the support tissues to gain visual access. Dr. Gaines then inserts tools into the other incisions to manipulate the skin and muscles. Because of the small incisions, there is minimal scarring with an endoscopic lift.
  •     Traditional brow lift — The traditional brow lift, also known as the coronal brow lift, was the only available option prior to the endoscope. This involves a single coronal incision that runs from one ear, wraps up and around the forehead, and terminates at the other ear. The incision is hidden within the hairline. The skin is lifted away from the forehead and the underlying muscles are trimmed and repositioned as needed. If there is serious sagging, the eyebrows may be lifted. As you would assume, recovery from this method is quite involved.

Who is a good candidate for a brow lift?

Young woman touching her faceIf you have a sagging, heavy brow, this can make you look tired, sad, or even angry. This is because the upper third of the face is where we communicate most of our emotions. The goal of a brow lift with Dr. Gaines is to elevate the brows and erase the lines and creases on the forehead. Most patients opting for brow lift surgeries are between the ages of 40 and 60 and are plagued by sagging brows and aging skin on the forehead.

What is recovery like after a brow lift?

Modern methods using the endoscope have completely changed the recovery for today’s brow lifts. You will have some tightness across the forehead for the first 1-2 days after your brow lift. During that time, you’ll need to keep your head elevated, even for sleeping. There will be some swelling and bruising, but this is dramatically less with the endoscopic method. Swelling and bruising can migrate down into your cheeks and around the eyes. That should resolve in 5-7 days. Most patients can return to work in a week or so after an endoscopic brow lift. Strenuous exercise or lifting

How long will my brow lift results last?

 needs to be avoided for several weeks, as it creates pressure on the forehead area. Because Dr. Gaines makes only short, minimal incisions within your hairline, scarring is virtually invisible and not really an issue.

Can a brow lift be combined with other cosmetic procedures?

woman smilingOur patients from Gainesville and across Florida often combine their brow lift with blepharoplasty (eyelid surgery). This rejuvenates the eyelids, br

ows, and forehead. If the patient seeks to address the entire face, Dr. Gaines can add a facelift. After all, despite the name, a facelift only addresses aging from the cheeks down through the jawline and upper neck.

Non-surgical procedures can be combined with a brow lift, as well. For instance, you could combine your brow lift with Kybella injections to tighten up your profile by attacking fat that has accumulated under your jawline.

Are there risks involved with a brow lift?

The risks are the same as with any surgery: excessive bleeding, poor wound healing, reaction to anesthesia, and possible infection, but these are very rare with this procedure. The main side effect is possible numbness across the forehead due to the repositioning of the tissues. This usually passes as the nerves adjust. Itching along the incisions is standard, but it also passes within a few months. This was more of an issue with the coronal method and its long incision.

The improvements made by Dr. Gaines are permanent. Your transverse and frown lines on your forehead will be gone, your forehead tissues elevated. However, your brows will continue to descend with age. Your best results will be visible for 10-15 years, but your sagging will never be to the extent that prompted you to opt for this surgery.

Will a brow lift affect the natural movement of my forehead?


Dr. Gaines is a board-certified plastic surgeon with over a quarter century of surgical experience, the last decade in his own practice. The rejuvenation he makes with these procedures doesn’t involve severing muscles or other functional issues with forehead movement. The goal is to elevate tissues that have descended due to aging and possibly genetics. You’ll look younger, more alert, and rejuvenated, but most of all, the changes will be completely natural.

Contact us Today

If you’re interested in combining procedures, let’s discuss your options during your consultation with Dr. Gaines.

To schedule a consultation for a brow lift, contact our Gainesville, Florida practice today.