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Procedure Options

Surgical Brow Lift

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"Oh, hey, are you feeling OK?" "It looks like someone was up late." "Aww, you look so sleepy." If you've been confronted with any of these sentiments when you're feeling fully rested, it may be time to consider some rejuvenation. Often, a person's first thought is, "I guess I need a facelift." But did you know that facelifts are performed to revive only the lower portion of the face (the lower cheeks, neck, and jawline)? A brow lift at our San Francisco practice is actually the right procedure to treat the upper face (upper cheeks, sagging brows, and portions of the upper eye area) to help you look awake and refreshed.

Featured Cases

Case 241

Background: This young woman consulted with Dr. Mabrie about her eyes, which were slowly looking older. She was noticing more wrinkles above and below the eyes and met with Dr. Mabrie to discuss upper lid and lower lid blepharoplasty. Importantly, she wanted to preserve the general shape of her eyes and was concerned that surgery might change how her eyes looked. Dr. Mabrie's Assessment: "Th...

Case 52

Background: San Francisco real estate agent in her 60's interested in rejuvenation of her eyes. In particular the outside corners were obscured by the eyebrow skin. She consulted with Dr. Mabrie about surgical options for brow lifting or eyelid surgery.Dr. Mabrie's Assessment: "This is an attractive woman with early signs of aging around the eyes. Because her problems were mild to moderate, i...

Case 31

Background: Patricia is a middle-aged woman working in the San Francisco/ Bay Area as a marketing representative. She was starting to notice in photos and in the mirror that her heavy upper eyelids were making her appear angry.  She frequently found herself raising her eyebrows in the morning, when placing eye shadow and throughout the day in general. Dr. Mabrie's Assessment:  She has h...

Case 23

Background:  Bay Area professional woman who had slowly noticed a heavy appearance of her upper eyelids.  She also had started to develop bags under her eyes.  Being very professionally and socially active, she consulted with Dr. Mabrie about surgical options to rejuvenate her facial appearance. Dr. Mabrie's Assessment: There is heaviness of the upper eyelid, particularly on the ou...

Case 7

Background: This San Francisco woman in her early 40's was starting to notice a change in her face.  She was concerned about the heaviness of her eyes and some sagging skin along her jaw line. While many of her friends and colleagues told her she looked great and didn't need anything, she was able to notice a slow but steady change in her face.Dr. Mabrie's Assessment: "This is an example...

Case 4

Background: This woman was brought in by her daughter because she was having increasing difficulty seeing. Her vision was good but her field of vision was being obstructed by loose skin hanging from her eyelids. Her primary care physician referred her to Dr. Mabrie for surgical options to improve her vision with possible blepharoplasty or browlift. Dr. Mabrie's Assessment: "This is an advanced ca...

See All Before & After Photos
See All Before & After Photos

Are You a Good Candidate?

Heavy and sagging brows are most associated with looking tired or sad, but they are very common as we age. Loss of volume and skin elasticity, aging, heredity, stress, and busy social lives can be to blame, all resulting in a tired look.

Dr. Mabrie says, "This is a common concern with patients from all walks of life and any age group. The cause can be hereditary or the result of a busy, active lifestyle. In the San Francisco Bay Area, many of my patients are juggling work and busy social lives. I often see working professionals, as well as busy stay-at-home partners, feeling like they look more tired than they feel. Fortunately, there are some great brow lift options to refresh your appearance. Depending on your level of need, there are some great ways to discreetly revitalize your look non-surgically."

Your Perfect Face

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Dr. Mabrie uses his expertise to combine treatments that target each of your cosmetic concerns for total rejuvenation.

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Non-Surgical Brow Lift

Featured Case

Patients presenting mild to moderate signs of aging are great candidates for a non-surgical brow lift.

Mild to moderate patients are typically 25 to 50 years old, with the presence of some fine lines and wrinkles. The beginning signs of aging are apparent with some loss of skin elasticity and volume loss.

A non-surgical brow lift is a combination of neurotoxins BOTOX® Cosmetic or Dysport® strategically placed to provide lift and replace lost volume. Dermal fillers Restylane® and JUVEDÉRM VOLUMA® XC restore volume to the cheeks and tear troughs to revitalize the eyes, forehead, and area between the brows.

