This procedure can help correct a tired or angry appearance by lifting the forehead tissues and smoothing deep folds & creases. Dr. Parker uses minimally invasive brow lift techniques, personalized to your needs.
Cost & Recovery
$5,190 to $6,570*
Most patients are back to normal activities about 7 to 10 days after surgery.
Injectables can provide temporary, non-surgical brow rejuvenation
A brow lift can be combined with eyelid surgery for more complete rejuvenation**
Any scarring is well-hidden behind the hairline or in the eyelid crease
This 62 year old was referred to Dr. Parker by a friend for a consultation to discuss his heavy brows and lower eyelids. He had undergone an upper eyelid blepharoplasty by another surgeon 5 years ago. The patient complained to Dr. Parker about the loose and hanging skin between his eyebrows as well as the drooping of his eyebrows in this area. In... Read More
This 60 year old was referred to Dr Parker by his dermatologist with xanthomas on his upper eyelids. He said he had been thinking about an upper eyelid blepharoplasty for some time. Dr Parker removed the xanthomas and performed an upper lid blepharoplasty along with an internal browpexy. The patient recovered very quickly after surgery. He is thrilled... Read More
This 61 year old presented with concerns about the aged appearance of his eyes and face. Dr. Parker performed an endoscopic brow lift, upper and lower blepharoplasty and facelift. The patient was very pleased with the very natural and more youthful look following this facial rejuvenation. Read More
This 52 year old, referred by another patient, requested facial rejuvenation. She was bothered by drooping skin on her face from her eyes down; she also noticed swelling of her left cheekbone area called “malar edema”. She had undergone an upper and lower lid blepharoplasty by another surgeon 10 years prior. Dr. Parker reviewed options... Read More
This 41 year old patient requested facial rejuvenation from Dr. Parker. She was bothered by the excess skin and fullness of her upper eyelids as well as the “peaks and valleys” in her the middle and lower aspects of her face, which she felt aged her. Dr. Parker discussed with the patient, then performed an upper eyelid blepharoplasty... Read More
At 41, the patient felt she was simply too young to have drooping heavy eyes and brows. In order to correct this condition, Dr. Parker performed a delicate procedure called an endoscopic brow lift and upper lid blepharoplasty. After surgery the brows have been elevated to a more youthful level giving the patient a more open, fresh appearance. She... Read More
This 57 year old patient, who came to Dr. Parker by word of mouth, asked to have her upper eyelids and brows made more youthful. She had undergone an upper lid blepharoplasty by another surgeon 8 years ago. Dr. Parker performed a secondary upper lid blepharoplasty removing redundant skin and herniated medial fat. He also performed a brow lift through... Read More
This 56 year old patient was referred to Dr. Parker by another patient. She came in requesting improvement in the appearance of the areas around her eyes. She was bothered by the heaviness of her upper lids and puffiness of her lower lids. After reviewing all options with the patient, Dr. Parker performed an endoscopic brow lift, upper and lower... Read More
This 54 year old requested improvement in the appearance of her upper eyelids. She has thought about this for 10 years as she has watched “extra skin” develop. During the patient’s initial consultation, Dr. Parker discussed the patient’s redundant upper eyelid skin as well sagging of the outer aspect of her eyebrows. He discussed... Read More
This 53 year old was referred to Dr. Parker by another patient of the Parker Center. She came in asking Dr. Parker to improve the appearance of her increasingly heavy upper eyelids. After examining her eyes, Dr. Parker pointed out the asymmetry of her eyebrow shape in addition to the excess skin on her upper lids. He recommended, and subsequently... Read More
This 38 year old was referred to Dr. Parker by another patient, and came in requesting improvement of her low eyebrows, excess upper eyelid skin, puffiness of her lower eyelids and deepening tear troughs. Dr. Parker performed an endoscopic brow lift, upper lid blepharoplasty and lower lid blepharoplasty. He carefully transferred herniated fat from... Read More
This 50 year old existing patient of Dr Parker’s requested rejuvenation of her brows and glabellar area. Dr Parker performed a pre hairline brow lift to elevate her brows and smooth the glabellare area. The patient said her recovery was easy. She is thrilled with her appearance postoperatively. Read More
This 51 year old existing patient of Dr. Parker’s requested rejuvenation of her upper and lower eyelids as well as facial aging. The patient said she had limited downtime for recovery. She admitted to smoking but agreed to stop several weeks before and after surgery to optimize her healing and avoid complications. Dr. Parker performed an upper... Read More
