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Birmingham, Alabama
Plastic & Reconstructive Surgery

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A brow lift, also known as a forehead lift, is a surgical process that can create a more youthful and rested appearance to the upper face and eyes. A brow lift procedure repositions low or sagging eyebrows, improves frown lines, and minimizes creases in the forehead or to the bridge of the nose.

Brow lift surgery is a highly individualized procedure that may be a good option if you are bothered by exaggerated facial expression lines or other signs of aging in the brow and forehead region.

Note: Success in brow lift surgery is greater if you are physically healthy and maintain a stable weight, you do not smoke, and you have realistic expectations for your surgery and potential outcomes. Brow lift surgery does not significantly change the appearance of your face. In some cases, a brow lift is combined with an eyelid lift procedure to the upper and lower eyelids.

The Initial Consultation

The success of your brow lift surgery depends on the quality of your participation in the initial consultation. You will need to be prepared to discuss why you want brow lift surgery, your personal medical history, drug allergies, use of medications, vitamins, herbal supplements, alcohol, tobacco and drugs, and any family history of disease.

Dr. Cohn will perform a physical examination and take detailed measurements of your individual physical attributes. Photographs may be taken for your medical record. At that point, Dr. Cohn will be prepared to discuss your surgical options, recommend a course of treatment, and discuss the use of anesthesia during your brow lift procedure. The consultation consists of a thorough discussion to get a sense of what an anticipated final appearance might look like. Dr. Cohn is happy to assist with recommendations while using your personal goals to guide final decision making.

Preparing for Brow Lift Surgery

Before brow lift surgery, Dr. Cohn will discuss where your procedure will be performed – in our accredited, office-based surgical suite, outpatient / ambulatory surgical center, or in a hospital. Prior to your surgery, you may be asked to get lab testing or a medical evaluation, receive a prescription for certain medications or adjust your current medications, stop smoking, avoid taking anti-inflammatory drugs and herbal supplements as they can increase bleeding. Some special instructions you receive will cover what to do on the day of surgery and post-operative care and follow-up.

The Brow Lift Procedure

Your brow lift surgery can be performed through a number of techniques. The appropriate technique for your brow lift will be determined in your initial consultation with Dr. Cohn.

  1. The brow lift surgery begins with anesthesia, where intravenous sedation or general anesthesia will be provided. Dr. Cohn will recommend the best choice for your surgery.
  2. After the anesthesia has taken effect, incisions are made. Depending on your brow lift method, your incisions may be to the following areas:
    a. The Open Brow Lift: Where one continuous incision is made at the ear level and going up around the hairline.
    b. The Endoscopic Brow Lift: Where small incisions are made to the scalp and a thin endoscopic camera is inserted. A separate device is then inserted into a neighboring incision to make the necessary adjustments.
    c. The Browpexy: A procedure that adjusts brow position by way of an incision in the eyelid.
    d. A Direct Brow Lift: This procedure requires an incision above the brow hair or in the forehead to reposition the eyebrow.
  3. As part of the brow lift closing procedure, removable or absorbable sutures are often used, along with skin adhesives and surgical tape.

Risks and Complications

The decision to have brow lift surgery is extremely personal and not without risk. Dr. Cohn will fully review and explain the risks associated with your surgery. After you fully understand the procedure, you will be asked to sign consent forms.

Recovery for Brow Lift Surgery

Although many factors are involved in your recovery time, you will likely experience an initial post-surgical recovery period for 24-48 hours. You may also require a reduced-activity period of a few days. During recovery, you will likely experience soreness and swelling for a few weeks. Exercise and normal activity can resume at Dr. Cohn’s direction.

Following all of Dr. Cohn’s post-surgery instructions is crucial to the success of your surgery. Surgical incisions should not be subjected to excessive force, abrasion, or motion during healing. Dr. Cohn will give you specific instructions on how to care for your incisions following brow lift surgery, which medications to take, how to reduce the risk of infection, and when to make a follow-up appointment.

Brow Lift Costs

As with any elective surgery, the cost of brow lift surgery is a consideration for many patients. Cost may include a surgeon’s fee, hospital or surgical facility costs, anesthesia fees, prescriptions for medications, and any associated medical tests. Grotting and Cohn Plastic Surgery proudly offers patient financing plans, so be sure to ask if such a plan is of interest to you.


For more information about brow lift surgery in Birmingham, we invite you to call us at (205) 930-1600 – Monday through Thursday from 8:00 am to 5:00 pm and Friday from 8:00am to 12:00pm – to schedule an appointment. You may also use the Contact Form page to send us a message.