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Brow Lift

Serving Thousand Oaks and Westlake Village, CA

Thousand Oaks brow lift model with brown hair
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Reposition. Refresh. Restore.

There comes a point when the outside doesn’t quite match the inside. You might feel energized, confident, and clear, but a sagging brow, deep forehead lines, or heavy upper lids send a different message. As the brows drift downward over time, they subtly change the way we’re perceived. Tension replaces ease. Tired replaces alert. Frustration replaces friendliness.

At Azar Plastic Surgery, patients from Thousand Oaks, Westlake Village, and throughout Southern California trust Dr. Kouros Azar to restore natural balance through refined, personalized brow lift surgery. This procedure offers more than a surface-level change. It repositions the brows to their youthful height, softens deep creases, and reopens the eye area for a more rested, relaxed, and lifted appearance without making you look like someone else.

If your expression feels stuck in a state that doesn’t reflect how you live or feel, it might be time to explore your options.

What Causes Brow Ptosis?

Brow ptosis — the medical term for a drooping or low-positioned brow — can be hereditary, but more often it develops over time due to acquired conditions. The most common cause is age-related laxity, where the skin and underlying muscles of the upper face gradually weaken, causing the brow to descend.

In some cases, trauma to the facial nerves can disrupt normal brow positioning, leading to asymmetry or noticeable droop. Certain neuromuscular disorders, such as myasthenia gravis or myotonic dystrophy, may also contribute by interfering with the muscle function responsible for brow elevation. Some patients experience brow descent due to facial dystonias or chronic spasm disorders like blepharospasm. Infections involving the facial nerve, including Ramsay Hunt syndrome, can create localized paralysis or weakness that affects brow support. Less commonly, abnormal tissue growths called neoplasms can distort the natural contour of the brow. Finally, brow ptosis can sometimes result from prior surgeries (a complication known as iatrogenic brow ptosis), particularly when surgical tension disrupts normal soft tissue support or nerve function.

What Is a Brow Lift?

A brow lift, sometimes called a forehead lift, is a surgical procedure that repositions the brow and surrounding soft tissue to restore a more youthful contour to the upper face. Over time, the brow may descend below the orbital rim — that bony edge above the eye socket — creating a closed-off look, especially near the outer corners of the eyes. In many cases, patients notice heaviness, visual shadowing, or deep horizontal forehead lines that no longer respond to non-surgical treatments like Botox or chemical peels.

Dr. Azar uses advanced brow lift techniques to address these concerns without creating an unnatural or over-lifted look. His approach focuses on releasing and repositioning the soft tissue, rather than pulling tightly across the forehead, resulting in outcomes that look refreshed, never altered. Depending on your anatomy and goals, he may recommend an endoscopic lift using small incisions hidden in the hairline, or a temporal lift that targets the lateral brow and outer third of the eye. Both options are designed to minimize scarring, reduce downtime, and support a smooth recovery.

Thousand Oaks brow lift model with brown hair

Benefits of Brow Lift Surgery

Brow Lift Surgery in westlake Village

Most patients are surprised by how much their overall expression improves once the brow is returned to its natural position. The shift is subtle yet significant, like putting the right frame on a picture. A well-performed brow lift doesn’t create drama; it restores balance. The eyes appear more open, the forehead softer, and the entire upper face becomes more harmonious.

Patients who undergo brow lift surgery with Dr. Azar often experience:

  • A smoother, more youthful forehead with fewer deep wrinkles and creases
  • Natural repositioning of the eyebrows into a balanced, elevated position
  • Reduced appearance of vertical “11” lines between the brows
  • A more open look to the eyes without needing eyelid surgery
  • Improved visibility of the upper eyelid crease in cases of mild hooding
  • Enhanced symmetry and balance in the upper third of the face
  • Boosted confidence from a refreshed yet authentic facial appearance

Types of Brow Lift

Facial aging doesn’t follow a one-size-fits-all timeline, and neither should the surgical approach to correcting it. That’s why Dr. Kouros Azar offers multiple types of brow lift surgery at his Westlake Village and Thousand Oaks locations, each designed to restore the brow to a more youthful position with a technique matched to your anatomy, skin quality, and aesthetic goals.

As cosmetic procedures become more refined, so have the surgical options available. From full rejuvenation of the upper third of the face to smaller, conservative lifts performed through the eyelid crease, these tailored techniques allow for natural results with minimal downtime.

Below is a closer look at the most common types of brow lift procedures offered by Dr. Azar.

Temporal Brow Lift

The temporal brow lift targets the outer one-third of the eyebrow, the area most prone to sagging with age. This technique is ideal for patients who have noticed a downward tilt of the lateral brow, creating heaviness near the outer eyes or flattening the natural arch of the brow.

By making small incisions hidden within the hairline above the temples, Dr. Azar gently lifts and repositions the brow tissue laterally, restoring balance without over-elevating the central brow. This approach offers a subtle yet powerful improvement in facial openness and is often recommended for patients in their 40s or 50s seeking early intervention without a full forehead lift.

