Brow Lift Surgery (Forehead Lift or Browplasty) – New York

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About Brow Lift Surgery

Surgery to lift the brow (sometimes known as a browplasty or forehead lift) is a popular aesthetic procedure that helps create a lifted brow appearance, which offers a refreshed look to the top area of the face. A sagging brow can often create a tired or angry appearance. A browplasty surgically corrects a sagging brow to give patients a rejuvenated face. Dr. Michael Koch is a board-certified plastic surgeon in New York who has performed browplasty on both men and women to create a younger look. While brow lift surgery focuses on the brow itself, it may also have an improvement on the upper eyelid, Crow’s feet, and parts of the forehead. Dermal fillers and BOTOX are commonly used along with a forehead lift at our practice for best results, creating a softer and smoother look.

Ideal Candidates

As we grow older, skin laxity diminishes and causes several portions of the face to begin to droop. This is especially apparent in the upper face region and usually affects both women and men. When looking in the mirror, do you seem tired or angry, notice frown lines between the brows, or are bothered by a drooping brow? If so, a surgical brow lift by Dr. Koch may be the right cosmetic treatment for your goals.

Surgical Technique

Prior to surgery, anesthesia will be used. This can be done through general anesthesia or IV sedation depending on the complexity of the surgery. The incision technique used during a brow lift is determined based on the severity of sagging, if the forehead is affected, and the position of the hairline. There are many approaches to consider:

  • Traditional Incision
    Also called the open browplasty incision, this places the incision at the top of the head behind the hairline. The open incision not only conceals scarring, it provides a certain degree of controlled lifting during the procedure. The open incision works well for those with both a sagging brow and frown lines. This is also the ideal incision if you are at risk for having a receding hairline.
  • Trichophytic Incision
    This incision is placed right along the hairline. It allows significant lifting of the brow for patients who have a strong hairline with little risk for recession.
  • Lateral Brow Lift
    Also known as a temporal brow lift, this technique starts the incision within the hairline just above the temples. A temporal incision allows the outer sections of the brow to be treated, and is best for sagging that is present in the outer brows. A temporal brow lift also helps to treat Crow’s feet.
  • Endoscopic Forehead Lift
    This is a more modern technique used in browplasty surgery. It places several tiny incisions in the hairline and inserts the endoscope, which is pushed down to the area of the eyebrow to release its attachments. Through the camera of the endoscope, the brow tissue is suspended using stitches to lift the brow in its higher position.

What to Expect

Recovery following brow lift surgery varies in each patient, with the majority of discomfort and swelling occurring with the open method versus the endoscopic or temporal techniques. Overall, there will be slight bruising and swelling in the upper face near the brows and possibly around the eyes. Cold compresses may help to reduce the swelling. Dr. Koch advises patients sleep upright for at least three nights following their surgery. It is also important to avoid any movement or activities that may place stress on the face. The average recovery time from this procedure is about 2 – 3 weeks. The outcome can usually be seen immediately, resulting in a rejuvenated appearance that looks softer, more alert, and with a noticeable reduction in fine lines and sagging in the upper portion of the face.

Frequently Asked Questions

How much does a brow lift cost?
It's more important to focus on finding an experienced surgeon, like Dr. Koch, who can give you the results you want rather than choosing the cheapest surgeon. The cost of brow lift surgery will vary based on the technique chosen, the facility fee, anesthesia, and other factors. Once your treatment plan has been created in your consultation, an estimate of costs can be discussed. Dr. Koch can also go over payment methods and how to find low-interest financing so your surgery is easier to afford.

Do I need a brow lift or facelift?
Whether you should get a brow lift or full facelift will depend on where you have sagging skin as well as your desired outcome. You should candidly discuss your concerns with Dr. Koch so he can help you decide which treatment is best for you. Many patients come in thinking they want a facelift discover they only need a brow lift and vice versa. With his experience, Dr. Koch can confidently help you decide on your treatment plan so you get the results you want.

What about nonsurgical treatments?
There are many nonsurgical treatments, such as laser skin tightening and injectables (like BOTOX and Juvéderm), that can give short-term improvements. However, a surgical brow lift is better if you want significant improvements and longer-lasting results. During your consultation, Dr. Koch can go over both your surgical and nonsurgical options so you can decide which is best for you.

What technique should I choose?
Dr. Koch will go over surgical techniques during your consultation to help you understand the advantages of each. He will then help you choose the best technique for your needs and goals. Some of the factors that may influence your choice are your hairline (taking into account both your current hairline and your risk of future recession), the degree of skin sagging, and how much time you can devote to recovery.

Will my results look natural?
When you choose a skilled surgeon like Dr. Koch, your brow lift results will look natural. He will develop your treatment plan for your needs and goals so you look refreshed and younger, not tight or frozen. During your surgery, Dr. Koch will focus on removing excess skin. The remaining skin and tissue will be smoothed so your results don't limit your facial expressions or lift your eyebrows too high.

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Plan Your Procedure

Average Cost  
$4,000 - $6,000
Recovery Time  
4 – 6 Weeks
Average Procedure Time  
2 - 3 Hours
Post-op Follow-up  
1 Week
Procedure Recovery Location  
Outpatient
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Rejuvenate Your Appearance

Don't let your sagging brow make people think you're mad, sad, tired, or angry — schedule a consultation to learn more about a brow lift procedure by Dr. Koch at our New York facilities. By correcting your sagging brow, you can revitalize your entire appearance and look younger and more refreshed. Dr. Koch strives for natural-looking results; your browplasty will have your friends and family saying you look more refreshed rather than thinking you had cosmetic surgery.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.