Very few people know they need a brow lift. Why? One of the earliest and most common symptoms of a drooping brow is sagging eyelids. So, very naturally, most people think that the problem is with their eyes. As we age, gravity tugs at the underlying muscles of our eyes and forehead. Over the years, our muscles also lose elasticity, all of which result in a sagging brow and eyelids. Dr. Alan Brackup, a double board-certified oculofacial plastic surgeon, performs an endoscopic brow lift to correct a drooping brow and forehead instead of the traditional "coronal" brow lift. Some indications that you may benefit from a brow lift include a sagging forehead, brows that hang close to or over the eyelids, and deep, vertical furrows between the brows. With this procedure the forehead and eyebrows can be repositioned using small incisions in the hairline. The endoscopic approach at Cosmetic Surgery Specialists in Bucks County, PA has the advantage of minimizing scars, while eliminating hair loss and decreasing numbness in the central upper scalp, problems which are commonly associated with the traditional approach to the brow lift.
Brow Lift Reviews
"Endoscopic Brow Lift and Bilateral Upper Lid Blepharoplasty -Female 59 Yrs Old - Langhorne, PA - Dr. Brackup is an artist who takes the time to explain everything and did a great job. I was recommended by a friend to him and I also would certainly recommend him."- D. / RealSelf / Aug 12, 2014
"Go for it!!!! - Dr. Brackup's confident manner was very reassuring to me when I bravely consulted him about facial surgery. Every time I passed a mirror, I did not recognize myself in the reflection. I needed to do something to turn back the clock. He took time, made recommendations, and was very thoughtful in his approach. I did my homework before my consultation and therefore knew his stellar qualifications and I was pleased that he is also an ophthalmology surgeon. I had my surgery (brow lift, facelift, forehead lift, eyelids, and laser under my eyes and nose) about a month ago. I have already had four follow up visits, all very positive. Dr. Brackup's staff are all knowledgeable, friendly, and happy. Michelle, his nurse, has answered my myriad of questions since day one. The surgery center is privately located so I did not run into anyone I knew. His office is the first one by the entrance, so while you are healing you do not have to be faced by curious onlookers. I didn't look too pretty the first week, but by the end of the second week my looks were acceptable so I could venture out with confidence. Now, at four weeks, I can say I look amazing. Two of my sisters and one of my friends are already scheduling consults with Dr. Brackup because they are amazed at how good I look. While you are in the waiting room, check out the two huge binders of thank-you notes to Dr. Brackup from his very grateful clientele. I can't think of enough superlatives to acknowledge my experience with Dr. Brackup. Go for it!!!"- Anonymous / Vitals / Mar 04, 2016
"Exceeded my Expectations! - In August of 2017 I had a facelift, browlift and eyelid surgery. From the moment I entered Dr. Brackup’s office, I was treated like family by a professional, caring and compassionate staff. Dr. Brackup listened to my questions & addressed all of my concerns-I was confident that I would be pleased with the “new me.”Dr. Brackup did not disappoint. In just a few days I could see amazing results - I was truly a more improved version of myself. To this day, friends can be sitting across a table from me and say “you look great - if I ever decide to go, I’m going to your doctor!”Dr. Brackup is a brilliant and gifted surgeon. That combined with his warmth and caring manner make him a GEM in the medical field. I highly recommend this practice. Thank you Dr. Brackup!"- P. / RealSelf / Sep 08, 2020
"Endoscopic Brow Lift and Bilateral Upper Lid Blepharoplasty -Female 59 Yrs Old - Langhorne, PA - Dr. Alan Brackup, Cosmetic Surgery Specialists, Langhorne, PA, performed an Endoscopic Brow Lift and Bilateral Upper Lid Blepharoplasty at The Ambulatory Surgery Center at St. Mary's on July 17, 2014. Cost for both procedures including surgical facility was $7,050.00. From the first meeting with Dr. Brackup and Karen in his office, I was thoroughly impressed. They answered every question (none too small) that I had before, the day of, and following surgery. I was very fortunate as all went well and I did not have to take one pain pill, just Tylenol, the first couple days. I stayed overnight at a local hotel (ordered food in - yes I was hungry), and the Doctor saw me again the day after surgery. Then the first week following the surgery, I rested at home (just tired, no real pain)--you spend your time putting the peas on your eyes and head for the