About Brow Lift Surgery
"Professional and personable - As a patient in the midst of breast reconstruction due to cancer, Dr. Koch and his team have been so incredibly helpful from the start with drawing and notes that made it easier to understand during a very hard time. Dr. Koch helps to clarify at each step of the way and has been available to answer questions, respond to calls, and work through my confusion as the cancer process unfolded and the reconstruction work is now in progress. I am so grateful that he is my surgeon and absolutely recommended him."- Anonymous / Vitals / Apr 19, 2019
"I have a history of breast cancer and have had over 20 surgeries all with complications to follow. I wish I had known about Dr. Koch 15 surgeries ago because I wouldn’t be writing my story. My previous surgeon was neglectful and didn’t take the precautions to ensure a safe and healthy recovery. I am so grateful I have found Dr Koch through another surgeon. Dr Koch is by far the most gifted surgeon. He performed a 9.5 hour surgery that was complicated. I am so excited to finally have hope because of this amazing surgeon."- D.B. / Healthgrades / Oct 28, 2020
"Gifted, Brilliant Surgeon - Dr Koch is an amazing gifted surgeon I’ve had over 20 surgeries due to complications from a previous doctor I have a history of breast cancer and lost all hope until I met Dr Koch. He performed a 9.5 hour surgery that was complicated and he gave me hope. I am so grateful I found him. He is beyond gifted. Thank you Dr Koch!"- K. / RealSelf / Oct 27, 2020
"When I first came in for my initial consultation with Dr.koch I felt extremely welcomed. I recently had a breast reduction with him and he did an amazing job. He did everything that I wanted done and plus some. Now I’m seeing him again for another surgery, and I can’t wait to see the outcome. I would definitely recommend dr Koch! He is thorough, he listens and is very knowledgeable! If you need any cosmetic work done go to him!!"- Anonymous / RateMDs / Mar 06, 2020
"Dr, Koch approached me as if we are friends. His body language, smile,and easy manner put me at ease at this difficult time. He explained every thing he was going to do in the simplest way with drawings, a smile and holding my hand. He included my boyfriend through all my visits. He answered all of our questions, and concerns. I will recommend him to anyone. They will be satisfied with him and the magic he creates with his hands."- T.M. / Healthgrades / Feb 29, 2020
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.
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.
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
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.