​What is a Brow Lift?

A brow lift is a surgical procedure to raise the eyebrows and improve the hooding and heaviness caused by their natural downward descent with age. It can open up the eyes, restore a fresher appearance, and reduce the need for overusing the forehead muscles to lift the brows. In some cases, a brow lift is performed at the same time as an upper eyelid blepharoplasty for the best results.

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Why do people have a Brow Lift?

You may benefit from a brow lift if you have:

• Droopy eyebrows that make the eyelids look heavy

• Fatigue from constantly raising the brows with the forehead muscles

• A tired, angry, or sad expression due to low eyebrows

• Reduced visual field from brow ptosis combined with eyelid hooding

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How is the procedure done?

There are different types of brow lift surgery:

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1. Direct or temporal brow lift

• An incision is made just above or beside the brow (or within the hairline for a temporal lift)

• Excess skin is removed, and the brow is repositioned higher

• Stitches are placed carefully to close the wound

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2. Internal browpexy

• Always performed with an upper blepharoplasty

• The eyebrow is lifted through the same eyelid crease incision

• No separate scar is created, but the lifting effect is usually less pronounced​

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All procedures are done under local anaesthetic. The injections may sting briefly, but the eyelid and brow quickly go numb. The surgery takes about 30 minutes.

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Is the procedure painful?

Most patients describe only mild discomfort during the injections. Afterwards, simple painkillers such as paracetamol are usually enough.

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How long does recovery take?

• Bruising and swelling usually last 1–2 weeks

• Stitches are removed after 5–7 days

• Most swelling settles within 2 weeks but may take up to 3 months to fully resolve

• You can usually return to work and normal activities within 1–2 weeks

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How long do results last?

Results are long-lasting but the natural ageing process continues. Over time, eyebrows may gradually descend again. Ongoing maintenance with Botox to the frown lines and crow’s feet is often recommended to prolong the results.

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What are the alternatives?

• Botulinum toxin (Botox®) can provide a temporary lift but is less effective than surgery.

• Doing nothing is also an option. A droopy brow does not damage the eye, though it may affect appearance and comfort.

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What are the risks?

Complications are uncommon but can include:

• Scarring – usually fine and hidden in the brow or hairline, but always permanent

• Bruising and swelling – common, usually temporary

• Hair loss – sometimes around the incision site, rarely permanent

• Infection – uncommon, treated with antibiotics

• Nerve injury – temporary weakness or numbness in the forehead or scalp; permanent problems are rare

• Asymmetry – faces are naturally uneven and perfect symmetry cannot be guaranteed

• Skin discolouration or delayed healing – higher risk in smokers

• Granuloma or small lumps from sutures (rare)

• Seroma (<1%) – fluid collection under the skin, may need drainage

• Further surgery – sometimes needed to refine results

Your surgeon will go through these in detail at your consultation.

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Who is not suitable?

Brow lift surgery may not be suitable if you:

• Have uncontrolled medical conditions

• Are pregnant or breastfeeding

• Have unrealistic expectations

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Aftercare instructions

• Use cold compresses for the first 24–48 hours

• Sleep with your head elevated for the first 2 nights

• Apply antibiotic ointment to wounds for 2 weeks

• Clean wounds daily with cooled boiled water and cotton wool for 10 days

• Avoid strenuous activity, bending, and heavy lifting for 2 weeks

• Avoid makeup for 3 weeks

• Protect scars from sun exposure with SPF and sunglasses for several months

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When to contact us

You should get in touch immediately if you notice:

• Severe or worsening pain

• Increasing redness or discharge from the wound

• Sudden changes in vision or severe swelling