This 50-year-old patient had a brow lift to improve the upper third of her face, an upper and lower lid blepharoplasty to correct the areas around her eyes, and a face and neck lift to rejuvenate the lower two-thirds of her face as well as her neck. Read More
This 61 year old existing patient of Dr Parker’s requested improvement in the appearance around her eyes. She said she was increasingly bothered by her sagging brows, redundant upper eyelid skin and puffiness in her lower eyelids. Dr Parker performed several procedures at the same time to rejuvenate her peri orbital area. He performed an endoscopic... Read More
This 52 year old requested improvement with facial aging. She was bothered by excess upper eyelid skin, puffiness of her lower eyelids, and felt her face had generally lost its youthful shape. The patient previously had Botox injections to her glabella and forehead as well as hyaluronic acid fillers to her nasolabial folds and pre-jowl areas. She... Read More
This 49 year old existing patient came back to Dr. Parker to see if he could also help her with improving the appearance of her heavy upper eyelids and puffiness of her lower eyelids. She said these issues had been progressively worsening in recent years. After carefully examining her eyes, Dr. Parker discussed treatment options with her. He pointed... Read More
This 50 year old patient was concerned about the tired appearance of her eyes, drooping eyebrows, and the aged appearance of her cheeks, jaw line and neck. Dr. Parker performed an endoscopic brow lift, upper and lower blepharoplasty, facelift and peri-oral dermabrasion. After surgery, this patient was delighted with her natural appearance and the... Read More
This 50 year old patient was concerned about the tired appearance of her eyes, sagging jowls, and heavy, full neck. The following procedures were performed by Dr. Parker: endoscopic brow lift, four-lid blepharoplasty, and facelift. Postoperatively, the brow lift and blepharoplasty allow the eyes to look more open and youthful. The facelift has restored... Read More
This 61 year old patient was concerned about facial aging and in order to help her accomplish her goals, Dr. Parker used the following techniques: endoscopic brow lift, upper and lower blepharoplasty, a facelift and a peri-oral dermabrasion. The brow lift and blepharoplasty has re-opened her eyes. The facelift has allowed the cheeks and jowls to... Read More
This 56 year old, referred by another patient, was concerned about increasing puffiness of her lower eyelids. Dr. Parker performed an upper and lower lid blepharoplasty. He also lifted the outer aspect of the eyebrows with a browpexy. The patient was pleased with the more youthful appearance of her eyelids and eyebrows. Read More
This 54 year old, referred to Dr. Parker by another patient, requested improvement in the sagging skin of her upper eyelids. During the initial consultation, Dr. Parker pointed out to the patient the drooping of the outer aspect of her eyebrows. He suggested a lateral browpexy be performed at the same time the lax skin was removed from the upper... Read More
This 56 year old was referred by her primary physician to Dr. Parker with concerns about her facial aging. In particular, she was bothered by the descent of her mid facial fat and jowling; in addition, she was bothered by her sagging eyebrows as well as her forehead and glabellar wrinkling. She had her eyes operated on elsewhere several years earlier.... Read More
This 54 year old expressed concerns about the puffiness in both upper and lower eyelids as well as progressive facial jowling. After reviewing all options, Dr. Parker performed the following surgeries: endoscopic brow lift, upper and lower blepharoplasty and a facelift. Postoperatively, the patient was very happy with her natural, rejuvenated appearance. Read More
This 53 year old existing patient returned to Dr. Parker concerned about the heaviness of her upper eyelids which she felt had developed in recent years. Dr. Parker discussed and subsequently performed an upper eyelid blepharoplasty and an endoscopic brow lift. Following a typical recovery, the patient was very happy with the natural, rejuvenated... Read More
9 years ago, this 54 year old was referred to Dr. Parker by another patient requesting improvement in the appearance of aging eyes. She was concerned about her low brows, excess upper eyelid skin, and bags under her eyes. Dr. Parker discussed all options with her at that initial consultation and they arrived at the following plan: upper lid blepharoplasty... Read More
If people tell you that you look angry or sad, an aging forehead with drooping eyebrows and wrinkled forehead skin may be to blame. As we age, our skin loses its elasticity and tone. Gravity wins out, causing our forehead skin and eyebrows to sag. In addition, a lifetime of facial animation and corrugator muscle (those muscles between the eyebrows) activity causes a progressive deepening of the wrinkle lines in our forehead skin.
