Resting well. Looking awake.

A Frisco brow lift is a subtle way to change the signs.

What is a Brow Lift?

A brow lift (or forehead lift) is a surgical procedure that elevates the eyebrows and smooths the forehead to correct a heavy, tired, or angry appearance. By repositioning the underlying muscles and tissue, the surgeon restores the brow to a more youthful position, resolving upper eyelid hooding without altering the patient’s natural expression.

At A Glance: Brow Lift with Dr. Brobst

Metric	Expectation
Anesthesia	General Anesthesia or Deep IV Sedation (patient preference/safety dependent)
Procedure Time	1.5–2 hours
Pain Level	Rated 2/10 (patients report tightness rather than acute pain)
Social Downtime	7–10 days (bruising travels downward to the eyes)
Scarring	Hidden completely within the hair or at the hairline

The Tired Signs

Why Frisco Patients Consider a Forehead Lift

In a high-energy city like Frisco, whether you are networking at The Star or managing a team near the tollway, non-verbal cues matter. Your eyebrows are your primary communicators of emotion. When the brow area descends due to the aging process, it sends a signal you don’t intend: exhaustion, concern, or even anger.

Many patients arrive at our office pointing at their upper eyelids. They pull the skin up and say, "I need this skin gone." They assume they need eyelid surgery (blepharoplasty). They are often surprised when Dr. Robert "Bo" Brobst hands them a mirror and gently elevates their forehead instead. The heavy skin on the lid is often just a symptom; the sagging brow is the cause. Dr. Bo specializes in facial plastic surgery with a focus on invisible work. We do not perform the windblown look of the 1990s. Our goal is to reset the brow to its natural position on the orbital rim. You should look like you're just well-rested.

From Dr. Bo:

"I use a simple analogy to explain the difference between a brow lift and blepharoplasty. Think of your eyes like a window.

If the curtains (eyelid skin) are too long and bunching up on the sill, we trim them. That is an eyelid lift. But sometimes, the curtains are fine—it’s the curtain rod (the brow) that has fallen down the wall. If I just trim the curtains but leave the rod low, the window still looks crowded.

My job is to determine if you need the rod raised, the curtains trimmed, or a little bit of both. For many patients, subtle elevation of the brow creates the most natural 'opening' of the eyes without removing essential skin."

The Candidates

Am I a Good Candidate for a Brow Lift?

Brow lift surgery is not strictly about age; it is about anatomy. Some patients have naturally low brows in their 20s, while others develop deep furrows and heaviness in their 50s. You may be a good candidate if you experience:

Sagging eyelids that obscure your eyelashes or vision.
Deep horizontal lines across the forehead make you look stressed.
Vertical "11" lines (glabellar lines) between the eyebrows that are resistant to Botox.
A feeling of heaviness that causes tension headaches by the end of the day.

During your brow lift consultation, Dr. Bo will assess your facial anatomy. He will examine the hairline height, the quality of the forehead skin, and the strength of the underlying muscles to determine the appropriate surgical technique.

The Techniques

Approaches to Brow Lifting

We do not use a one-size-fits-all incision. The approach must match the patient's hair density, forehead height, and gender. Facial plastic surgeons must be well-versed in multiple methods to ensure the result looks natural, not pulled.

1. Endoscopic Brow Lift (The Gold Standard)

This is the most patients' preferred method and the technique Dr. Bo utilizes most frequently.
The Technique: Instead of a large ear-to-ear incision, Dr. Bo makes 3–5 small incisions hidden completely behind the hairline.
The Technology: A tiny camera (endoscope) is inserted, allowing the surgeon to clearly view the muscles and underlying tissues.
The Action: We release the ligaments tethering the brow down and lift the forehead unit.
The Fixation: Specialized fixation techniques (often dissolvable or removable devices) hold the brow in its more youthful position while it heals.
The Benefit: The endoscopic technique minimizes hair loss risks, reduces numbness, and significantly speeds up brow lift recovery.

2. Trichophytic Brow Lift (Hairline Lowering)

If you have a high forehead or a receding hairline, an endoscopic brow lift might raise your hairline further, which is aesthetically undesirable.
The Technique: The incision is placed at the hairline.
The Benefit: This allows Dr. Bo to remove a strip of forehead skin, effectively shortening the forehead while lifting the brows.
The Scar: We use a "beveled" incision technique that allows hair to grow through the scar, making it virtually undetectable once healed.

3. Coronal Brow Lift (The Traditional Approach)

The coronal brow lift is the traditional brow lift method involving an incision across the top of the head from ear to ear.
Current Use: While effective, this is less commonly performed today due to the longer recovery and potential for numbness. However, for patients with significant excess skin and deep wrinkles who do not care about hairline elevation, it remains a powerful tool.

