A youthful brow frames your eyes and face in an ideal way. It creates the foundation of a strong facial structure and gives you a more vibrant appearance. Have you examined your eyes lately? Have you taken a look at your facial shape?

A youthful brow has fullness under the skin along the upper rim, and arcs above the rim towards the sides. But with age, each eyebrow and eyelid can look deflated and cause a hollow appearance in the brow area. Is your brow drooping? Is it lacking that feminine arch? Are “frown lines” troubling you? Do you have a heavy brow or excess skin that falls over your eyes? A brow lift may help! Schedule a consultation by calling 303.744.2300.

What is a Brow Lift?

At FacesFirst, an endoscopic brow lift is one of our most popular surgical techniques to address drooping eyebrows. This cosmetic procedure uses an endoscope to reposition or remove underlying tissues and muscles. It also lifts low or sagging brows into a more youthful position. It’s done using smaller incisions in the hairline. The brow lift procedure repositions the sagging eyebrows and relaxes the frowning forehead muscles, creating a young and smooth forehead and removing signs of aging. The advantage of this facial plastic surgery procedure is that small incisions allow you to heal very quickly with a minimal amount of discomfort.

Dr. Picerno and Dr. Cote are experts in facial cosmetic surgery and hide incisions well in the hair, so incisions are not detectable. No hair has to be cut or shaved, and all natural facial expressions are preserved. After all, we want people to notice you, not the work you have done. With over 30 years of combined experience, FacesFirst knows how to perform brow lift surgery and provide brow lift patients with natural-looking, lasting results.

Look like you, but rejuvenated.

What Other Procedures Can Be Combined with the Brow Lift?

A brow and forehead lift done at FacesFirst, at either our Denver or Lone Tree locations, helps decrease the excessive muscle movement in the forehead as well as repositions the eyebrows into a more natural position. In some cases, laser resurfacing or Botox may be performed simultaneously, or at a later date, to help further rejuvenate the brow and remove wrinkling in the upper face. Additionally, many patients combine brow lift surgery with upper eyelid surgery (or upper blepharoplasty) to address sagging upper eyelids. FacesFirst can help you determine which facial rejuvenation procedures are best combined with your brow lift surgery in order to achieve a refreshed appearance.

Types of Brow Lifts

At FacesFirst in Denver and Lone Tree, we offer several types of brow lift procedures to meet the needs of different facial structures, aesthetic goals, and lifestyles. Each approach has its own benefits, and your surgeon will help you determine the best option for your unique anatomy.

Endoscopic Brow Lift

The most commonly performed brow lift at FacesFirst, the endoscopic brow lift uses several tiny incisions hidden within the hairline. A small camera (endoscope) allows the surgeon to reposition the forehead tissue with precision, resulting in minimal scarring, faster healing, and natural-looking elevation of the brows.

Classic (Coronal) Brow Lift

Also known as the traditional or open brow lift, this method involves a longer incision across the scalp from ear to ear (coronal incision). While less commonly performed today due to longer recovery and a more invasive approach, it may still be appropriate for patients with significant sagging or deeper forehead wrinkles.

Trichophytic Brow Lift

This technique involves an incision just at or behind the hairline, allowing the surgeon to lift the brow while preserving or even lowering the hairline. It’s a good option for patients with a high forehead who want to avoid further elevation of the hairline.

Lateral Brow Lift (Temporal Brow Lift)

This minimally invasive lift targets the outer third of the brow, helping to correct mild sagging and create a more refreshed eye area. It is often performed in conjunction with facelifts or blepharoplasty for a more comprehensive rejuvenation.

Direct Brow Lift (Midforehead Brow Lift)

Typically used for older patients or men with heavy brow ptosis, this method involves incisions directly above the brows or in forehead creases. It offers effective lift with less tissue dissection but does leave a visible scar that is usually well-camouflaged within natural lines.

Brow Lift Candidates

You are likely a good candidate for the brow lift if you are bothered by signs of aging, such as sagging brows or worry lines. You should be in good overall health and have realistic expectations about your results. Drs. Picerno and Cote will go over your medical history during your brow lift consultation.

How is the Brow Lift Performed?

Surgical brow lift procedures are often performed using general or local anesthesia. Once incisions are created, the forehead skin and underlying tissues can be elevated and lifted to a more upright position. Your facial plastic surgery procedure may also involve removing excess skin. Once the final result is created, the incisions are closed, and you will enter your recovery period.

Brow Lift Recovery

The brow lift requires a short recovery period of one to two weeks. During this time, you should avoid strenuous exercise and follow the aftercare steps in caring for your surgical site. You’ll also want to keep your head elevated. You may experience discomfort which can be managed with pain medication. To reduce swelling, your plastic surgeon will prescribe medications as well. Within a few weeks, you should begin to see results with a more lifted brow and forehead, a more youthful appearance, and a reduction in forehead wrinkles. With an appropriate anti-aging regimen, a brow lift can last for many years to come.

