
Aging, gravity, and repeated facial expressions can cause the brow and forehead skin to droop over time. This can result in sagging eyebrows, frown lines, and forehead wrinkles that make you appear tired, stressed, or older than you feel. A brow lift, also known as a forehead lift, is a cosmetic surgery procedure that raises the brow and forehead tissues, smooths wrinkles, and restores the eyebrows to a more youthful position.
At James Rough, M.D. Plastic Surgery, Dr. Rough specializes in advanced brow lift techniques, including the endoscopic brow lift, temporal brow lift, coronal brow lift, and direct brow lift, to deliver natural-looking results tailored to your facial anatomy. A brow lift procedure may also be combined with upper blepharoplasty (eyelid surgery) for comprehensive eye and forehead rejuvenation.

Brow lift surgery (also called a forehead lift or surgical brow lift) is a plastic surgery procedure that repositions the brow muscles and soft tissues, removes excess skin or excess tissue, and restores the eyebrows to a more youthful position. This helps correct:
By addressing the underlying muscles and tissues, the brow lift procedure creates smoother forehead skin, reduces wrinkles, and provides a refreshed appearance.


The brow lift procedure is performed on an outpatient basis using general anesthesia or local anesthesia and sedation. Patients return home the same day with follow-up appointments scheduled and an aftercare plan in place.
Dr. Rough tailors each brow lift to the patient’s anatomy, goals, and severity of sagging. Options include:
Benefits of a brow lift include:

You may be a good candidate if you:
Following brow lift surgery, expect swelling and bruising around the forehead and eyes for 7–10 days. Keeping your head elevated and applying cold compresses will help reduce swelling and minimize discomfort. Light activities can resume in about 1 week. Dr. Rough will advise you on when it’s safe to resume more strenuous activities like working out.
The brow lift incision sites are typically hidden behind the hairline, and as the incisions heal, scars become barely visible. Temporary tightness, numbness, or mild discomfort are common but well managed with prescribed pain medication. Dr. Rough will check your healing at follow-up appointments and remain fully available to offer extra support throughout your entire recovery.

A brow lift creates a more refreshed, youthful look by elevating the brows and smoothing lines across the forehead. Many patients notice immediate improvement in facial expression, with reduced frown lines and a lighter, more open appearance around the eyes. As swelling subsides over the first few weeks, the final results become more defined.
Brow lift results typically last 10 years or longer. While aging continues, the lifted brow position and smoother contours help maintain a naturally rejuvenated look for years. With proper skincare and sun protection, many patients enjoy long-term benefits.
As a board-certified plastic surgeon with advanced training at UCLA, Dr. James Rough has extensive experience in facial plastic surgery and brow lift techniques. Known for his compassionate care and eye for natural balance, Dr. Rough helps patients achieve a more youthful appearance without looking “overdone.” His bilingual team (English & Spanish) ensures that all brow lift patients feel fully supported and understood.
The cost of a brow lift varies depending on the technique (endoscopic, temporal, coronal, or direct) and whether it’s combined with other procedures. Costs are reviewed during your consultation.
Most incisions are hidden behind the hairline or in natural creases. With proper healing, scars are minimal and fade over time.
Most patients feel comfortable in 1–2 weeks, though subtle healing continues for several months.
Yes. Many patients combine a brow lift with upper blepharoplasty, eyelid surgery, or facelift procedures for comprehensive rejuvenation.
















