Brow Lift
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A brow lift is a surgical procedure that repositions the brow to improve upper facial balance, soften lines across the forehead, and reduce heaviness over the eyes. Over time, the brow can descend, contributing to a fatigued or stern expression—even when you feel well-rested.
At Aesthetic Surgery Center: Michael R. Macdonald, M.D., brow lift surgery in San Francisco is performed with a focus on subtle refinement, natural expression, and long-lasting structural benefit.
Also called a forehead lift, a brow lift elevates and repositions the brow and forehead tissues to restore a more youthful, refreshed appearance. The procedure softens horizontal forehead lines, smooths frown lines between the eyebrows, and improves the relationship between the brow and upper eyelid.
A brow lift may be performed on its own or in combination with eyelid surgery or facelift procedures, depending on individual goals and anatomy.
Brow lift surgery in San Francisco typically addresses:
By lifting the brow in harmony with the forehead and eyelids, patients often achieve a more alert, refreshed, and balanced upper face.

The brow is a key expressive feature of the face—small changes can have a profound impact. Successful brow lift surgery requires both a deep understanding of anatomy and an artistic eye for balance.
Dr. Macdonald is a board-certified facial plastic surgeon in San Francisco with specialized experience in upper facial rejuvenation. His approach prioritizes:
• Individual facial harmony
• Natural, refined outcomes
• Conservative tissue repositioning
• Long-term aesthetic stability
Patients throughout the Bay Area choose his practice for results that restore confidence while preserving identity.
You may be a good candidate for brow lift surgery in San Francisco if:
A consultation with Dr. Macdonald determines whether brow lift alone—or in combination with eyelid surgery—is the most appropriate plan.
This minimally invasive technique uses small incisions hidden in the hairline and an endoscope for precise elevation. It’s often used for subtle to moderate brow descent.
Depending on anatomy, a traditional approach may be recommended if more extensive tissue repositioning is needed.
The choice of technique is based on anatomy, goals, and what will provide the most natural, durable result.

Your brow lift consultation includes:
Visual analysis and discussion help determine whether an endoscopic or traditional approach is best suited to your anatomy.
Brow lift surgery is performed in a controlled surgical setting, typically under anesthesia. Incisions are carefully placed within natural hairline creases or discrete locations to minimize visible scarring.
The procedure focuses on:
The goal is restoration—not dramatic change.
Most patients can expect:
Pain is generally minimal and manageable with standard postoperative care. Full refinement can take several months as tissues settle.
Brow lift results are long-lasting. While natural aging continues, the lifted brow position and softened lines can persist for many years.
Proper brow lift planning avoids an over-elevated, surprised appearance. A conservative, proportion-based approach preserves natural facial expression and function.
Choosing an experienced San Francisco brow lift surgeon ensures both safety and aesthetically balanced results.
Our photo gallery shows real patient outcomes and individualized planning. Results vary based on anatomy and goals.
Below are answers to common questions about brow lift surgery and how it helps restore upper facial balance and refresh expression.
A brow lift, also called a forehead lift, is a surgical procedure that repositions the brow and softens forehead and frown lines to create a more refreshed, balanced upper face.
A brow lift improves drooping brows, heavy upper eyelid appearance, horizontal forehead lines, and deep frown lines. It enhances upper face balance and expression.
Good candidates have low or heavy brows, prominent forehead lines, or aged expression due to brow descent. A consultation determines if brow lift alone or with eyelid surgery is appropriate.
Most patients return to light activities within about 10–14 days. Swelling and bruising improve steadily, and full refinement develops gradually.
Brow lift results are long-lasting. Although aging continues naturally, the elevated brow position and improved balance are maintained for many years.
Yes. A brow lift is commonly combined with eyelid surgery or facelift procedures to create comprehensive facial rejuvenation across the upper and midface.
If heavy brows, deep forehead lines, or an aged upper face have been affecting your expression, a consultation can help determine whether brow lift surgery is right for you.

Let us help you achieve your aesthetic goals with confidence and ease.