Forehead and brow surgery should be planned around brow position, hairline, forehead height, muscle activity, eyelid anatomy, and facial identity. “Forehead lift” is not one standardized operation, and a video-assisted approach is not automatically appropriate for every patient.
Is the problem the brow, eyelid, or both?
A low brow can make the upper eyelid appear heavy. Some patients compensate by continuously activating the frontalis muscle, creating forehead lines and raising the brows. Botox may temporarily reduce this compensation and reveal the brow’s resting position. Other patients have true upper-eyelid skin excess or ptosis, which requires a different treatment.
| Finding | Possible approach | Important limitation |
|---|---|---|
| Brow descent with suitable hairline | Video-assisted brow surgery may be considered | Does not directly remove upper-eyelid skin |
| High forehead or hairline concern | Hairline or selected open approach | Scar position and hair growth must be discussed |
| Upper-eyelid skin excess | Conservative blepharoplasty | Does not correct a low brow by itself |
| True eyelid ptosis | Ptosis correction | Requires functional eyelid assessment |
Video-assisted brow surgery
Dr. June uses video assistance for selected upper-face and midface indications through small scalp incisions. The operation releases and repositions tissues, followed by individualized fixation. Incisions remain scars, even when hidden in hair, and the method does not suit every hairline, degree of laxity, or previous operation.
The brow should not be lifted to a generic height. Position, shape, asymmetry, sex characteristics, facial movement, and the relationship with the eyelids all matter. Learn more about video-assisted brow lift candidacy.
Risks, limits, and recovery
Swelling and bruising may extend around the eyes. Temporary forehead or scalp numbness, itching, tightness, headache, tenderness, and discomfort while chewing can occur. Risks include bleeding, infection, visible or widened scars, hair loss around incisions, asymmetry, under- or overcorrection, fixation problems, sensory changes, and temporary or persistent motor nerve weakness.
Patients often become socially presentable before the tissues are fully settled. Brow position, swelling, sensation, and scars may continue to change for months. Surgery cannot stop aging or guarantee symmetry.
Prior treatments and coordinated planning
Botulinum toxin, fillers, threads, previous eyelid surgery, and energy treatments can change examination findings. The dates, products, and treated areas should be documented; dermatologic ultrasound may help when fillers or permanent materials are uncertain.
When brow and eyelid findings coexist, surgery can be combined or staged. Dr. June’s Hybrid Blepharoplasty emphasizes preservation and treats only the components indicated by the examination.
International-patient support
Belvivere coordinates hospital care, anesthetic evaluation, postoperative visits, and a safe period near the surgical team. The concierge service assists with practical arrangements, while the medical team determines when travel and normal activities are appropriate.
