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. 

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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. 

Why Choose Dr. Zenn?

  • Dr. Zenn brings nearly 30 years of experience in complex surgical procedures
  • He has provided thousands of patients with a refreshed, more youthful appearance through cosmetic facial surgeries
  • After his Harvard Plastic Surgery residency, Dr. Zenn completed a fellowship in Head & Neck Surgery
  • While at Duke University,  Dr. Zenn served as the co-director of Duke’s Facial Reanimation Program

Dr. Zenn’s Approach To Brow Lifts

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 an overall facial rejuvenation.

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Before & After

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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.

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
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The Zenn Plastic Surgery Difference

At every step under Dr. Zenn’s care, patients can expect personalized treatment and individual attention. He will take the time to listen to your questions and concerns, assess your needs, and explain your options and his 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.

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During the surgery, Dr. Zenn will:

  • Use a minimally invasive endoscopic technique to leave you the smallest possible scars for browlift
  • Reposition and elevate your brows to their ideal position. This will smooth your forehead, reshape the arch of your eyebrows, and give your eyes a more rested youthful appearance
  • If required, Dr. Zenn will use fat grafting for your eyebrow lift. To do so, he will use liposuction to collect fat from unwanted areas of the body and then transfer it as needed to replenish lost volume to your eyebrows, temples, or cheek areas
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Recovery from Browlift Surgery

Most patients go home within an hour after surgery. Depending on your specific procedure, you should expect mild soreness, bruising, and swelling for about a week. Dr. Zenn recommends you stay home and take it easy during this time. However, you should be able to work from home after a week, and return to work and other social interactions after two weeks. 

You can resume regular intensive activities like exercise after three to four weeks. The initial swelling of the first few weeks post-surgery sometimes looks aesthetically pleasing, which allows for normal social interaction (if bruising is minimal or able to be hidden with makeup). After a brow lift, you can enjoy the benefits of a rejuvenated, natural appearance and greater confidence in the way you look.

Dr. Zenn's Brow Lift Patient Reviews


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...


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...


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.

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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.

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