Browpexy Surgery

Browpexy (sometimes called an internal brow lift) is a subtle surgical technique that repositions your eyebrow to a more youthful height without the need for major surgery on the forehead.

What Is Browpexy?

Browpexy (sometimes called an internal brow lift) is a subtle surgical technique that repositions your eyebrow to a more youthful height without the need for major surgery on the forehead. The goal of browpexy is not to dramatically change your look, but to gently reposition the outer part of the brow to its original position. By gently supporting and lifting a sagging brow tail, browpexy can open up the eye area and restore a balanced, refreshed appearance.

One of the key advantages of browpexy is that it’s usually done through the same incision as an upper eyelid surgery. In other words, when you have an upper blepharoplasty (eyelid lift), the surgeon can also perform a browpexy through that same tiny cut in your eyelid’s natural crease. This means no additional incisions on your forehead or scalp are required, keeping any scarring minimal and well-hidden. Because it’s so minimally invasive, browpexy often comes with a quicker recovery and less post-operative discomfort compared to traditional brow lift surgeries. Patients appreciate that browpexy is a modest enhancement. It restores the brow to a youthful position without creating an overly lifted or “worked on” look.

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The Least Invasive Eyebrow Surgery

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Before and after image of on of Dr. Bidar's patient's.

Unlike a traditional brow lift (which can involve lifting the entire forehead), browpexy is often considered the least invasive type of eyebrow surgery. It achieves a subtle lift of the brows without large incisions or a long recovery. In fact, browpexy is typically performed at the same time as an upper eyelid lift (blepharoplasty), using the same small incision hidden in the eyelid crease – meaning no additional scars are needed.

The result is a natural-looking improvement in the eye area that doesn’t look “overdone” or give you a constantly surprised expression. In the sections below, we’ll explain what browpexy entails, how it differs from a traditional brow lift, and why Dr. Mazi Bidar and Dr. Carlo Bernardino often recommend this minimal procedure to patients seeking a brighter, more youthful appearance around their eyes.

Top Benefits of Brow Pexy Surgery

There’s no long scar along the hairline or brow; the tiny incision is hidden in the eyelid fold, making any scar virtually invisible once healed.

This procedure yields a subtle enhancement. It avoids a pulled or “overdone” look.

Browpexy is often combined with an eyelid lift, as it can address two problems simultaneously (sagging brows and droopy upper lids) for a more harmonious overall improvement. The forehead and eye area appear balanced and refreshed together, rather than focusing on one area and neglecting the other.

Patients who have browpexy generally heal quickly, especially when it’s done with an eyelid lift. Most normal daily activities can be resumed within a week or two after surgery, which is similar to (or only slightly more than) an eyelid-only surgery.

Who Is a Good Candidate for Browpexy?

  • You have a mild to moderate amount of sagging in your eyebrows (especially the outer tails), rather than a very severe brow droop that might require a bigger lift.
  • The upper, outer corners of your eyelids look heavy or “hooded,” and you suspect it’s due to both excess eyelid skin and a descending brow in that area.
  • You’re seeking a subtle lift to enhance your natural look, and you specifically want to avoid a dramatic change or the risk of a pulled-too-high brow.
  • You are in overall good health, a non-smoker (or willing to quit around the time of surgery), and have no uncontrolled medical conditions.
Before and After of Dr. Bidar's brow pexy patient.

Brow Pexy Surgery Focused on Natural Alignment

If you’ve been frustrated by sagging brows or tissue hanging over the corners of your eyes, it might be time to explore this gentle surgical fix. Imagine no longer having to lift your brows in surprise just to put on eyeshadow, or not feeling like you inherit a “tired” expression by day’s end. With browpexy, those improvements are well within reach.

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