What is a Brow Lift?

The brow lift procedure is designed to elevate the eyebrows, freshen the look of frown lines, and give your forehead an ultra-smooth appearance.

As skilled plastic surgeons in Del Mar, our doctors use the latest techniques to perform this brow lift surgery—patients no longer require an incision from ear to ear, but instead just four small incisions in the scalp less than one inch in length.

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Dr. Balikian examining patient's brows

What to Consider when Planning Your Brow Lift Surgery in San Diego

Brow lift surgery is a cosmetic procedure that reduces wrinkles and excess skin around the forehead and eyes. A brow lift surgery, which is also referred to as eyebrow or forehead surgery, offers several aesthetic benefits, but every cosmetic procedure has its risks and should be considered carefully. Our surgeons will discuss how the procedure is executed including the different types of brow lift surgeries and the risks and costs of brow lift surgery.

Brow Lift Videos

Quad Bleph, Endoscopic Browlift & Fat Transfer

Behind the Scenes Video of a Brow Lift Surgery at Dr. Paul Chasan’s San Diego Office

Dr. Chasan's Brow Lift Before & After

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Dr. Francis's Brow Lift Before & After

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The Ranch & Coast Superior Brow Lift Treatment & Technique

Our skilled facial plastic surgeons have developed a method that utilizes small wires to suspend the eyebrow in a very precise manner (see published articles below for more information). An endoscope (or a pencil-thin camera) is used to visualize every muscle, vein and nerve under the skin. The skin is lifted away from the tissue, and muscles are altered to create a more youthful look. It also achieves a superior result with no hair loss or distortion of the hairline. A key point in lifting the eyebrows is to lift the outer aspect more than the inner aspect to create a beautiful, natural arch in the brow.

Endoscopic brow lifting takes about 45 minutes to perform, and most forehead lift patients in Del Mar are up and about and back to their normal routine in a few days.

Our Brow Lift Team—Meet Dr. Richard Balikian

In addition to Dr. Chasan, Ranch & Coast is proud to present Dr. Richard Balikian as a brow lift surgeon.

Dr. Balikian earned his medical degree from Boston University Medical School. He then completed an internship in General Surgery, followed by an intensive residency in Head & Neck and Facial Plastic Surgery at the Albert Einstein College of Medicine in NYC. Following this, Dr. Balikian was hand-selected to pursue an additional year of highly specialized training—with one of the world’s top cosmetic facial surgeons. In addition to his impressive training and background, Dr. Balikian has been involved in teaching young surgeons at the Indiana University School of Medicine, where he held the appointment of Clinical Instructor of Facial Plastic Surgery.

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Types of Brow Lift Surgery

A brow lift surgery is a cosmetic procedure that reduces vertical and horizontal lines in the forehead as well as sagging skin around the upper and outer eyes by lifting the brow region. There are three types of brow lift surgeries—an endoscopic brow lift, a temporal brow lift, and a traditional brow lift. Let’s take a look at each.

Endoscopic Brow Lift

An endoscopic brow lift is a recently developed and minimally invasive procedure that reduces sagging skin and wrinkles. To perform an endoscopic brow lift, a plastic surgeon uses small incisions and sutures to reduce wrinkles and sagging skin. The process, benefits, and risks of an endoscopic brow lift are discussed more in-depth later in this article.

Temporal Brow Lift

A temporal brow lift surgery, according to an article published by The American Board of Cosmetic Surgery, “is most commonly performed in conjunction with eyelid surgery. One-inch long incisions are made above each temple behind the hairline. Your plastic surgeon will use these incisions to lift and reposition your outer brow area.” A temporal brow lift is more invasive than an endoscopic brow lift, but less invasive than a traditional brow lift.

Traditional Coronal Brow Lift

A traditional or coronal brow lift isn’t performed often anymore since less invasive procedures are available, but it is the best option for some patients. A coronal brow lift is performed by making an incision from ear to ear and removing a small section of skin and tissue. A 2018 Mayo Clinic article states a coronal brow lift, “is used if someone has a receding hairline, but depending on healing, a scar might be visible.”

More on the Endoscopic Brow Lift Technique

Endoscopic brow lifts are increasingly popular among plastic surgeons and patients because the procedure is minimally invasive and has less recovery time and scarring than previous brow lift operations. The endoscopic brow lift reduces wrinkles and excess skin around the eyes, and minimizes frown lines.

The team at Ranch & Coast Plastic Surgey has developed innovative techniques for performing an endoscopic brow lift that produce optimal aesthetic results with minimal incisions and scarring. An endoscopic brow lift is performed using general and local anesthesia and is an outpatient operation. An American Board of Plastic Surgery article explains, “your plastic surgeon will make several small incisions about three-quarters of an inch in length just behind the hairline. Using a tiny camera and small instruments, the surgeon will reposition the muscles and tissue around the forehead.”

