“When you don’t feel how your eyebrows make you look, a brow lift may be right for you.”

Common name – Brow Lift.

Technical name/also known as – Brow Pexy.

Benefits of a Brow Lift

This surgery is for women or men with low brow position. The sag of the brow can cause or exacerbate hooding of the upper eyelids. As brows age, they can also change in shape with a more linear appearance compared to a more arched appearance common in youth. Some people are thought of as “angry” due to their low brow position.

How it is done: How the brow is “lifted”

This procedure repositions the eyebrows through an incision above the hairline in men and women. For men with a raised hairline or without hair, the scar likely will be visible.

There are essentially two approaches to this surgery—an endoscopic approach or an open approach. With the endoscopic approach, several small incisions are made in the scalp and the soft tissue of the forehead is repositioned using a video camera and long instruments. A device called an Endotine is fixed to the skull to help resuspend the soft tissues of the forehead. In the open or coronal brow lift approach, a long incision is made behind the hairline. The brow is repositioned and excess skin is removed which holds the brow in its new position.

If excess upper eyelid skin is also a problem an upper eyelid lift may also be performed at the same time.


A brow lift can change the shape and position of the eyebrow, making a face that may appear tired look rested again. It can also return the brows to a more youthful position.


For the endoscopic brow lift with Endotine placement, you will be limited on hair brushing and styling for the first three weeks after surgery. For an open brow lift, sensory changes of the scalp may occur which can sometimes be permanent. Temporary hair loss can occur.

Who pays for this

This is a cosmetic procedure, paid for by the patient.

What to expect

Length of operation

2 – 3 hours (depending on the extent of the procedure).

Anesthesia used

General anesthesia, you will be asleep and monitored the entire time.

In or out patient

This is an outpatient surgery, you will go home the same day.

Time until final appearance

3 to 4 months, depending on how swelling resolves.

Length of results

Long-lasting, but varies from patient to patient.

Side effects

Temporary swelling, bruising, and some pain. For the first 7-10 days after surgery, you should sleep with your head in an elevated position. Sensation of the skin of the scalp will be different initially. Bruising may occur at the lower eyelids, even if surgery was not done there.

Risks of procedure

All surgery carries risk. I recommend patients carefully weigh the benefits of having surgery against the potential risks which may arise.   Risks include pain, bleeding, infection, damage to nearby structures, need for other procedures, recurrence of skin laxity, dissatisfaction with appearance, asymmetry, seroma, sensory changes including permanent loss of sensation, temporary or permanent changes in facial movement, wound healing delays requiring wound care, deep vein thrombosis, and pulmonary embolus. A complete list of risks will be discussed with you before surgery.


“Patients appear more alert and rested after a browlift. They are not asked if they are sad, angry, or tired anymore.”

– Dr. Danielle DeLuca-Pytell  

Virtual Consults


While we are under social distancing and shelter at-home instructions, I am offering virtual consultations for new patients interested in meeting with me.

You can do this from a computer (via an invitation) or a smartphone (via an invitation and the Google Meet app).
There are four parts to the consultation:


1. Arrange a consultation by phone or email,
Phone: 248-885-8858


2. Download the new patient forms. Click here.

After you fill them out, you can either fax or email them to me.
Fax: 248-856-3975


3. Once the consultation is arranged, a meeting invite will be sent to you with the link for the consultation. At our prearranged time, follow the link to our secure and private consultation.

There, you and I will have time to talk about your goals, medical history, and all about the procedure.

While the examination is limited to observation in two dimensions, I should be able to determine whether or not you are a candidate for surgery.


4. If you are indeed a surgical candidate, you will be contacted by Andrea, my patient coordinator, to get a surgical quote (or if insurance-based, your expected out of pocket costs), and an opportunity to hold a surgical date.

You will also be given a follow-up visit to confirm with your exam that you are a candidate and preoperative visit time for us to prepare you for surgery.


I hope to virtually see you soon!

Your Next Step!

Call or email us to schedule an appointment and find out if you are a suitable candidate for this procedure.

Our phone number


Give our office a call Monday to Thursday, 9am to 5pm, Friday 9am to 3pm.

Our email address

Please also email us anytime with questions you have.

Quick Contact Form

    Before and After Gallery

    When you come into the office for your appointment, you will be able to see more ‘before and after’ photos of this procedure including different options.

    Recovery time

    If healing proceeds as expected:

    Rest at home (princess treatment) 2 weeks (no housework or exercise). Outsource housework a while you rest. Walk around the house, but do not work out. Rest with your head up and sleep with your neck extended (to avoid creasing) for the first two weeks.

    Return to gentle exercise and household chores at two weeks, but no heavy lifting or strenuous activity for six weeks. May cover scars with makeup once scabs are gone. May resume work if it is sedentary. May color hair at three weeks after surgery.

    Return to full activity 6 weeks after surgery.

    Returning to Work

    This depends on the type of work that you do.   Many women can return to sedentary work at three to four weeks, though not everyone is ready to return to work by then. Surgery affects different people differently. If your work is more strenuous, six weeks off work may be needed.

    Time until final appearance

    3 to 4 months, depending on how swelling resolves

    Length of results

    Long-lasting, but the aging process will continue.

    Smoking and Surgery

    If you smoke, it is imperative that you quit six weeks both before and after surgery.  To better understand why, please click this link:

    Smoking and Plastic Surgery

    Other Information

    if you color your hair, do so right before surgery as you will not be able to color your hair until three weeks following the procedure. Plan to bring a scarf with you to the hospital on the day of the procedure as well as dark glasses to camouflage your temporarily swollen appearance on leaving the hospital.


    See what her patients have to say about their surgical experience.

    Follow the link to read some of the many letters received by Dr. Danielle DeLuca-Pytell.

    Your Appointment

    When you visit the office for your appointment, we will talk about the side effects and risks of this procedure.

    You will have the chance to ask any questions you might have.

    Don’t forget:  it is your body!  There is no such thing as a bad or silly question!

    Contact us

    Give us a call to schedule your appointment.

    Our phone number