Because of its minimal incision size and limited tissue dissection, recovery from a temporal brow lift is often faster than more extensive procedures. Patients typically return to light activities within a week, with results that enhance eye symmetry and restore a more youthful brow angle.

Transblepharoplasty Brow Lift

Also known as a trans-bleph brow lift, this technique offers a conservative lift performed through the same incision used in an upper eyelid surgery (blepharoplasty). It’s a popular choice for patients who already plan to undergo eyelid surgery and want to address mild brow ptosis at the same time.

Rather than creating a new incision within the hairline, Dr. Azar uses the upper eyelid crease incision to access and secure the brow in a slightly elevated position. This approach subtly lifts the brow while removing excess upper eyelid skin — improving both the field of vision and the appearance of heaviness or hooding.

The transblepharoplasty brow lift is not designed for patients with significant brow descent or deep forehead wrinkles, but it works well for those seeking a conservative, low-impact correction with minimal visible scarring. For the right candidate, it can create a noticeable brightening of the eye area while keeping recovery time short.

Browpexy

A browpexy is the most conservative surgical brow lift option and is typically performed in conjunction with upper blepharoplasty. It uses a simple suture technique to anchor the brow in a slightly higher position without extensive tissue manipulation.

The browpexy is best suited for patients with mild brow drooping who may not need or want a full lift. It can correct early brow descent and enhance the effects of eyelid surgery without introducing significant downtime or risk. Because it requires only minimal dissection and is performed through the upper eyelid incision, it’s often recommended for patients with thinner skin or those looking to maintain more conservative results.

While not as long-lasting or dramatic as other lifts, a browpexy offers subtle support and can prevent the need for more extensive surgery down the line. For the right patient, it’s a well-timed, strategic choice that enhances the upper face with minimal disruption.

Each of these brow lift procedures is selected based on facial anatomy, degree of ptosis, skin elasticity, and patient goals. During your consultation, Dr. Azar will help determine which technique — or combination of techniques — will best achieve a balanced, refreshed appearance that still feels like you.

Brow Lift Procedure

Dr. Azar performs all brow lift procedures in his fully accredited Thousand Oaks surgical suite. After your pre-operative preparation, anesthesia is administered to ensure you are completely comfortable. Most procedures are done under general anesthesia, although some limited lifts may be done with local anesthesia and sedation, depending on the patient.

Once you are fully anesthetized, small incisions are made within the hair-bearing skin just behind the natural hairline. These incisions are placed to remain hidden while allowing optimal access to the underlying brow structures. Through these discreet openings, Dr. Azar carefully releases the tissue that’s contributing to brow heaviness or descent. Depending on your anatomy and goals, the lift may focus on the full brow or concentrate on the lateral third in the case of a temporal brow lift.

The brow is then gently repositioned to a more youthful height. The muscles contributing to frown lines between the brows may be selectively adjusted for smoother contouring, while excess skin is removed in a way that supports long-lasting results. Fine sutures close the incisions with care, and a light dressing is applied. The entire surgical procedure typically takes about one to two hours.

Westlake village brow lift model with brown hair

Who is a Candidate for a Brow Lift?

Ideal candidates for brow lift surgery are adults who are in good general health and have noticed visible signs of aging in the upper third of the face. This may include forehead creases that deepen over time, brows that have begun to droop or flatten, or heaviness around the outer eyes. Some patients also experience mild visual obstruction from low-set brows, particularly when combined with upper eyelid hooding.

It’s common for candidates to be unsure whether their concern is the brow, the eyelid, or both. During your consultation, Dr. Azar will assess the position of your brows relative to your orbital rim and determine the source of the heaviness or droop. In many cases, combining a brow lift with upper eyelid surgery provides the most natural and complete result.

Candidates should also have realistic expectations and be free from untreated medical conditions that could interfere with the healing process. If a patient’s brow position is contributing to vision impairment, Dr. Azar can discuss whether your case may qualify for functional correction under the Americans with Disabilities Act or a similar law.

Recovery After a Brow Lift

Recovery from brow lift surgery is typically smooth and well-tolerated, especially when the procedure is performed using endoscopic or temporal techniques. Most patients return home the same day. Mild swelling and bruising are expected in the first week and may extend slightly into the upper eyelid area. These effects gradually fade over 10 to 14 days.

It’s important to keep your head elevated while sleeping during the first week to reduce swelling and promote faster healing. Some patients experience mild forehead tightness or a sensation of numbness around the incisions, which resolves over time as the tissues adjust. Dr. Azar may recommend cold compresses or light pain medication as needed for comfort in the early days.

Strenuous activity and heavy lifting should be avoided for at least two weeks. Light walking and gentle movement are encouraged to support circulation and recovery. Sutures are typically removed in-office around day seven, and most patients return to work and social activities shortly thereafter. The full healing process continues quietly beneath the surface over the next several weeks, with swelling and incision visibility continuing to improve.

