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Brow Contour

Direct Brow Lift

A direct brow lift raises a drooping eyebrow, especially the outer tail, which can push skin onto the upper eyelid and make the eyes look hooded or tired. Dr Filis Ayan, a Consultant Oculoplastic Surgeon in Chiswick, West London, removes a small strip of skin along the upper edge of the eyebrow, usually across the outer third, so the fine scar blends with the brow hairs. Performed under local anaesthetic, it can be combined with upper blepharoplasty for a more open, refreshed eye area.

Ideal Candidate Profile

Individuals with heavy or sagging eyebrow tails contributing to upper eyelid skin folds and a tired facial appearance.

Recovery & Aftercare

Swelling and bruising around the brow usually settle within 7 to 10 days, and the fine brow scar fades over the following months.

Brow Lift Benefits

  • ◆ Refreshes Brow Contour: Lifts sagging outer eyebrows for a rested expression.
  • ◆ Discreet Incisions: Incisions are hidden along the upper edge of the eyebrow, usually across the outer third
  • ◆ Complements Blepharoplasty: Enhances upper lid surgical results.
TREATMENT VISUALISATIONS

Illustrative Results (AI Visualisation)

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Educational Disclaimer

AI-generated visualisation provided for illustrative and educational purposes. Not an actual patient photo.

Before After
Before After

Case 1: Direct Brow Lift

Targeted lateral brow elevation to lift sagging eyebrow tails and refresh the upper facial frame.

PATIENT QUESTIONS

Frequently Asked Questions

Where is the scar after a direct brow lift? expand_more

The incision runs along the upper edge of the eyebrow, usually across the outer third, where the brow hairs meet the forehead skin. The scar is pink at first and fades to a fine line over 6 to 12 months, and brow make-up can cover it once healed.

Is a direct brow lift done under general anaesthetic? expand_more

No. It is performed under local anaesthetic, takes about 60 minutes, and you go home the same day.

When can I go back to work? expand_more

Most people return to work within 4 to 5 days. Swelling and bruising usually settle within 7 to 10 days, and stitches are removed at day 12.

Can a direct brow lift be combined with eyelid surgery? expand_more

Yes. A low outer brow often adds to upper eyelid hooding, and combining a direct brow lift with upper blepharoplasty can give a better and longer-lasting result than eyelid surgery alone.

What should I do after surgery? expand_more

Sleep on your back with your head raised for about a week, and avoid exercise for 4 to 5 days. Bruising can drift into the upper eyelids for a few days, which is normal.

How much does a direct brow lift cost? expand_more

A direct brow lift (both sides) is £2,500. The surgical consultation is £150, redeemable against surgery booked within 30 days.

Transparent Clinical Fees

Procedure Pricing & Options

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Consultation Fee & Terms

Initial Surgical Consultation (30 mins): £150 (Fully redeemable against any surgical procedure booked within 30 days)

Book Consultation
Treatment / Option NameFee / Rate
Direct Brow Lift*
£2,500
Launch Price (Bilateral)
Twilight Sedation (Conscious Sedation)
£400 per hour
Final cost determined during consultation
Initial Surgical Consultation (30 mins)
£150
Redeemable against a surgical procedure booked within 30 days
info Important Notes & Information
*Listed prices are with local anaesthesia. We can arrange twilight sedation (conscious sedation), which keeps you relaxed and comfortable during surgery. With twilight sedation:• You remain able to breathe on your own. • You may be awake but very drowsy, or you may drift in and out of sleep. • You can usually respond to simple instructions if needed. • Many people remember little or nothing about the procedure afterward due to the effects of the medication.Recovery: Recovery is generally quicker than with general anaesthesia. You'll need someone to drive you home. You should avoid driving, drinking alcohol, signing legal documents, or operating machinery for at least 24 hours unless your clinician advises otherwise.
CLINICAL OVERVIEW

Procedure Overview & Approach

A direct brow lift raises a low or drooping eyebrow, especially the outer tail, which can make the eyes look heavy, tired or sad and add to upper eyelid hooding. The incision is made along the upper edge of the eyebrow, usually across the outer third, where brow hairs meet the forehead skin. This gives a precise, predictable lift of the outer brow with a short recovery. Dr Filis Ayan, a Consultant Ophthalmologist specialising in oculoplastic surgery, performs the direct brow lift at her Chiswick clinic.

Who is it for? A direct brow lift suits adults with a low outer brow, often noticed as hooding that eyelid surgery alone would not fix. It can be combined with upper blepharoplasty for a longer-lasting result. It suits people who are comfortable with a fine scar at the brow line, which brow make-up can cover once healed.

 

The procedure. Surgery is performed under local anaesthetic. A carefully measured strip of skin above the brow is removed and the brow is lifted and secured, then closed with fine stitches. A direct brow lift takes about 60 minutes, and you go home the same day.

 

Recovery. Swelling and bruising usually settle within 7 to 10 days, and bruising can drift into the upper eyelids for a few days. Sleep on your back with your head raised for about a week. Avoid exercise for 4 to 5 days. Most people return to work within 4 to 5 days, and stitches are removed at day 12. The scar is pink at first and fades to a fine line over 6 to 12 months.

 

Cost. A direct brow lift (both sides) is £2,500. The surgical consultation is £150, redeemable against surgery booked within 30 days.

 

To see where the scar sits, how a direct brow lift compares with other brow lifts and the full recovery timeline, read our direct brow lift recovery guide.