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How Much Does Brow Lift Surgery Cost?

The cost of brow lift surgery depends upon whether you choose an endoscopic, temporal, or coronal brow lift. The cost would also include fees for anesthesia, facilities, etc. Our office will happily assist you to find the right plan for your surgery costs. At Ranch & Coast Plastic Surgery and Medical Spa in Del Mar, we support you through the personal decision of whether to have a brow lift surgery. Our board-certified plastic surgeons will be glad to discuss the various considerations surrounding a brow lift.

What are the Risks and Side Effects of a Brow Lift?

As with any cosmetic procedure, the most important decision you can make is choosing a reputable and qualified plastic surgeon. Our surgeons have years of experience and have worked with a vast number of patients to achieve great results with their brow lift procedures. The forehead, eyebrows, and upper eyelids play key roles in facial expression and aesthetic qualities. Moreover, your surgeon will be able to preserve the facial features that are consistent with your ethnicity, race, and unique features. While this isn’t always something people keep at the top of their minds, a great surgeon will know the nuances involved with every patient, and this is a skill only achieved from ample experience.

The risks and side effects of a brow lift surgery according to an article from the American Society of Plastic Surgeons are, “anesthesia complications, bleeding, loss of hair at the incision site, facial asymmetry, nerve injury with weakness or paralysis, and unfavorable scarring.” These side effects are best minimized or avoided by working with an experienced, reputable surgeon who has the confidence to get you the outcome you want.

Brow Lift Surgery Preparation and Recovery

Your San Diego plastic surgeon may ask you to make some lifestyle changes before your brow lift procedure. A 2018 article from WebMD states that your cosmetic surgeon may require you to quit smoking temporarily if you smoke, and may ask you to stop taking aspirin or anti-inflammatory medicine. Your recovery time will depend upon which brow lift procedure you choose.

The endoscopic brow lift has the shortest recovery time, while the coronal brow lift has the longest recovery time. An article published by The American Board of Cosmetic Surgery states, “your stitches or staples are usually removed about one week after surgery and you can return to a sedentary job. One to two weeks after surgery you can drive, and two to four weeks after surgery you can resume exercise.”

Patient Testimonials

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Brooke is fabulous! What a noticeable difference from the first session! Her expertise, lovely manner, and all the education she provided me have been invaluable. Lymphatic drai...

Brooke is a professional and her dedication and knowledge ensure quality safe results. Best in the business.

I recently had a Mommy Makeover with Dr. Paul Chasan at Ranch and Coast, and I couldn't be more thrilled with my experience and results! From the moment I walked in, the staff m...

I had CoolSculpting done on my chin five weeks ago, and I’m very pleased with the results so far. The treated area already looks more contoured and slim, and I can’t...

I went to Wilma at Ranch and Coast Plastic Surgery for Botox and really happy with consultation she gave me and the results it gave me. I felt free to ask questions about the pr...

I'm a very happy, long-time patient of Dr. Chasan & Brooke. Brooke did some Cool Sculpt procedures on me 2 years ago & I'm so pleased with the results. As I am aging, I ...

I had a great experience with Sasha as my injector. She took the time to go over my goals and she accomplished them. I would definitely recommend using her.

I can’t speak highly enough about Dr. Chasan and his team. After undergoing multiple reconstructive breast surgeries to address persistent encapsulation, Dr. Chasan is the...

I feel welcome from the time I enter the office and throughout my appointment. Wilma is fantastic and uses good judgment and her experience for my treatment. She is the best!...

Brooke’s Lymphatic massage is an absolute gift. After surgery, she was able to move the fluids around, help reduce swelling and increase overall circulation. Definitely re...

I got my first lip filler ever using Rha3 and I could not be happier! My injector made me comfortable the whole time and made the process as pain free as she could for me ...

I have seen Wilma more times than I can count now and for numerous different things (from minor cosmetic procedures to surgeries) and she has THE BEST bedside manner! She always...

Brooke at Ranch & Coast is very thorough in her treatments and I highly recommend her and Ranch & Coast for cool sculpting and other treatments/procedures.

I am highly satisfied with the procedure I had, with the results, with Dr. Chasan and with his overall team. This is despite having a few post-op unexpected small difficulties. ...

I have been there for three cools sculpts and every time Brooke was cheerful, on time, friendly and tried her hardest to get everything right and make me comfortable. She is a t...

