Endoscopic Brow Lift

Brow Lift / Brow Repositioning

Many patients come to Dr Lattman wanting to improve the appearance of their upper eyelids and brow area.  Often, an upper eyelid blepharopalsty can correct the problem.  But in some patients, a low brow also contributes to the hooded and heavy appearance appearance of the upper eyelids.  Dr Lattman uses the endoscopic browlift technique to treat droopy eyebrows, and heavy upper lids in patients with low brows.

As you get older, the brow and forehead begins to drop.  Sun exposure, gravity and frowning all lead to frown lines, wrinkles across the forehead, and increased heaviness of the eyebrows and upper eyelids. These changes contribute to a tired, angry or sad expression that often does not reflect the way you feel.  Dr. Lattman takes great care to evaluate the brow, and to reposition it in a natural position, so that the results are completely natural looking and not overdone.

Surgical Approach

Dr. Lattman performs brow lifts with minimal incisions hidden in the hair using surgical telescopes known as endoscopes. This state-of-the-art method provides a  natural appearance, minimal incisions, and a quicker recovery.

A brow lift is often performed along with other cosmetic surgery procedures to achieve a balanced and natural look. For instance, Dr. Lattman routinely combines an endoscopic brow lift with blepharoplasty, and laser skin resurfacing.

What to Expect

The endoscopic brow lift is done at Dr. Lattman’s surgical facility.  After you arrive at the facility, Dr. Lattman will mark her incisions and answer any last minute questions. The surgery takes about 40 minutes and can be done either with light sedation or general anesthesia.  You will have a small pressure bandage around your forehead which is removed the next morning.  The beauty of the endoscopic approach, is that all the incisions are hidden behind the hairline.  So there are no visible signs of surgery on your face.  Most patients go back to normal activities in a few days.  Heavy lifting and exercise can be started after 2 weeks.  



Q:     Who is a good candidate for a brow lift?

A:     The best candidates for brow lifts, are men and women whose brows have fallen over time.  You can experiment yourself by first completely relaxing your forehead muscles, and then placing a finger on the inner and outer corner of the brow and gently lifting up.  If your brow moves up easily, and it alleviates excess skin on your upper eyelid, then you are likely a good candidate.  I can also manually show you where the brow will be positioned after surgery during our consultation in the office


Q:     What can I expect after surgery?

A:     You will have some bruising and swelling, but this should be minimal.  The average patient takes a few days off from work.  You will wear a pressure dressing around your forehead for one night. Most people have minimal pain for a day or two.


Q:    What is the average age of people who have this surgery?

A;    The average age is around fifty.  However there is a great range in age from 30’s to the 80’s.  The trend in cosmetic surgery is to start earlier and make small improvements.  This way the changes are less noticeable and the healing time is quicker.  So over the years I have definitely seen patients starting having brow lifts at a younger age.

When to undergo surgery is a personal decision, however, many patients do not realize how much their eyebrows droop because it happens gradually.  The body then compensates for the droopiness by holding the eyebrows up using the forehead muscles, resulting in raised eyebrows and forehead wrinkles.  In some cases this can result in headaches and fatigue by the end of the day.


Please reach out to Sophia, our Patient Coordinator, with your photos and questions, via email at Sophia@nyplasticmd.com or by phone at 212-832-5456.

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