Patients may experience a lift in the brows of a few millimeters. While it sounds small, it can make a world of difference.

Non-Surgical Facial Rejuvenation in San Francisco

September 2011

Surgical Brow Lift | Temporal or Lateral

Patients presenting with more moderate signs of aging are candidates for a surgical brow lift. This is the best option when non-surgical methods may not provide the level of improvement the patient desires to revitalize his or her appearance. These patients are typically in their mid to late 40s with heavier sagging brows and forehead.

Dr. Mabrie performs a temporal or lateral brow lift to reposition and anchor the brow to its original position. During this in-office procedure, small incisions are made on each side of the forehead near the hairline, and a small amount of skin is excised to tighten the area. This raises the corner of the brows upward. However, this procedure does not affect the area between the brows known as the glabella.

Featured Cases

How Do I Prepare for Surgery?

To get ready for your procedure, make sure your home is ready to welcome you back. Have food in the kitchen and pain relievers in the medicine cabinet so you can stay home and rest for a few days. You'll need to find a friend or loved one to pick you up after surgery, because anesthesia can leave you feeling woozy for several hours or even a few days. Dr. Mabrie will caution you against driving too soon. You'll also be asked to arrange for someone to stay with you the night following surgery.

What Is the Recovery Like?

When your surgery is complete, you will have a soft wrap around your head to wear for 2 to 4 days. Dr. Mabrie will remove your sutures during the week following surgery. You can expect to experience some swelling and bruising, and you'll be advised to keep your head elevated to minimize this. Although the swelling and bruising won't disappear entirely for a few weeks, you can be "Restaurant Ready" with the help of makeup in several days.

Brow Lift Recovery

Bandages Suture Removal Restaurant Ready* 75% 100%
2-4 days 4-7 days 4-10 days 3-4 weeks 2-3 months

*Restaurant Ready means you are ready to debut the new you!

Generally speaking, facial surgery patients recover much more quickly than those who have surgery elsewhere on the body. You should be able to resume exercising in 2 to 3 weeks.

Surgical Upper Lid Blepharoplasty

A surgical upper lid blepharoplasty can also be an option for patients considering surgical and non-surgical rejuvenation of the upper face. This in-office procedure can be combined with either the non-surgical brow lift or with the surgical options. An elegant procedure, the upper lid blepharoplasty focuses on refreshing the eyes by removing excess eyelid skin that may be sagging or drooping because of age or heredity.

"Upper blepharoplasty is one of my favorite surgical procedures because it's minimally invasive, but produces some amazing results. In little over an hour, we can make a substantial improvement to revitalize your appearance."

-Dr. Mabrie

Want to Learn More?

To learn about who makes a good candidate, procedure details, and what recovery is like, please visit our upper eyelid surgery page. This procedure can be done along with a brow lift or non-surgical brow treatments without significantly affecting your recovery.

Surgical Brow Lift | Coronal & Endoscopic

Patients with more extensive signs of aging may benefit from an endoscopic brow lift or the more traditional coronal brow lift. Both of these surgical brow lift procedures elevate the entire brow, moving your hairline backward. While Dr. Mabrie does not perform either of these surgeries, we can refer you to our trusted San Francisco colleagues to ensure your best care and results. Learn more about the different types of brow lifts.

Other alternatives to surgical procedures can include a liquid facelift, also known as a non-surgical facelift, by Dr. Mabrie where dermal fillers combined with BOTOX or Dysport can refresh your look. Learn more.

San Francisco Facial Plastic Surgeon David C. Mabrie M.D., F.A.C.S.

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The Surgeon

Dr. David Mabrie offers:

  • Double board certification
  • Excellent training & experience
  • Specialization in the face and neck
  • A trainer's skill in injectable filler techniques
Why Dr. Mabrie
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Dr. David Mabrie can take years off your face with either a surgical or a non-surgical brow lift. He works with men and women from throughout the Bay Area including San Francisco, Oakland, and Walnut Creek. Request a consultation online or call us at (415) 445-9513 today.

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Mabrie Facial Cosmetic: David C. Mabrie, MD
166 Geary Street
13th Floor

San Francisco, CA 94108
Phone: (415) 445-9513
Monday–Friday 8:30 a.m.–6 p.m.