I was referred by a nurse friend of mine and she was right! I have been treated with dignity, respect, and kindness all by a team of extremely knowledgeable and experienced prof...

Wilma has been a nurse for Dr. Chasan at Ranch & Coast Plastic Surgery for many years. She is kind, reassuring, beautiful inside & out. She is also an incredible injecto...

I had a septoplasty (for a deviated septum) and rhinoplasty with Dr. Chasan eight weeks ago, and I cannot speak more highly of his skill, expertise, and incredible staff. After ...

I found Dr. Francis after a quick “otoplasty” google search and didn’t know what to expect. I scheduled a consultation with him and all the staff were so welco...

My overall experience has been phenomenal, and the results have exceeded my expectations.I initially found Dr. Chasan by simply searching for the “Top 10 Plastic Sur...

Dr. Francis is truly exceptional and deserves more than 5 stars! I had multiple consultations before I met Dr. Francis, and I immediately knew he was the right person for my sur...

I had a very crooked looking face before my injector “fixed” me, and I am absolutely thrilled with the results. I had dental work done a few years ago because...

I recently had a breast lift after 2 kids and over 2 years of breastfeeding combined- leaving my breasts saggy. I am ecstatic about my results and the care I received from Dr. C...

Dr. Chasan is awesome, front desk people helpful, and I loved the patient coordinator! Everyone made me feel super relaxed and comfortable and optimistic about my situation... I...

I saw Dr. Francis for submental liposuction + chin filler and my experience was fantastic. I am so happy with the result! Dr. Francis’s staff were wonderful as well. If yo...

If you ever need a little pampering you must go see Madi for a facial. Her facials are second to none! I have tried to go to others, but she really knows how to evaluate what yo...

As a woman with naturally large breasts, I didn't think I was able to achieve the high, round, perky look I had always wanted. I thought that look was only available to women wh...

I recently visited Ranch and Coast for Botox! I was greeted by their amazing staff and then Sasha! She was a doll from the start! She listened to all my questions and was very t...

Got a facial recently with Madeline and absolutely loved it! She took care of all my skin care needs and gave me great recommendations and tips for my skincare routine :) Go see...

I’ve been getting lip filler for years. A friend of mine referred me to Ranch and Coast Plastic Surgery. Ahn is their physicians assistant that does fillers Botox, Skin ca...

I highly recommend Madeline for Hydra Facials. She is super nice and very professional. She really takes the time to recommend the best service for my skin. She will customize t...

I love the results of my Botox and everything about my visit with Sasha, RN. She was knowledgeable, friendly, and I’m very pleased with her care.

Absolutely love my tummy tuck and lipo. The belly button scar is small and looks great. No dog ears, no complications. Dr. Chasan is talented and skilled. He seems to be very de...

Dr. Chasan is really the best doctor out there. I got my rhinoplasty done by him and the results were higher than my expectations.

Dr. Francis was fantastic.  In his patience, confidence, ability to clearly answer my questions in terms of layman's language, and bedside manner.

Ranch & Coast Plastic surgery is my favorite place I have ever had plastic surgery. The place is very professional with top tier customer service. At ranch coast you are gre...

I had CoolSculpting done on my chin five weeks ago, and I’m very pleased with the results so far. The treated area already looks more contoured and slim, and I can’t...

I have been going to Wilma for Botox in my forehead for about 6 years now. I first started out with every 4 months.  After the pandemic I have gone every 6 months approxima...

I having been going for Botox and filler for years; my injector always does a phenomenal job, but what I appreciate the most about her is she will be honest with you about what ...

Brooke is a Coolsculpting wizard! She is extremely knowledgable and put me at ease with the entire process. I have already begun to see results and can’t wait to see the f...

I feel welcome from the time I enter the office and throughout my appointment. Wilma is fantastic and uses good judgment and her experience for my treatment. She is the best!...

I have been going to Brooke for about 4 weeks now to assist in post op healing and now for additional help with skin tightening, sculpting and general improvement of my skin. Sh...

I am very happy I returned to Ranch and Coast! In 2011 i was very happy with Dr Chasan. Now I decided to have laser done on my face. The results are great. Smooth clear skin. A ...

I can't thank Dr. Francis enough! I've always been so subconscious about my ears. I finally decided to look into Otoplasty and found Ranch & Coast Plastic Surgery, alongside...

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Additional Reading and References

American Society of Plastic Surgeons: Brow Lift Recovery
Mayo Clinic: Brow Lift

The American Board of Cosmetic Surgery: Brow Lift Guide
WebMD: Cosmetic Procedures and the Brow Lift
Paul E Chasan, Adam T Hauch, The K-Wire Fixation Technique for Endoscopic Brow Lift

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