Brow Lift Results

The initial lift is visible almost immediately once swelling begins to subside, usually within the first two weeks. As the healing process unfolds, the final result becomes more refined, with a natural brow contour, smoother forehead, and a more alert, approachable facial expression.

Dr. Azar’s patients often say they look like themselves, just more rested, more open, and more in sync with how they feel inside. Brow lift results are long-lasting, especially when supported by a consistent skincare routine, sun protection, and non-surgical maintenance like neuromodulators or light resurfacing. For many, the procedure is a turning point not just in appearance, but in how they carry themselves day to day.

Brow Lift Cost in Thousand Oaks and Westlake Village

The cost of brow lift surgery depends on several factors, including the technique used, surgical complexity, whether it is performed on its own or combined with other procedures, and your unique anatomy. During your consultation at our Thousand Oaks office, we’ll provide a detailed quote, walk you through the breakdown, and answer any financial questions you may have.

For patients whose brow position may be interfering with vision or daily function, Dr. Azar can also discuss potential accommodations or documentation needed to explore whether your condition may qualify as an impairment covered under the Disabilities Act or similar laws. We believe in transparency, clarity, and making sure every patient is fully informed before moving forward.

Westlake village Azar Plastic Surgery and Med Spa office staff

Why Choose Dr. Azar?

Dr. Kouros Azar is a board-certified plastic and reconstructive surgeon with over 15 years of experience delivering refined, natural-looking results. Patients across Thousand Oaks, Westlake Village, Agoura Hills, and Southern California choose Dr. Azar for his surgical precision, attentive approach, and deep understanding of facial harmony. His background in biomedical engineering informs his methodical technique, while his artistry ensures every lift complements the patient’s individual features.

Dr. Azar and his team are known for their warmth, accessibility, and attention to detail — before, during, and after your surgery. Every brow lift is tailored to your anatomy, aesthetic goals, and recovery needs to support the best possible outcome.

Schedule Your Consultation

If you’re ready to address the signs of aging in your upper face or feel like your brow has changed in a way that doesn’t reflect who you are, a personalized brow lift consultation with Dr. Azar is the first step. Whether you’re exploring surgical options for the first time or considering a brow lift after years of non-surgical treatments, our team is here to guide you with expertise, honesty, and care.

Call (805) 373-7073 or request a consultation online to meet with Dr. Azar in Thousand Oaks. We proudly serve patients in Westlake Village, Agoura Hills, and the greater Los Angeles area.

Brow Lift Frequently Asked Questions

How long does a brow lift last?

Most brow lift results last 10 to 15 years. Longevity depends on the surgical technique, your skin quality, and lifestyle habits like sun protection and skincare.

What’s the difference between a brow lift and eyelid surgery?

A brow lift repositions the forehead and brows, while eyelid surgery removes excess skin from the upper or lower lids. They’re often combined for best results.

Is a brow lift painful?

Mild discomfort is expected, but most patients manage well with over-the-counter or prescription pain medication during the first few days after surgery.

Can a brow lift help with hooded eyes?

Yes, especially if the hooding is caused by a sagging brow. A brow lift repositions the brow, which can reduce eyelid heaviness and improve vision or symmetry.

Will a brow lift make me look surprised?

No. When done correctly, a brow lift creates a natural, rested look without over-elevating the brows. Dr. Azar focuses on balanced, realistic positioning.

How much does a brow lift cost in Thousand Oaks?

Cost varies based on technique and whether it’s combined with other procedures. You’ll receive a personalized estimate during your consultation with Dr. Azar.

How soon can I return to work after brow lift surgery?

Most patients return to non-strenuous work within seven to ten days. Swelling and bruising typically improve significantly in the first week.

References

  1. De Jong, R., & Hohman, M. H. (2021). Brow Ptosis. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK560762/
  2. Chiara Townley. (2019, March 17). Cosmetic surgery is on the rise, new data reveal. Medicalnewstoday.com; Medical News Today. https://www.medicalnewstoday.com/articles/324693
  3. Cohen, B. D., Reiffel, A. J., & Spinelli, H. M. (2011). Browpexy Through the Upper Lid (BUL): A New Technique of Lifting the Brow With a Standard Blepharoplasty Incision. Aesthetic Surgery Journal, 31(2), 163–169. https://doi.org/10.1177/1090820×10395009
  4. Brow Lift Recovery. (n.d.). American Society of Plastic Surgeons. https://www.plasticsurgery.org/cosmetic-procedures/brow-lift/recovery

Schedule your Thousand Oaks plastic surgery consultation with Dr. Azar today

Dr. Kouros Azar, founder and medical director of Azar Plastic Surgery and Med Spa, is an attentive listener, a devoted surgeon and doctor, and a highly-skilled biomedical engineer. He matches his patients with the best possible treatments by drawing on his extensive expertise, compassion, and research skills. Make an appointment with Dr. Azar now to discuss your rejuvenation options.

425 Haaland Dr #200, Thousand Oaks, CA 91361

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