Brow Lift Results

Brow lift results are typically visible soon after a surgical procedure, with noticeable improvements in brow position and a more refreshed, youthful appearance. While some swelling and bruising may temporarily mask the outcome, most patients see continued enhancement over the following weeks as healing progresses. Final results are typically revealed between 3 to 6 months, offering long-lasting rejuvenation that opens up the eyes and smooths the forehead, helping patients look more rested and naturally uplifted.

What is the Cost of a Brow Lift?

The cost of a brow lift may vary depending on geographic location, the techniques used to achieve results, anesthesia or facility fees, and pre-and post-op care.  To learn more about brow lift pricing, please contact our practice today.

At FacesFirst, we offer financing to help you achieve your aesthetic goals. We have specifically selected CareCredit as our trusted partner to help you pay for your brow lift procedure.

Schedule a Consultation in Denver & Lone Tree

The brow lift offers many benefits, including lifted brows and a more youthful appearance. Schedule your initial consultation with a facial plastic surgeon at FacesFirst, and Dr. Picerno or Dr. Cote will help you to decide whether the endoscopic brow lift is best for you. With years of facial plastic surgery experience, you wouldn’t want to trust your brow to just anyone.

Frame your face and make your facial features stand out for all the right reasons. Call us today at 303.744.2300.

Frequently Asked Questions About Brow Lifts

Does a brow lift get rid of forehead wrinkles?

Yes, a brow lift can significantly reduce forehead wrinkles, particularly deep horizontal lines across the forehead and vertical lines between the eyebrows (commonly called frown lines or "11 lines"). By lifting the brow and tightening the underlying tissues, the procedure smooths the forehead and creates a more refreshed, youthful appearance.

Does brow lift change eye shape?

The eyebrows frame the eyes and certainly when you change the position and shape of the eyebrows it will affect the overall shape and proportions of the structures of the eyes. In fact, when you lift the eyebrows you may also lift the skin of the upper eyelid and improve the appearance in this area as well. Assessment and rejuvenation of the eyes should be a very thorough process with the results best achieved when using a multitude of different treatments to achieve the most optimum and natural result.

What is a mini brow lift?

A mini brow lift is a cosmetic procedure that involves lifting the outer portion of the eyebrows to create a more youthful appearance. It targets specific areas of the brow region, such as the outer corners, to lift and elevate the eyebrows without making considerable changes to the central brow or forehead.

Does endoscopic brow lift raise hairline?

An endoscopic brow lift generally can raise the hairline a few millimeters and so this is an important consideration when being evaluated for this procedure. Someone who may already have a high hairline may want to consider alternative options.

How can I lift my eyebrows?

There are many ways in which eyebrows can be lifted. Common minimally invasive ways may include Botox, fillers that are placed under the eyebrow, and some thread lifting procedures. In addition there are a number of minimally invasive brow lift procedures with different approaches that can be done to lift the eyebrows.

How much does a brow lift cost?

The cost of a brow lift may vary depending on geographic location, the techniques used to achieve results, and more. To learn more about brow lift pricing, please contact our practice today.

Can a brow lift be done under local anesthesia?

Yes. A brow lift an be done under many types of anesthesia including local anesthesia.

Does a facelift include a brow lift?

A facelift sometimes can include a pro lift and that depends on what is physically needed for your rejuvenation, what the surgeon recommends and the additional time and expense needed to achieve the result. It is important to discuss with your surgeon what it means when a facelift is done and what will be accomplished. That way you are more likely to have a good understanding of the expectations and be pleased with the outcome and results.

How long do brow lifts last?

The results of a brow lift will vary depending on factors such as the patient's age, skin quality, lifestyle habits, and the surgical technique used. In general, brow lifts can last anywhere from five to ten years or longer.

How long does a brow lift last?

A brow lift typically provides long-lasting results, with many patients enjoying the benefits for 10 to 15 years or more. However, the longevity of the results depends on factors such as the patient's age, skin quality, lifestyle, and how well they protect their skin from aging factors like sun exposure.

How long does numbness last after brow lift?

Numbness following a brow lift is only a temporary symptom. As the nerves regenerate and healing continues, sensation in the treated area gradually returns.

What can I expect after a brow lift?

Following a brow lift, you can expect mild swelling, bruising, and discomfort around the treated area, which usually subsides within a couple of weeks. Your surgeon will provide you with post-operative care instructions, including how to manage pain and swelling, and may recommend avoiding strenuous activities for a certain period to assist with proper healing.

Does insurance pay for brow lift?

There are some health conditions in which a brow lift may be medically indicated. Common examples may include visual field defectu2018s where a blepharoplasty cannot adequately treat this. Another example is facial paralysis or weakness that leads to drooping of the eyebrow or forehead. However, most brow lift is done for cosmetic reasons.

How do I know if I need a brow lift?

For most people, the eyebrow should sit at the bony rim above the eye or higher. In a woman, the eyebrow should be slightly higher laterally or to the side. In a man, the eyebrow may sit more horizontally. Often when there is loose skin in the upper eyelids, an eyebrow lift should almost always be done to get the best results. A very careful analysis by your surgeon is important to understand how the brow affects the overall look of your eye and how upper eyelid surgery should be considered in relationship to brow lift surgery.

