Brow Lift

As we age, the upper face undergoes changes, leading to the descent of facial tissues and drooping eyebrows. Many individuals feel that this contributes to a tired or cross appearance. A brow lift is a surgical procedure designed to counteract these effects, rejuvenating the brow, opening the eye area, and restoring a more youthful, rested look.


There are several types of brow lift procedures. During your consultation with Dr Nick Koutroumanos, he will advise you on the optimal approach, considering your current eyebrow position, facial structure, hairline and desired results.

Dr Nick Koutroumanos, a qualified Ophthalmologist and triple-fellowship trained Oculoplastic Surgeon, specialises in treating the forehead and eye area. His expertise ensures a natural brow enhancement tailored to your unique features.

Candidates for a brow lift typically exhibit lowered brows, a flattening of the brow’s natural arch, and loose, elastic skin on the forehead with deep lines. While most patients are between 40 and 65, younger individuals with a genetically lower, heavy brow may also benefit. A brow lift can also address ptosis resulting from illness or injury.

Based on his extensive knowledge of the upper face’s structure, Dr Koutroumanos evaluates whether a brow lift should be combined with a blepharoplasty or upper eyelid lift.

Dr Koutroumanos offers several brow lift techniques. In your consultation, the risks and expected outcomes will be thoroughly explained. Using photography and mirrors, your expectations will be clearly defined, ensuring alignment with what the procedure can realistically achieve.

Only after a comprehensive discussion and understanding of the potential outcomes will a decision to proceed with brow rejuvenation be made.

Sagging eyes treatment

Procedure at a Glance

Procedure time
1-2 hours

Local or General

Length of Stay
Day case

Up & Mobile
Same day

1 week

Back to Work
1-2 weeks

5 days

Post-op Care
Ice pack for first 2 days

On back, sleeping upright for 1 week

Resume Exercise
2 weeks

Full Recovery
4-6 weeks

Final Results
2-3 months

Brow Lift Techniques

This highly effective and long-lasting technique involves a single hidden incision in the brow, making it ideal for versatile reshaping of the brow area. The ideal candidates for a direct brow lift are patients with heavy brows, and Dr Koutroumanos often combines it with an upper lid blepharoplasty.

The procedure is individually tailored to match the patient’s facial characteristics without delivering an unnatural or surprised look. Recovery is usually quick, and although there will be a scar on the brow, this should fully fade and flatten over the months following surgery.

This is a minimally invasive procedure Dr Koutroumans performs to elevate and stabilise the brow through an incision hidden in the eyelid’s natural crease, similar to a blepharoplasty incision. Through this, he can use internal sutures to suspend the outer and central sections of the brow to the underlying bony structure. Recovery is typically rapid after an internal brow lift, and there is no external scarring.

Suitable candidates for this procedure are those that have drooping of the outer eyelid and brow but no significant sagging across the brow. It is often combined with a blepharoplasty to achieve the optimal aesthetic outcome.

This technique achieves a long-lasting result and allows Dr Koutroumanos to reshape the brow and address moderate to severe sagging of the brow tissues. An incision is made just behind the hairline through which the skin and underlying tissues are lifted. Recovery is similar to a direct brow lift, and the scar should be well hidden when fully healed.

As well as addressing brow sagging, a pretrichial lift is also an excellent solution for patients who wish to lower their hairline, as it can shorten the height of the forehead.

A meticulously created fine line incision just on the edge of the eyebrow, in select patients, can provide extremely effective recontouring of the brow position and shape.

For patients who do not have severe facial ageing and want a subtle brow lift, it is possible to achieve a slight elevation of the brow using muscle-relaxing injections. The frontalis muscle that applies an upward pull is strengthened by injecting toxin into the depressor muscles, which apply downward force on the eyebrows. The eyebrow arch is, therefore, lifted into a higher position. A toxin brow lift will also smooth out frown lines across the brow.

Muscle-relaxing injections have been used safely to treat dynamic wrinkles in the upper third of the face for many years. A local anaesthetic numbing cream beforehand to minimise any discomfort and you will be able to return to normal activities immediately after treatment. A toxin brow lift results are temporary and last between three and six months.

Eyelid surgery expert
Oculoplastic surgeon London


Dr Nick Koutroumanos

Dr Nick Koutroumanos is a London-based Ophthalmic & Oculoplastic surgeon, with particular subspecialty expertise in ophthalmic plastic & reconstructive eyelid, orbital and lacrimal surgery.

His private practice, based at The Hospital of St John & St Elizabeth in St John’s Wood complements his work in charge of a large NHS oculoplastics practice at the Royal Free Hospital in Hampstead.

A qualified senior trainer and Royal College Examiner in ophthalmic plastic surgery, cataract surgery and general ophthalmology, he runs an Oculoplastics Fellowship training programme that is highly sought-after by both UK and international candidates.

Kind Words from Our Patients


A true perfectionist

Words are not enough to express my sincere gratitude for the care and dedication Dr Koutroumanos put into my journey. I felt safe and secure in his hands. This is someone who truly cares about outcome and ethics of practice. A true perfectionist. I would not hesitate to wholeheartedly recommend him.

100% worth it

I had surgery a few days ago with Dr Koutroumanos for congenital ptosis. It’s early days but I don’t think it’s too early to say the results will be life changing for me in terms of confidence levels. I struggled at school due to the condition and have learnt to live with it – that is until I saw the doctor who was reassuring from the start and has just done the best job. 100% worth it and amazing to know I was in such safe hands. I can’t thank him enough.

I’m really happy with my results

I’ve recently had a brow lift and blepharoplasty with Mr N Koutroumanos. The whole process from start to finish was handled professionally and each process was very informative. I’m still at the recovery stage, so far I’m really happy with my results. Highly recommend using Mr N Koutroumanos services.