Brow Lift Overview

What Causes The Brow To Sag?

Aging, gravity, and sun exposure can cause the brow to droop and develop deep wrinkles over time. These wrinkles are a by-product of never-ending muscle contraction in the forehead to lift the lower eyebrow. This explains why BOTOX injections in patients with low eyebrows can eliminate wrinkles but also obstruct vision by lowering their eyebrows further. 

intro media
Woman pulling her hair back behind her ears

What Is A Brow Lift?

A brow lift repositions and elevates the brow to rejuvenate the upper face. The procedure not only smooths the forehead, but can also serve to open the eye area and create a more refreshed and rested appearance. Some patients choose to have a brow lift after living with deep forehead wrinkles and ridges for years. Others are long-time BOTOX® users who feel that injectable treatments no longer provide satisfactory results, or have unfortunately made their drooping brow worse as they have aged. Then there are those who are simply unable to put makeup on their upper eyelids because the lids are hidden under a heavily drooping brow. 

You May Need a Brow Lift and Not a Blepharoplasty

You May Need a Browlift and Not a Blepharoplasty

Play Video

Dr. Zenn’s Approach To Brow Lifts in Raleigh

By elevating the eyebrow and securing it in this higher position, Dr. Zenn can effectively rejuvenate a patient’s forehead and eye area. The forehead appears smoother, not because BOTOX has paralyzed the forehead muscles, but because the muscles are no longer needed to continually lift the eyebrows. A brow lift in Raleigh may be performed alone or in combination with blepharoplasty surgery, facelift (to restore the mid-to-lower face), or other procedures for overall facial rejuvenation.

Banner media

Before & After Brow Lift

View Gallery

Details About The Brow Lift Surgical Process

Dr. Zenn uses a delicate and precise endoscopic surgical technique through remote incisions hidden in the scalp. Patients rely on his unique skills to achieve results that look refreshed and natural. During the procedure, Dr. Zenn addresses both the position and shape of the eyebrows. This restores a youthful arch to the eyebrow, which may have flattened out over time.

Our brow lift in Brier Creek will correct wrinkles that occur as the muscles of the forehead attempt to elevate drooping eyebrows away from the eyelids. The procedure opens the eye area and creates a more youthful appearance, relieving the forehead muscles and thereby eliminating wrinkles.

Schedule A Consultation

Contact Us
Contact us media

Your Brow Lift Consultation

To determine if you are a good candidate for a brow lift Dr. Zenn will:

  • Examine your face to assess the position and shape of your brow and the laxity of your skin
  • Evaluate your natural ability to protect and lubricate the eyes
  • Determine which procedures will benefit you.
  • A brow lift will give some patients their desired look. For others, Dr. Zenn may also recommend eyelid surgery to reshape and refine the eyes.
  • Still others may require a procedure to support weak eyelids. Some patients may benefit from a facelift to address signs of aging in the mid-to-lower face
  • Possibly suggest fat transfer if hollow areas are causing you to have a drawn or tired appearance. A fat transfer can smoothen and add youthful fullness to these areas
Glass reflection of fall leaves

The Zenn Plastic Surgery Difference

Patients can expect personalized treatment and individual attention at every step of Dr. Zenn's care. He will take the time to listen to their questions and concerns, assess their needs, and explain their options and recommendations in detail.

Your Brow Lift Experience

Dr. Zenn will perform your brow lift at an accredited facility. A board-certified anesthesiologist will administer anesthesia so that you can sleep comfortably through the procedure and awaken comfortably as well.

Banner media

What Happens During Endoscopic Brow Lift Surgery?

During your surgery, Dr. Zenn will:

  • Use a Minimally Invasive Endoscopic Technique: Perform the procedure through tiny incisions hidden in the scalp, ensuring the smallest possible scars.
  • Reposition and Elevate Your Brows: Restore your eyebrows to their ideal position to smooth forehead lines, refine the brow arch, and open up the eye area for a rested, youthful appearance.
  • Restore Lost Volume with Fat Grafting (If Needed): Transfer a small amount of your body's natural fat to replenish hollowed areas around your brows, temples, or cheeks.
Office waiting room

Recovery from Brow Lift Surgery

Most patients return home within an hour after surgery. While individual experiences vary depending on your specific surgical plan, Dr. Zenn provides detailed post-operative instructions to ensure a smooth, comfortable recovery.

Timeframe What to Expect & Milestones
Day 1 Return home safely post-op. Expect mild discomfort, manageable swelling, and tightness on the forehead. Rest with your head elevated.
Week 1 Mild soreness, swelling, and peak bruising occur. Dr. Zenn recommends taking this week off to rest at home and avoid strenuous activity.
Week 2 Bruising fades significantly, and swelling subsides. Most patients comfortably return to work, remote desk tasks, and public social interactions.
Weeks 3–4 Full recovery milestone. You can safely resume regular exercise, strenuous activities, and heavy lifting.

Initial post-surgery swelling resolves quickly over the first few weeks, leaving you with subtle, aesthetically pleasing, and natural-looking results. Once fully healed, you can enjoy a rejuvenated upper face, rested eyes, and restored confidence in your appearance.

Dr. Zenn's Brow Lift Patient Reviews

I.R.