A number of options currently exist to treat the signs of aging in the forehead and eyebrows. During your initial consultation, Dr. Parker will listen to what bothers you, take a medical history, and examine your forehead and face, focusing on the areas around your eyes. He will assess your eyebrow position, upper eyelid skin excess, the wrinkles in your forehead and those between your eyebrows, and the quality of your forehead skin. Dr. Parker will review his findings with you and discuss the various treatment options available.
What Can a Brow Lift Do?
A brow lift accomplishes several goals:
Raises the eyebrows to a more aesthetically and desirable position
Smoothes horizontal wrinkles across the forehead & between the eyebrows
Restores a more well-rested and youthful appearance
What Are My Brow Lift Options?
Options for treatment run the gamut from least to more aggressive, and Dr. Parker will discuss these options with you during your consultation.
Upper Eyelid Lift With Corrugator Muscle Removal
One option to improve the wrinkles in between and above your eyebrows is removing your corrugator muscles. This can be done through an incision in the upper eyelid crease during an upper lid blepharoplasty procedure. These are paired muscles located at the inner aspect of the eyebrows. They are directly responsible for causing frowning and wrinkling in between the eyebrows, and also contribute to the horizontal wrinkles that occur in the forehead. Neuromodulators such as BOTOX® or Dysport® are commonly injected into these muscles as a non-surgical option and are very effective in softening these wrinkles for three to six months.
During an upper lid blepharoplasty surgery, Dr. Parker can remove the corrugator muscles without any additional incisions; this procedure is referred to in medical circles as a “transpalpebral corrugator resection”. Doing this adds approximately 30 minutes to the blepharoplasty procedure and very little additional time to the recovery afterward. The removal of the corrugator muscles should provide long-term correction of frowning as well as softening of the forehead wrinkles.
Internal Lateral Browpexy With Upper Lid Blepharoplasty
Before & After Lateral Brow Lift*
One option to lift the outer or lateral aspects of drooping eyebrows is called an “internal lateral browpexy”. An internal lateral browpexy can be performed during upper lid blepharoplasty surgery through the same incision in the upper eyelid crease. Using this approach, Dr. Parker can moderately elevate the outer aspect of your eyebrows by suspending them internally with sutures. Doing this adds approximately 30 minutes to an upper lid blepharoplasty procedure and very little additional time to recovery.
Performing an internal lateral browpexy will not elevate the drooping eyebrows as much as other brow lifting procedures (see below). Patients with mild to moderate drooping of the eyebrows like it because it doesn’t need any additional incisions and adds very little to the recovery time after upper lid blepharoplasty.