first few days (and then a warm cloth for the next few days), and clean the sutures 4X daily. I slept in a recliner to help with the bruising as they told me to. I did everything they told me to (the vitamins, etc). Then I returned to his office on the 8 day following surgery and they removed the sutures (wonderful day!) The obvious bruising took a couple weeks (by the second week I went out close by with sunglasses). By the third week I was pretty good - eyes were still little heavy but I could go almost everywhere (with a little cover up below the eyes), and now almost four weeks later, I'm really feeling back to normal. I think I look ten years younger as my eyes are now round instead of down at the sides. And makeup is looking very good and I don't have that scowl and tired look any longer. Also a note about the Ambulatory Surgery Center at St. Mary's --Michele of Dr. Brackup's and the Anesthesia Doctor, along with everyone there was terrific and as nervous as I felt that morning of surgery, they had me laughing. I feel it was definitely worth it and the best thing is, no one really recognizes anything. It's all very natural looking- Dr. Brackup did a great job and it was worth the hour each way to see him. A friend had her eyes done several years ago and also loved him and the office and I'm glad I took her recommendation."- D. / RealSelf / Sep 25, 2014
"Had lid & brow lift procedure & look wide awake again - Fantastic results! I could not be more pleased with my experience and results. Definitely a Top Doc. I had a lid and brow lift procedure and look wide awake again. Recovery time was minimal with no pain. Feel like a new me."- M. / RealSelf / Jun 06, 2022
The incision techniques used during a brow lift procedure depend on the severity of sagging, the skin condition, and the hairline location. A less invasive treatment is possible with an endoscopic brow lift. The endoscopic brow lift corrects a drooping brow and forehead and has largely replaced the traditional “coronal” brow lift. Most patients will have 3-5 small incisions behind the hairline after a browlift. Your hairline will remain untouched as there is no hair shaved for the procedure, and your brows will be raised to your youthful height. No more overdone foreheads!
A brow lift is performed under monitored sedation at our accredited surgical center. General anesthesia is not required. It takes about 1 hour to complete. You can go home after surgery. Some patients complain of a light, dull headache after the procedure. There will be some bruising and swelling that may be present on other areas of the face, such as the cheeks. We will also provide you with pain medication and a regimen of vitamins and supplements to take pre and post operatively to reduce the incidence of bruising and swelling. Sutures are removed after one week and you can wash your hair after 48 hours. You will be able to go back to your normal routine within a week or ten days. Strenuous activities must be avoided as it may affect healing. Within 3 months, patients see the optimized results with a rejuvenated outcome.
Plan Your Procedure
- Procedure Recovery Location
The ultimate aim for an endoscopic brow lift procedure is to give the face an appearance that is fresh and youthful. Through this technique Dr. Brackup is able to ensure that results are subtle enough, so our patients do not look surgically treated. An experienced facial surgeon will have a thorough understanding of the internal structure of the face and will create results that are natural and prevent a wide-eyed (“deer in headlights”) or hyper-alert look.
Is Botox® A Better Option?
BOTOX® is a nonsurgical cosmetic treatment that targets forehead wrinkles. While it does an exceptional job of smoothing out lines and wrinkles on the forehead and around the eyes, it does not correct drooping of the skin folds around the eyes. Sometimes using BOTOX may drop the brows even lower. Many patients may also notice a decrease in forehead lines from the browlift because they are no longer using their forehead muscles to lift their brows.
Because the incisions are made behind the hairline, the incisions are hidden and typically not visible after healing. We will be able to show you photos upon consultation.
Brow Lift FAQs
Facelift vs Brow Lift?
Dr. Brackup and his staff will discuss your concerns and will initially evaluate the problem areas on your face and recommend the best approach. A brow lift enhancement is confined to improve the upper area of the face, while a facelift improves the appearance in the lower area of the face including the cheeks, jawline, and neck. Depending on your goals and the severity of the sagging, a facelift may be a better approach, or both procedures may be performed at the same time for optimal results.