The eyebrows are the foundation of an expressive face, and drooping or volume loss within the brow creates an illusion of sadness, anger, or tiredness that does not match the inward emotions. Eyebrow surgery is not just about lifting the eyebrow – it is about restoring the ability of a person to outwardly express what they are feeling inside.
Does insurance cover the surgery?
When severe, eyebrow drooping may impair the vision and affect the ability to drive, read, or perform other daily activities. In such severe cases, health insurance may cover portions of the surgery. Please check with us to see if your surgery could be covered.
How is this addressed?
There are two main components to the aging eyebrow – descent and deflation. Descent can be addressed with a combination of surgery and botulinum toxin (Botox, Xeomin, Dysport) [link nonsurgical rejuvenation] to lift and contour the eyebrow, while deflation can be addressed with injections of fat or filler to volumize the aged areas.
We will first carefully examine your face and brows and then compare them to old photos to determine a plan of action. Surgery involves very small incisions hidden inside the hairline, with use of an endoscope and dissolving sutures to identify and precisely lift the desired areas.
Will I be asleep for the surgery?
We are typically able to perform these delicate surgeries under IV sedation, or twilight anesthesia. This avoids the risks of general anesthesia and being put to sleep completely, while still preventing you from feeling any pain.
What is recovery like?
Surgery takes between 30 – 60 minutes, and patients can go home afterwards. Usually, patients have bruising and swelling around the scalp and eyes for 1 – 2 weeks, and pain is minimal. Most patients are ready for social events in 2 – 4 weeks, and “wedding-ready” by 2 – 3 months. Strenuous activities must be limited for the first week, and patients may return to normal exercise and other activities after 7 days.
What can I expect afterwards?
Our goal is for you to look more youthful and refreshed, without any appearance of having had surgery. Incisions after eyebrow are well-hidden within the hairline and invisible to the naked eye. Complications after surgery are extremely rare, and patients are typically very satisfied after the procedure.
Most patients report decreased heaviness and strain in the forehead and upper eyes. Eyebrow lifting can also reduce the appearance of bags in the upper eyelids and is often combined with eyelid surgery [link]. Men and women often report increased confidence and self-esteem as they feel refreshed, rejuvenated, and ready to tackle their day.