Mini-brow lifts raise and reshape the eyebrows and upper eyelid, lifting excess skin out of the upper eyelid area. With aging, many people notice their brows descending and heavily encroaching on their eyelids. Mini- brow lifts are similar to full brow lifts, but mini-brow lifts are targeted for patients who require less lift and would also like to have more maintenance. Dr. Hsu will examine the position of your eyebrows relative to the underlying bone in conjunction with your overall facial harmony to determine where your brows should be to maximize your facial aesthetics. Also, brow lifts vary depending on your forehead size. If your forehead is too long or if you have a receding hairline, Dr. Hsu will remove the appropriate amount of skin to improve forehead appearance.  

Good candidates for this procedure:

  • Patients whose brows sag, resulting in a sad expression

  • Patients whose central brows hang down, resulting in an angry expression

  • Patients with frown lines between their eyes

  • Patients who can gently lift the skin above the eyebrow into a pleasing position to eliminate most of the excess skin in the upper eyelid

What to expect: Consultation

All cosmetic consultations are complimentary and serve as a great opportunity to gain further insight by voicing your concerns and having questions answered. During the initial consultation, Dr. Hsu will ask some questions to get to know you and determine if you are a good candidate for a mini-brow lift.

Dr. Hsu will first ask you about your specific goals for the mini-brow lift, including what degree of lift you would like for the brow and your goal for position of your eyebrows. He will examine the area together with you. He will then ask you about your general health history, including any existing medical problems, prior surgery, daily medications, allergies, and any smoking habits.

Dr. Hsu will then give you his assessment on whether you would be a good candidate for the procedure, and if so, how the surgical plan should be individualized for your anatomy. Since each patient's anatomy and surgical goals are different, you and Dr. Hsu will work together to reach optimal aesthetic results. 

Surgery Details:

On the day of surgery, Dr. Hsu will meet you in the pre-operative area before surgery to make markings on the areas planned for surgery and answer any last minute questions you may have. Mini-brow lift procedures are performed under local anesthesia for a duration of approximately an hour and a half. The procedure is performed under local anesthesia because it involves less tension than a full brow lift. Dr. Hsu will make an incision in front of or behind the hairline, ensuring it is well-hidden and heals inconspicuously. He will then dissect down the forehead skin to elevate and liberate it from the underlying bone. Finally, he will pull the skin up, excise any excess skin, and seal the incision properly to minimize scarring.

Recovery & Post-operative Instructions: 

After the surgery, Dr. Hsu will wrap dressings around the surgical area which will remain there for the first week during healing. You must keep your head elevated during recovery periods, making sure to sleep on two pillows at night. We also recommend wearing a handkerchief or shawl to cover the area so that you will be more comfortable going outside. For most patients, by two weeks after surgery, bruising and swelling has subsided enough for makeup and concealer to cover any remaining bruising.

Most importantly, you should keep the surgical area dry until Dr. Hsu gives his approval to shower. To clean the rest of your body, you can bathe from the shoulders down. Dr. Hsu will usually remove stitches during your first week follow up appointment. Swelling & bruising will peak about 48 hours after surgery but will then decrease significantly in the first two weeks. Most patients can return to work after two weeks, but many patients return even sooner. The biggest limitation for post-operative patients is driving, which should be avoided while taking pain medication. Patients usually stop taking pain medication after five to seven days and plan their work schedules accordingly. Six weeks is usually an appropriate time to gradually return to full exercise and activity.

During the recovery period, we recommend walking within the house several times per day to speed healing and minimize the possibility of developing blood clots. If you have any issues after surgery, Dr. Hsu is available 24 hours for any immediate concerns. For an extended period of time after surgery, Dr. Hsu will see you in follow up to make sure you are healing well. Follow up appointments are scheduled immediately after surgery to up to a year afterward.

Mini versus Full?

Mini Brow lift
  • Mini-procedures are not as extensive. The results are still rejuvenation but not as substantial as a full brow lift. Usually targeted for younger women in their 40s to 50s that are looking for a lift for maintenance and not for a sudden dramatic change.
  • Mini-procedures are gaining popularity due to the decreased downtime and recovery.
  • Mini-procedures are done under local anesthesia in our clinic.

Dr. Hsu's view on a Mini-Brow Lift.

In my experience, many of the patients undergoing mini-brow lift do this in conjunction with an upper eyelid lift.  In a certain number of patients requesting the upper eyelid lift, I find that it is the sagging of the forehead that causes the tissue to droop into the area of the upper eyelid and cause it to appear heavy.  In these patients, a brow lift or mini-brow lift is a great choice.

The most common question I get asked about this is the placement of the incision.  In the majority of patients, I will place the incision behind the hairline, so that it is nicely camouflaged and hidden from view.  However, in patients who have a high forehead, I will sometimes place the incision in front of the hairline in order to shorten the forehead slightly and pull the hair in a forward direction.  With careful closure technique, the healing of the incision can still appear minimally visible and hard to see.