Temporal Brow Lift With Transpalpebral Corrugator Resection
Before & After Temporal Brow Lift*
In those patients undergoing an upper lid blepharoplasty who have little sagging of the inner aspect of their eyebrows and only mild laxity of skin in between the eyebrows, a temporal brow lift is a very good choice. A 1½-inch incision is made in the temporal part of your scalp behind the hairline. Dr. Parker separates the temporal and forehead skin from the underlying tissues to elevate the outer aspect of your eyebrows into a more youthful position. Dr. Parker will then perform what is known as a transpalpebral corrugator resection, removing the corrugator muscles under direct vision through the upper eyelid incision (medically, this is referred to as “transpalpebral”). Removing the corrugator muscles offers a long-term solution to soften frown lines and forehead wrinkles.
Endoscopic Brow Lift
Before & After Endoscopic Brow Lift*
During an endoscopic brow lift, Dr. Parker will make two small incisions, each about ¾” in length, hidden behind your anterior hairline and a somewhat longer incision hidden behind your temporal hairline. This will allow him to insert a thin telescopic probe, called an endoscope, connected to a camera and television monitor. Guided by the endoscope, he will surgically separate your forehead skin from the underlying tissues. This will allow Dr. Parker to remove a significant portion of the corrugator muscles using the endoscope for optimal visualization. He will elevate your eyebrows into a more youthful position and hold them in place with sutures as well as two fixation devices called Endotines. The incisions will then be closed with sutures.
Pre-Hairline Brow Lift
Patients concerned about their low brows who have high hairlines will merit additional discussion with Dr. Parker. He will offer them 3 options: 1) make their hair the priority and leave their brows alone, 2) undergo an endoscopic procedure and accept a high hairline, 3) undergo a pre hairline incision at the frontal hairline to lift their brows and maintain or even shorten their forehead height.
If they elect this last option, Dr. Parker will carefully make an incision along the axis of the frontal hair follicles, then curve the incision back into the temporal scalp recess so it is not seen. Through this incision, he will lift your forehead skin from the underlying tissues. This will allow Dr. Parker to remove a significant portion of the corrugator muscles under direct vision. He will elevate your eyebrows into a more aesthetic and youthful position holding them in place with sutures, remove some forehead skin and somewhat lower the hairline. There is a permanent scar along the frontal hairline but careful design and closure of this incision typically leads to a well-concealed scar.
Paul M. Parker, M.D., FACS
Board-Certified Plastic Surgeon
Known for his surgical talent and caring personality, Dr. Parker has been serving the community for over 25 years. He has dedicated his practice to the education, safety, and comfort of his patients—making each one feel as important as family.
In considering treatment options, we first think of non-surgical options. Though temporary, neurotoxins such as BOTOX , Dysport or Jeuveau can be used to elevate the outer aspect of the eyebrows and soften wrinkling between the eyebrows and in the forehead. We often refer to this as a “chemical brow lift.”
Hyaluronic acid (HA) fillers can be used to plump out very deep depressions in between the eyebrows if they do not completely disappear after neurotoxin injections. Fillers can also be used in conjunction with neurotoxin injections to raise the outer aspect of the eyebrows.
Consultations at the Parker Center stand out from the crowd. Dr. Parker will spend extra time with you, ensuring that he understands your goals and that you are fully educated about each potential solution.
Next, you’ll meet with our imaging expert, who will help you see the possibilities with digital photo imaging or Vectra 3D imaging technology. Patients who are comparing providers often tell us our consults are the most thorough and informative they’ve ever experienced!
The procedures discussed above usually require approximately one hour to perform. Patients are made comfortable with monitored intravenous sedation or general anesthesia, administered by one of our board certified anesthesiologists.
Patients are typically discharged one hour after completing surgery. There is usually very little postoperative pain. Patients may shower and shampoo their hair the day after surgery. Sutures are removed within ten days. Swelling and discoloration usually subside within 10 to 14 days. Camouflage make-up may be applied after one week and exercise resumed in two weeks.
Rapid Recovery Program
Our surgical procedures, anesthesia, medications, and aftercare are tailored to minimize post-operative discomfort and accelerate recuperation.