Sagging, drooping skin on the forehead and brow are telltale, visible signs of aging, and can contribute to a tired, tense, angry, or sad appearance. To restore a refreshed appearance, Orange County plastic surgeon Dr. Timothy R. Miller offers brow lift surgery at his state-of-the-art practice, located in Aliso Viejo. Relying on his specialized training in facial plastic surgery, as well as his years of experience, Dr. Miller is able to create a soft, natural-looking appearance that restores a more youthful look, while preserving the natural facial animation and expression that is uniquely you.
Dr. Miller is a double board-certified facial plastic surgeon with an uncommon level of training and experience. He has focused his practice on performing face and neck enhancements, including brow lift surgery for clients for people from Newport Beach, Mission Viejo, Rancho Santa Margarita, Laguna Beach, San Clemente, and beyond. To schedule your personal consultation with Dr. Miller, call us at 949-482-1752 or request a consultation online.
Dr. Miller's Approach to Brow Lifts
In the past and still today, eyebrow rejuvenation has often been performed too aggressively. The eyebrows are elevated too high, resulting in an unnatural, displeasing, and obvious "she's had work done" look. Newer and more artistic approaches take a more conservative line: "less is more." That is, the emphasis is on a natural and gentle elevation of the outside portion of the eyebrow, hence the term "temple lift." My goal with brow lift or temple lift surgery is to better frame the eye, eliminate the tired, sad, or angry appearance seen with downturned and lowered eyebrows, and remove the excess skin that exists on the outside portion of the upper eyelid (called "hooding").
Commonly, patients with falling and deflated eyebrows tend to elevate their eyebrows for extended periods of time, often doing so subconsciously. The constant muscle activity is responsible for the horizontal lines and wrinkles on the forehead, which can sometimes be very deep and etched. This subconscious muscle activity is usually reduced after a temple lift or brow lift. Non-surgical procedures such as BOTOX® Cosmetic, fat augmentation, and fillers can provide options for some patients looking to remedy lowered and deflated eyebrows, but these may not be optimal treatments for everyone.
The temple lift is a procedure performed with incisions hidden within the hair on the scalp. The hair is not shaved or cut. Proper "release" of the eyebrow is essential and takes years of surgical skill to master. The proper release allows for a tension-free elevation of the brow and solid long-term results. During the procedure, the outside portion of the brow is elevated, and occasionally the procedure is extended to a full brow lift for those with heavier or significantly lowered brows. In these instances, the inner portion of the eyebrow is elevated as well.
The procedure is performed with moderate sedation, meaning the patient is conscious but very relaxed. Deeper forms of sedation are available. The social downtime is typically 7 to 10 days, with the sutures removed after 10 days.
Common Questions or Concerns
Will I have obvious scars?
The vast majority of Dr. Miller's incisions are hidden within the hairline. For patients with elevated hairlines or for those who wish to lower their hairlines, Dr. Miller uses trichophytic incisions, which encourage hair to grow through the incision sites. No hair is removed during the procedure, and no staples or screws are used.See more
Will I look wind-blown?
No. Dr. Miller is known for creating very natural looking results. You will look refreshed, not wind-blown or pulled and your eye shape will remain the same. Most patients are able to go home after surgery and return the next day for evaluation and hair washing. Sutures inconspicuously located in the hairline are removed 10 days after surgery. Dr. Miller often prescribes pain medication to be taken for 2 to 3 days after the procedure for optimal comfort. Patients can resume most of their normal activities within 1 week, with no exercise restrictions after 2 to 3 weeks.
Are there nonsurgical alternatives to brow lift surgery?
BOTOX® Cosmetic, fat transfer, or dermal fillers can be effective non-surgical options for elevating a slightly lowered brow. However, if significant sagging is present, these treatments may not be sufficient. Dr. Miller will recommend the best course of action during your consultation.
How should I choose a plastic surgeon for a brow lift?
As with any surgery, skill and experience are key. While many surgeons may perform this surgical enhancement, the outcomes vary widely. When brow lift surgery has been performed too aggressively, the result can be shocking, leaving the patient with a wide-eyed, unnatural look that is clearly the result of surgery – and that’s the last thing you want. The ideal result is a refreshed, more youthful look that appears completely natural.
Dr. Timothy R. Miller has outstanding credentials. Every procedure is carefully planned and executed to produce a subtle improvement that inspires compliments. His background and training have given him a great breadth of knowledge about muscle structure in the face and neck, and how to produce beautiful surgical results. When looking for a facial plastic surgeon to perform a brow lift in Orange County, take the time to review qualifications, experience, and education as your first step.
Step-by-Step Procedure Facts
- Your procedure will be performed in our AAAASF accredited operating facility.
- You will likely receive twilight anesthesia (conscious sedation), although general anesthesia is also available.
- In most cases, you will be able to return home the same day.
- You will receive pain medication for the first 2 to 3 days for increased comfort.
- You can resume most social activities in about 1 week.
- Results will progressively improve as bruising and swelling resolve.
Patient Care Beyond the Ordinary
Dr. Miller established his practice to be patient-centered. Every detail was put in place to make the experience as smooth and pleasant as possible. Our state-of-the-art surgery center has all of the most advanced technology, and adheres to the strictest patient health and safety protocols. You can be confident that your Orange County brow lift will be performed by a plastic surgeon who is at the top of his field, and who takes great pride in creating the most natural-looking, beautiful facial enhancements.
While his methodology may require more surgical time, if you are undergoing surgery, you want the outcome to be a significant enhancement to your appearance. Talk to us about brow lift surgery, and schedule a one-on-one consultation with Dr. Miller. View our gallery, and read our reviews for more information. Our clinic is in Aliso Viejo, and easily accessed from Newport Beach and the other surrounding communities in Orange County.