Brow Lift Surgery: When Drooping Brows Make You Look Tired

Understanding Brow Ptosis

A drooping brow can make you look perpetually tired, angry, or sad — even when you feel fine. As we age, the brow descends due to gravity and loss of skin elasticity, creating a heavy appearance over the eyes. A brow lift (forehead lift) elevates the brow to its natural, more youthful position.

Signs You May Need a Brow Lift

Heavy, sagging brow that sits low over the eyes
Deep horizontal forehead creases
Frown lines (“11 lines”) between the eyebrows
Hooded appearance in the outer corners of the eyes caused by brow descent (not eyelid skin)
A tired or stern expression at rest

It is important to distinguish between brow ptosis and eyelid ptosis. Sometimes what appears to be excess upper eyelid skin is actually caused by a descended brow pushing tissue downward. Dr. Saba evaluates both during consultation.

Brow Lift Techniques

Endoscopic brow lift: Three to five small incisions hidden behind the hairline. A tiny camera guides the surgeon as forehead tissues are released and repositioned. Minimal scarring and shorter recovery.
Temporal (lateral) brow lift: Targets the outer brow area specifically, lifting the tail of the brow for an open, refreshed appearance around the eyes
Direct brow lift: Reserved for specific cases, typically in men with very thick brow skin or receding hairlines

Recovery

Endoscopic brow lift recovery is relatively quick. Sutures or staples are removed at one week. Swelling migrates downward to the eyelids and resolves within two weeks. Most patients are back to normal social activities within 10 to 14 days.

Combining with Other Procedures

A brow lift is often performed alongside upper blepharoplasty (eyelid surgery) and/or a facelift for complete upper and mid-face rejuvenation. The combination produces a balanced, naturally refreshed appearance across the entire face.

Contact Dr. Saba Al Marush to discuss whether a brow lift is right for you.

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