My eyebrow lift with Dr. Zenn was a complete success with outcomes that far exceeded my expectation. I am thrilled with the natural lift that Dr. Zenn gave my eyes. They look bright & awake without appearing unnatural or surgically altered at all. Wo...

B.T.

I had been wanting to erase the signs of aging for a while but did not want a full face lift. I went to a presentation given by Dr. Zenn and I knew by the time I left, he was “the guy” who would do a great job! I had my initial consult and we discuss...

P.S.

Dr. Zenn is amazing. He takes the time to listen to your needs/wants and executes them with the greatest of detail. He has not only rewritten my physical appearance but my internal dialog to myself is improved 10 fold.

Reviews media

Complementary Procedures for Complete Facial Rejuvenation

While an endoscopic brow lift restores a youthful, rested appearance to the upper third of your face, many patients choose to combine it with complementary treatments for balanced, natural-looking facial harmony.

During your Raleigh consultation, Dr. Zenn will evaluate your unique facial anatomy and discuss whether combining procedures can achieve your aesthetic goals in a single surgery and recovery.

Popular Brow Lift Combinations

  • Upper & Lower Eyelid Surgery (Blepharoplasty): While a brow lift corrects sagging forehead tissue, blepharoplasty targets excess skin, heavy hooding, and under-eye bags directly surrounding the eyes—creating a bright, fully refreshed gaze.
  • Facial Fat Grafting (Fat Transfer): Volume loss in the temples, upper orbits, or cheeks can contribute to a tired or hollow look. Dr. Zenn uses your body’s natural fat to restore smooth, youthful contours alongside your lift.
  • Facelift or Neck Lift: Combining a brow lift with a facelift addresses signs of aging throughout the face, repositions lower facial tissue, refines the jawline, and smooths the neck for comprehensive rejuvenation.
  • Non-Surgical Skin Resurfacing: Once surgical incisions have healed, laser resurfacing or chemical peels can improve skin texture, reduce sun damage, and reduce fine surface lines across the forehead and cheeks.
Doctor media

Why Choose Dr. Zenn for a Brow Lift?

  • Unparalleled Training, Extraordinary Experience
  • Named one of America's Best Plastic Surgeons 2022 and 2023 by Newsweek for Eyelid Surgery 
  • Plastic Surgery Residency: Harvard / Massachusetts General Hospital
  • Facial Surgery Fellowship: Memorial Sloan Kettering Cancer Center
  • General Surgery Residency: Cornell / NY Presbyterian Hospital
  • Medical School: Cornell Medical College (Alpha Omega Alpha Honor Society)
  • Undergraduate: University of Pennsylvania (Phi Beta Kappa Honor Society)
  • Former Vice Chief, Full Professor, Duke Plastic Surgery
  • Director of Duke Plastic Surgery Resident training for a decade
  • Has performed thousands of complex facial surgeries over his 25-year career
  • Internationally recognized as a master surgeon by peers
  • Board Certified by the American Board of Plastic Surgery

Brow Lift FAQ

Brow Lift vs. Eyelid Surgery: Which Do I Need?

How Does Dr. Zenn Prevent an Over-Pulled or "Surprised" Look?

Why Choose an Endoscopic Brow Lift Over Traditional Surgery?

Can a Brow Lift Replace Regular Botox® Injections?

Will Incisions or Scars Be Visible?

Brow Lift vs. Eyelid Surgery: Which Do I Need?

Eyebrows naturally drop over time, crowding excess tissue onto your upper eyelids. Removing eyelid skin when the brow itself has sagged pulls your eyebrows even lower and flattens your arch. During your Raleigh consultation, Dr. Zenn assesses whether upper-eye heaviness stems from eyelid skin laxity, brow ptosis, or a combination of both to determine the right procedure.

How Does Dr. Zenn Prevent an Over-Pulled or "Surprised" Look?

Unnatural results occur when tissue is lifted straight up indiscriminately or trimmed aggressively. Dr. Zenn adjusts both brow position and arch shape using delicate endoscopic techniques, elevating tissues along their natural vector to restore a relaxed, rested arch.

Why Choose an Endoscopic Brow Lift Over Traditional Surgery?

Traditional coronal lifts require ear-to-ear scalp incisions and long recovery times. Dr. Zenn performs endoscopic lifts through tiny ½-inch incisions hidden behind your hairline—minimizing scarring, preserving scalp sensation, and speeding up healing.

Can a Brow Lift Replace Regular Botox® Injections?

Yes. Deep forehead furrows form when muscles overwork to hold heavy brows up. While Botox® temporarily smooths these lines, it can cause heavy brows to drop further. A surgical lift permanently repositions the brow to resolve the structural cause, allowing forehead muscles to relax naturally without ongoing injections.

Will Incisions or Scars Be Visible?

No. All incisions are roughly ½ inch long and placed entirely within the hair-bearing scalp behind your hairline, making post-surgical scars virtually undetectable once healed.

Schedule A Consultation With Dr. Zenn

Do you think you could benefit from the rejuvenation of your upper face? If so, talk with Dr. Zenn to see if a brow lift in Raleigh is right for you. Contact Zenn Plastic Surgery in Raleigh, North Carolina, today to schedule a consultation.

Contact us media
Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at 919-480-3885.
Now Offering - InMode!

Now offering the newest lasers from InMode

Explore the benefits of InMode's advanced laser technologies:

Contact Us