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Brow and Forehead Lift city, state

Brow Lift A heavy eyebrow or forehead can be a sign of age, but is not always directly related to the aging process. Some people are born with thicker or more pronounced soft tissues of the forehead. Regardless of the cause, a heavy brow can give the appearance of anger, frustration, or sadness – even when you’re feeling great. In addition, the full brow can push down on the upper eyelids, making you look tired or drowsy. (This heaviness on the outside of the eyelid area is called lateral hooding.) Finally, the shadow cast by the brow can detract from the brightness or openness of your eyes, again giving an impression that is different than how you feel.

In many cases, Dr. Ransom can address these specific concerns with a minimally-invasive endoscopic browlift (forehead lift). However, certain circumstances demand a different approach – and Dr. Ransom is a specialist in all types of brow and forehead surgery. For patients with an asymmetric brow (one side obviously higher than the other), or in cases of facial paralysis (where one side of the forehead doesn’t move), an open treatment of the forehead helps to achieve the best results. In women with a high hairline or tall forehead, an open approach may allow for hairline lowering or reduction of excess forehead skin, using an incision placed in the hairline (pretrichial browlift). For men with significant hair loss and a heavy brow, a variety of approaches can be used to elevate the brows without elevating the hairline or leaving obvious, unsightly scars in the scalp – ensuring natural-appearing results. For more information, see the Procedures for Men section.

Brow or forehead lifts, regardless of approach, can be combined with other facial rejuvenation or reconstructive procedures, and are particularly effective when the eyelids are addressed at the same time. Please visit the photo gallery for some examples.

Who is a candidate?

Anyone with a heavy brow, deep glabellar rhytids (the “11’s” between the eyebrows), and particularly patients with lateral hooding of the upper eyelids (see above) is a candidate. Special consideration is needed for men who are bald or have significantly receding hairlines (please visit the Procedures for Men section). Upper eyelid ptosis (upper lids do not open all the way) should not be confused with lateral hooding; this issue has to do with the muscles that retract the upper eyelid, rather than excess eyelid skin or a heavy brow region. Comprehensive rejuvenation of the entire forehead, brow, and eyelid complex can be discussed with Dr. Ransom at your consultation.

Frequently Asked Questions

Question: What is the recovery like after a browlift?
Answer: For the first night after the procedure, patients wear a soft cotton dressing. Bruising and swelling peak on day two, and then decrease steadily. This typically takes about a week, but may be faster or slower for some patients. Depending on the approach used, incisions may require minimal daily care. Sutures are then removed a week after the procedure. Keeping the head elevated is very helpful for the first few days.
Question: Will a browlift change the shape of my eyes?
Answer: Having a browlift will not change the shape of the eyes. In the first few days after surgery, when the area is still swollen, the eyes will look puffy and it may be difficult to see their exact shape. However, after healing, the desired effect of a browlift is seen – a more open appearance of the eyes from elevation of the heavy brow tissue and a smoother forehead contour.

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.

Our Patient Reviews

San Francisco Center for Facial Plastic, Reconstructive & Laser Surgery

5 / 5.0

Based on 23 reviews

Christina G.

I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!

Tk I.

I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!

Joey B.

I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.

Edward T.

Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.

Lisa C.

Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.

Cheryl H.

Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.

Jill P.

I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.

Arielle C.

Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.