4. Temporal (Lateral) Brow Lift

Some patients do not need the entire forehead lifted. They only have heaviness at the "tail" of the brow, causing hooding over the outer eye.
The Technique: Incisions are limited to the temple area.
The Benefit: This targets the lateral hooding specifically, providing a "fox eye" or simply a refreshed look without altering the central brow.

The Timeline

Recovery and Downtime

Recovering from lift surgery is generally less painful than patients expect. It is a process of patience as gravity shifts fluid downward.

Days 1–3: The Migration

You will wake up with a dressing around your head. Oral pain medication is sufficient to manage discomfort, which is often described as a tight headache. You may notice bruising beginning to form. Because we operated on the forehead, gravity pulls this blood downward. Do not be alarmed if you develop black eyes; this is a normal part of the healing process.

Day 7: Suture Removal

We remove the staples or sutures. By this point, swelling has peaked and begun to subside. You are mobile, eating normally, and feeling more like yourself.

Week 2: Social Readiness

Most patients feel comfortable returning to work or social settings—perhaps dinner at Legacy West or a meeting in Plano—after two weeks. Makeup can easily cover any residual discoloration.

The Aftercare Protocol:

Keep your head elevated to reduce swelling.
Follow instructions to keep incisions wet with ointment (this prevents scabbing and minimizes scarring).
Avoid strenuous activity for three weeks to prevent raising your blood pressure.

Investment

Brow Lift Cost and Value

We believe in transparency, but we also believe in customization. A bargain surgery often costs double to fix later. At Brobst Facial Plastic Surgery, your treatment plan is tailored to your specific anatomy. Brow lift cost is determined by:

Surgical Facility: We use accredited surgical centers with board-certified anesthesiologists to minimize anesthesia complications.
Surgeon Expertise: Dr. Bo is dual board-certified in Otolaryngology and Facial Plastic Surgery.
Complexity: A standalone temporal lift is different from a full endoscopic lift combined with blepharoplasty.

Your quote will include the plastic surgeon fee, facility costs, anesthesia, and all follow up appointments.

Holistic Rejuvenation

Complementary Procedures

A brow lift rarely happens in isolation. The face ages as a unit, and treating one area while ignoring others can lead to disharmony. Common Combinations:

Upper Blepharoplasty: Removing the excess skin from the eyelids while lifting the brow provides the ultimate "open eye" result.
Facelift (Deep Plane): While the brow lift addresses the upper face, a facelift corrects the jowls and neck. Doing both balances the face.
Laser Resurfacing: Surgery fixes the shape; laser fixes the canvas. Resurfacing treats fine lines and sun damage that surgery cannot erase.
Botox Maintenance: Once healed, maintaining your result with neurotoxins helps prevent the depressed muscles from pulling the brow down again.

Brow Lift Frequently Asked Questions

Does a brow lift look fake?

It only looks fake if the surgeon pulls the brow too high or in the wrong direction. The deer-in-the-headlights look comes from over-elevating the central brow. Dr. Bo focuses on the natural appearance of the brow, ensuring it sits on the underlying bone (the orbital rim) where it belongs.

How is this different from Botox?

Botox is a non-surgical treatment that temporarily relaxes the muscles pulling the brow down. It offers a chemical lift of 1–2 millimeters. Brow lift procedures provide a structural, physical lift of 5–10 millimeters. Surgery is the permanent solution when injectables no longer yield the desired results.

Will I lose hair?

Hair loss at the incision site is a valid concern. However, using advanced techniques like the endoscopic approach or beveled incisions allows hair follicles to remain intact. Any temporary thinning typically resolves within a few months.

Is it safe?

Any major surgery carries risk, but brow lift enhances facial aesthetics with a high safety profile when performed by a specialist. Dr. Bo reviews your medical history to ensure you are cleared for general anesthesia or deep IV sedation.

How long do results last?

While the aging process continues, a brow lift turns back the clock significantly—typically 10 to 15 years. You will always look better than if you had never had the surgery. Maintaining your skin quality and health prolongs the aesthetic results.

Can men get brow lifts?

Yes, but the technique differs. Men typically have heavier, lower brows. Elevating a male brow too much can feminize the facial features. Dr. Bo is extremely conservative with male patients to maintain a strong, masculine facial anatomy.

Schedule your consultation with Dr. Bo today

Let's Chat

We want to welcome you into our Plano office for a consultation to chat about how we can protect and preserve your beauty. We want to get to know you as a person and develop a plan that best fits your needs and lifestyle. At Brobst Facial Plastic Surgery and Aesthetics, you’re more than a patient — you’re part of our family. We want to take care of you the way family should. Schedule your consultation to get started today.

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