Project Description



As we age,. Skin relaxation may cause the eyebrows to drop, hooding our upper eyelids and making us look tired. If you are bothered by these signs of aging in the brow region, a brow lift may be right for you.


  • Raises sagging brows that are hooding the upper eyelids
  • Places the eyebrows in an alert and youthful position

Other cosmetic procedures that may be performed with a brow lift include:

  • Upper and or lower eyelid tucks
  • Facelifting
  • Skin resurfacing techniques

You may be a candidate for brow lift surgery if you:

  • Are physically healthy
  • Don’t smoke
  • Have a positive outlook and realistic goals

Forehead lines and Glabella lines

Frown lines between the brows can make us look angry or “too serious”,

unsightly wrinkle lines may appear on the forehead as we aged.

Treatment for these lines are Botulin Toxin ( Botox or Dysport ) injections


You will be given medication so that you will be comfortable during the surgical procedures, Your surgeon will suggest either intravenous sedation or general anesthesia. Brow lifts can be performed in different ways. Some surgeons prefer using an endoscope (a thin tube with a camera on the end) and special instruments placed through small incisions made within the hairline.This allows the tissue and muscle beneath the skin to be adjusted, correcting the source of visible creases and furrows in the forehead,

  • Some surgeons prefer to perform a brow lift through what is called a “coronal incision” The coronal incision is created from ear to ear across the top of the head, within the hair-bearing skin. Not frequently used anymore.
  • Endotine forehead : absorbable device applied to the bone trough a small incision that keep the forehead skin lifted until the scar process is complete.
  • Direct skin excision just above the eyebrows : indicated for patients with thick hairy eyebrows.
  • For women with very high foreheads, an incision just at the anterior hairline may be recommended. In this way the brow can be lifted without altering the height of the front hairline.The resulting scar, while somewhat more visible, can often be hidden with bangs.

Results appear gradually as swelling and bruising subside to reveal smoother forehead skin and a more youthful, rested appearance.


When your procedure is completed, your forehead may be taped and your head may be loosely wrapped to minimise swelling and bruising.You will be given specific instructions that may include how to care for the surgical site and drains, medications to apply or take orally to aid healing and reduce the potential for infection, specific concerns to look for at the surgical site or in your general health, and when to follow up with your plastic surgeon. You should keep your head elevated and perform no vigorous physical activity for as long as your surgeon recommends. Do not use ice or heat on the operated area.

Be sure to ask Dr. Federico specific questions about what you can expect during your individual recovery period.

  • What medication will I need after surgery?
  • Will I have dressings/bandages?
  • When will they be removed?
  • Are stitches removed? When?
  • When can I resume normal activity and exercise?
  • When do I return for follow-up care?

Initial wound healing may take 10 to 14 days. Sutures or clips will be removed when it is appropriate. You should be ready to return to work and normal activity after two weeks.

Cosmetics can help camouflage any bruising. Even though you will look presentable to the public, you will find that the healing will continue for several weeks, as the swelling dissipates and incision lines refine and fade.

It may take several months for your complete recovery.

Following Dr. Federico’s instructions is essential to the success of your surgery. It’s important that the surgical incisions are not subjected to excessive force, swelling, abrasion, or motion during the time of healing.Your doctor will give you specific instructions on how to care for yourself.


The results of your brow lift surgery are immediately visible. Over time post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover from surgery. The final results of your surgery will appear over the next few months.Although good results are expected from your procedure, there is no guarantee.

Life-long sun protection will help to maintain your rejuvenated appearance by minimising sun damage. A healthy lifestyle will also help extend the results of your rejuvenated, more youthful appearance.


Your satisfaction involves more than a fee:

When choosing a plastic surgeon for hand surgery, remember that the surgeon’s experience and your comfort with him are just as important as the final cost of the surgery.

Plastic surgery involves many choices.

The first and most important is selecting a Board Certified Plastic Surgeon, an ASPS (American society of Plastic Surgeons) or ISAPS International Society of Aesthetic Plastic  Surgeons) member surgeon you can trust.

ASPS/ ISAPS , Hand Surgery society members surgeons meet rigorous standards:

  • Board certification by the Official medical university in Plastic Surgery.
  • Complete six years of medical training following medical school with 5 years of plastic surgery residency training
  • Pass comprehensive oral and written exams
  • Graduate from an accredited medical school
  • Complete continuing medical education, including patient safety each year
  • Perform surgery in accredited Center.


During your consultation be prepared to discuss:

  • Your goals for your appearance
  • Your complete medical history
  • Your current medications, vitamins, herbal supplements, alcohol, tobacco, and drug use

Your surgeon will also:

  • Evaluate your general health status and any risk factors
  • Discuss your options
  • Examine and measure different parts of your face
  • Take photographs
  • Recommend a course of treatment
  • Discuss likely outcomes of brow lift surgery and any potential complications

Be sure to ask Dr. Federico questions. It’s very important to understand all aspects of your procedure. It’s natural to feel some anxiety, whether it’s excitement for your anticipated new look or a bit of pre-treatment stress. Don’t be shy about discussing these feelings with your plastic surgeon.

Prior to surgery, you may be asked to:

  • Get lab testing or a medical evaluation
  • Take certain medications or adjust your current medications
  • Stop smoking
  • Avoid taking aspirin, anti-inflammatory drugs (brufen, voltaren, ketorolac), ginger and other supplements as they can increase bleeding

 Brow lift surgery should be performed in a licensed surgical center, or a hospital.You will need to arrange for another adult to drive you to and from surgery, and to stay with you for at least the first night following surgery.


 The decision to have brow lift surgery is extremely personal. You will have to decide if the surgery will achieve your goals and if the risks and potential complications are acceptable, You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks and potential complications.

The risks include:

  • Anesthesia risks
  • Bleeding
  • Loss of hair around the incisions
  • Elevated hairline
  • Facial asymmetry
  • Fluid accumulation
  • Infection
  • Numbness
  • Poor wound healing
  • Possibility of revision surgery
  • Skin discoloration and swelling
  • Unfavorable scarring

These risks and others will be fully discussed prior to your consent. It’s important that you address all your questions directly with your plastic surgeon.


Usually health insurance doesn’t cover this procedure.Remember please : A surgeon’s cost may be based on his or her experience, the type of procedure used, and the geographic location of the office.Our clinic may offer patient financing plans, so be sure to ask.

Cost may include:

      • Anesthesia fees
      • Hospital or surgical facility costs
      • Medical tests
      • Post-surgery garments
      • Prescriptions for medication
      • Surgeon’s fee

Your health insurance plan will likely cover hand surgery and related complications. Pre-certification is generally required for reimbursement or coverage.

Do not be confused by other official sounding boards and certifications.

Please remember that There is no certifying board with “cosmetic surgery” in its name. By choosing a Corresponding member of The American Society of Plastic Surgeons, or an  ISAPS Member you can be assured that you are choosing a qualified, highly trained plastic surgeon who is board-certified .

My website it is not a substitute for a thorough, in-person consultation with dr Federico plastic surgeon.

federico plastic surgery