Before

Surgery involves elevation and contouring of the brows in a natural way and can be performed in a variety of ways depending on the patient's individual needs including endoscopically or via an upper blepharoplasty approach.

Dr. Mancini approaches brow lifting on an individualized patient basis with the goal being natural rejuvenation while avoiding a "surprised look." Dr. Mancini has pioneered his "Tuck and Rise" procedure which allows brow rejuvenation via a blepharoplasty incision without need for other incisions. He has published his technique and lectured around the world teaching this technique to other surgeons. Endoscopic brow lifting can achieve further lift and contouring in a subset of patients requiring more extensive brow rejuvenation with incisions hidden behind the hairline.
Example : 54yo female before and after Upper Blepharoplasty and "Tuck and Rise" Brow Lift



Brow Lift Surgery
Brow lift surgery may be appropriate for individuals who notice a gradual descent of the eyebrows, often resulting in heaviness over the upper eyelids, a fatigued appearance, or a misalignment between the brows and eyes. Patients often report that their facial expression looks concerned, tired, or aged-even when they feel well-rested.
Ideal candidates are generally in good health and may be experiencing early signs of facial aging, including forehead creases, eyebrow asymmetry, or hooding of the upper eyelid area caused by brow descent. Dr. Mancini evaluates each patient's facial structure, muscle activity, and aesthetic goals to determine whether a brow lift alone or in combination with eyelid surgery would be most beneficial.
A brow lift elevates and contours the eyebrows to address brow descent, upper-face heaviness, and a tired or strained facial expression. The goal is to restore a natural brow position while preserving your individual expression.
Many patients have both brow descent and excess upper eyelid skin. Dr. Mancini evaluates the brows, eyelids, forehead, and visual field together to determine whether a brow lift, blepharoplasty, or combined treatment best addresses the source of upper-face heaviness.
Modern brow lift techniques focus on restoring a natural brow position rather than over-elevating the brows. Dr. Mancini plans the amount and direction of lift around your existing anatomy to avoid an overly surprised appearance.
Brow lift surgery may improve forehead lines and frown lines while repositioning the brows, although it is not designed to eliminate every wrinkle. Your consultation will address whether surgery, neuromodulators, resurfacing, or a combination approach is most appropriate.
Brow lift results are long-lasting, though natural aging continues and brow position may change gradually over time. The longevity of results depends on anatomy, skin quality, technique, and other individual factors.
Yes. A brow lift and blepharoplasty are frequently evaluated together because brow descent and excess eyelid skin can both contribute to upper-face heaviness. The procedures may be combined when doing so supports the patient’s functional and aesthetic goals.
Most patients return to social activities within 1 to 2 weeks, although swelling, sensation, and brow position may continue to refine over time. Dr. Mancini provides individualized instructions for activity and follow-up.
There is no single age that is appropriate for a brow lift. Candidates vary widely, but many patients seek treatment in their 40s, 50s, and 60s when brow descent or upper-face heaviness becomes noticeable; candidacy is based on anatomy, health, and goals rather than age alone.
With dual board-certification in ophthalmology and oculoplastic surgery, Dr. Mancini brings refined surgical expertise and an aesthetic sensibility to eyelid and facial rejuvenation. Serving Beverly Hills, Los Angeles, and Shanghai, his practice combines advanced techniques, global experience, and a commitment to natural-looking, sustainable results.
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