Is a brow lift permanent?

A brow lift can have very long lasting results for many years depending on the technique used. Generally, surgical techniques last much longer than minimally invasive techniques. However, the aging process is ongoing and the effects of gravity and collagen loss may cause the brow shape and position to change over time.

What is endoscopic brow lift?

An endoscopic brow lift is a procedure that uses very small incisions hidden in the hairline and video visualization with endoscopes of the entire forehead region. The procedure is peeling because of the small hidden decisions in the ability to create a natural lift. It is a very popular procedure done by surgeons at FacesFirst.

What is the difference between a brow lift and blepharoplasty?

A brow lift refers to a procedure that lifts the eyebrows and forehead. A blepharoplasty refers to a procedure performed on the upper or lower eyelids for rejuvenation. They are complementary procedures often done together for overall improvement in the appearance of the eyes.

Can a brow lift be combined with other procedures?

A brow lift is often combined with other facial rejuvenation procedures to achieve more comprehensive results. Common pairings include eyelid surgery (blepharoplasty) to address sagging or puffy eyelids, facelifts to rejuvenate the mid-to-lower face, or non-surgical treatments like Botox or dermal fillers to enhance the overall outcome.

What is the recovery time for a brow lift?

The recovery time for a brow lift typically ranges from 10 to 14 days for most patients to resume normal activities. However, residual swelling or bruising may take a few weeks to resolve fully. Many patients can return to work and light activities within one to two weeks, but more strenuous activities should be avoided for at least four to six weeks.

Will there be visible scars after a brow lift procedure?

Modern brow lift techniques are designed to minimize visible scarring. Surgeons typically place incisions along the hairline, within the hair, or in natural creases to conceal scars effectively. Over time, these scars fade and become barely noticeable, especially with proper care.

What are the different types of brow lifts?

There are several types of brow lifts, each tailored to different anatomy and aesthetic goals. At FacesFirst, the most common technique is the endoscopic brow lift, which uses small hidden incisions in the scalp and offers a quicker recovery with minimal scarring. Other options include the lateral brow lift, ideal for mild sagging and often done with facelifts, and the direct or mid-forehead brow lift, typically used in older patients or men with heavy brow droop. Your surgeon will recommend the best option based on your needs and facial structure.

Can a brow lift improve hooded eyelids?

Yes, a brow lift can significantly improve the appearance of hooded eyelids, especially if sagging brows are contributing to excess skin over the eyes. By gently elevating the brow, this procedure opens up the upper eye area, creating a brighter and more alert appearance. For some patients, a brow lift is performed in combination with blepharoplasty (eyelid surgery) for more comprehensive rejuvenation.

How long does it take for swelling and numbness to go away?

Mild swelling typically improves within the first 1–2 weeks following a brow lift, though subtle swelling can last several more weeks. Numbness near the incisions is also common and usually fades gradually over several weeks to a few months. Most patients feel back to normal within 4–6 weeks, with full sensation returning over time.

Can a brow lift correct asymmetry in my brows?

Yes, a brow lift can help improve brow asymmetry by adjusting the position of each brow individually to create better balance. While perfect symmetry may not always be possible due to natural facial structure, our surgeons at FacesFirst aim for a natural, harmonious look that enhances your unique features.

Can men get brow lifts too?

Absolutely. Men can benefit from brow lifts, especially when drooping brows cause a tired or heavy appearance or begin to affect vision. Our team takes special care to maintain a masculine, natural result by preserving the natural brow shape and avoiding an overly arched or “surprised” look.

Testimonial

from our patients

After reading about Dr. Picerno, from a man’s point of view, I can only add my absolute agreement to the multitude of five star reviews she and her staff have received. Professional, competent, friendly and caring only begin to scratch the surface when describing she and her staff. Suffice it to say, the procedure performed produced an amazing result and I couldn’t be more pleased. I would recommend her services to anyone who wishes to have facial surgery of any type. Thank you Dr. P for your caring way.

– Terry A.

Dr Picerno is amazing and I adore her!
-Ciana W.

Dr Picerno (& Kerry) have been helping me look younger for a long time. They are excellent at keeping the years at bay and they care about their patients. I highly recommend using them if you want to turn back the clock.

-Linda J.

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Nicolette Picerno, MD headshot
Nicolette Picerno, M.D.
Board Certified Facial Plastic Surgeon at  | Website

Dr. Nicolette Picerno is a double-board-certified facial cosmetic surgeon certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology. She received her medical degree from Hahnemann University, School of Medicine in Philadelphia, and completed her fellowship for the American Academy of Facial Plastic and Reconstructive Surgery at the Beeson Aesthetic Surgery Institute in Carmel, IN. She also completed the Cenegenics Physician Training and Certification in Age Management Medicine program in 2012 and became a certified BioTE provider in 2014. When not in the office, Dr. Picerno enjoys spending time with her family, hiking, skiing, playing tennis, and running her doggie daycare with her husband.

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