Direct Brow Lift Bellevue & Kirkland

One misconception about brow lifts is that they are purely anti-aging surgery. However, this is not true. Brow lifts can also be performed in younger patients for more cosmetic reasons related to the natural shape and position of their eyebrows. While some of these anatomical differences may have to do with age, when a brow lift is performed in these cases, it is often much more subtle and focuses on creating the ideal brow position, arch, and shape. The direct brow lift is an example of an often cosmetic brow lift. Dr. Craig Jonov at The Gallery of Cosmetic Surgery performs the best direct brow lift Bellevue and Kirkland provide.

Direct Brow Lift Summarized

Unlike other types of brow lift surgery, a direct brow lift involves an incision either just above or below the eyebrow. Thus, it “directly” lifts the brows and provides few, if any, enhancements to the forehead or hairline. For people who have a droopy brow shape or a naturally heavy brow, this is a great minimally invasive surgery option that only addresses the brows without altering other facial structures unnecessarily.

A direct brow lift does come with an increased risk of visible scarring when compared to other techniques. This is why few patients or providers opt for this method. However, it does still have certain indications. 


Brow lift techniques like the endoscopic or hairline methods are more commonly performed due to their versatility and hidden incisions. Though, there are still situations where a direct brow lift is recommended or preferred. Some of the possible indications for a direct brow lift include:

  • Correction of brow asymmetry
  • Address complications associated with facial paralysis
  • Surgical option for glabellar lines
  • Visual obstruction, but no evidence of muscular or anatomical drooping of the upper eyelids
  • Repositioning of a notable heavy brow
  • Alternative to the hairline or coronal incisions for bald or balding people
  • Previous brow injury or surgery that resulted in a scar

A direct brow lift is best performed on someone with thick eyebrows because this gives them the best chance of naturally disguising the scar. Due to this, men are often good candidates for the procedure, especially if they have a receding hairline that does not make it possible to undergo another method.

Benefits & Risks

A direct brow lift offers patients many benefits. However, like all surgical procedures, there are inherent risks to undergoing a direct brow lift. Dr. Jonov will help you evaluate the weight of the benefits and risks in your unique situation.

Some of the possible benefits include:

  • Correct brow asymmetry
  • Lift the brows to better match structural anatomy
  • Promote a younger looking appearance
  • Remove excess skin
  • Reduce the appearance of glabellar lines
  • Help smooth fine lines and wrinkles
  • May provide some lifting to the upper eyelids
  • Can resolve visual obstructions
  • Create better balance and symmetry between brows and hairline
  • Minimally invasive
  • General anesthesia is not necessarily needed
  • Mild recovery and little downtime
  • Performed by a highly experienced plastic surgeon in an outpatient setting

The risks of a direct brow lift surgery may include:

  • Visible scarring
  • Infection
  • Asymmetry or unsatisfactory result
  • Excessive, prolonged, or severe side effects
  • Nerve damage
  • Skin necrosis
  • Eyebrow hair loss

Many of these risks are temporary and treatable. Permanent or severe side effects are rare, but people with certain medical conditions or who are prone to thick scarring may not be ideal candidates due to increased risk. However, Dr. Jonov will evaluate this during your consultation at The Gallery of Cosmetic Surgery.

Direct Brow Lift vs. Endoscopic Brow Lift

Today, the most common surgical technique for a brow lift is the endoscopic method. Knowing whether you need one over the other—especially if you are considering both—can be difficult to discern. Seeing a qualified provider like Dr. Jonov can help determine the right technique based on their expertise. The table below can also give you insight into which may benefit you most based on your needs.

Direct Endoscopic
  • Incision along the eyebrow
  • Small amounts of skin removed
  • Little to no enhancement of the forehead and hairline
  • Best for treating brow asymmetry
  • May be better for men because of larger and bushier brows
  • Higher risk of visible scarring
  • Usually does not address underlying facial muscles
  • No specialized surgical equipment
  • Incisions just behind the hairline
  • Moderate amount of skin removal
  • Enhances brows, forehead, and possibly the hairline
  • Ideal for treating age-related brow sagging
  • Compatible with all genders, but may work for bald or balding men
  • Low risk of visible scarring
  • May tighten facial muscles
  • Uses an endoscope

The two procedures do share similarities. For example, both can be used to treat aging or for purely cosmetic reasons. They also focus on the upper third of the face and reposition the brows in some way. The direct and endoscopic brow lift techniques may also provide some enhancement to the upper eyelids. Both surgeries are also sometimes performed under local anesthesia.

Frequently Asked Questions

Will A Direct Brow Lift Scar?

Yes, all surgical procedures will leave some sort of scar. The severity and visibility of the scar will vary. Dr. Jonov will provide advice on how to care for your incision and scar during the healing process. It is possible for your scar to heal discreetly or become hidden by your eyebrows. However, this is not guaranteed.

Patients considering a direct brow lift procedure should understand that the risk of visible scarring with a direct brow lift is much higher than with other forms of brow lift. With that said, if a patient does not have a history of thick, raised, major scarring, they likely have a low risk of major scarring.

In some cases, it may be possible to perform a direct brow lift through an upper blepharoplasty incision. If performing upper eyelid surgery, Dr. Jonov may provide some enhancement to the brow as well, if possible and necessary. This can limit the amount of visible scarring significantly.

Is It Better Than A Botox Brow Lift?

Depending on the goals associated with your direct brow lift in Bellevue, it may be possible to achieve similar results with Botox injections. If you need only minor lifting of the brow, Botox and potentially temple filler may be enough to achieve the results you want. This may also be ideal for younger patients or those who are not ready to commit to surgery.

Though, these procedures are temporary and must be refreshed semi-regularly. Whereas, a direct brow lift surgery lasts several years and may not need to be refreshed depending on your age and the circumstances of the surgery. Dr. Jonov can discuss this further at your consultation.

How Long Does A Direct Brow Lift Last?

A direct brow lift lasts an average of ten to twelve years. This is roughly on par with most other brow lift surgeries. With that said, if undergoing a direct brow lift for medical reasons such as to correct the effects of facial paralysis, the results may last longer or even be permanent. However, this depends on the specifics of your procedure and situation.

Why Is The Direct Technique Less Common?

The main reason that fewer surgeons perform a direct lift is because of the risk of visible scarring. Plastic surgery relies on hidden scarring in most circumstances. Thus, there is no guaranteed way to hide the scars of a direct brow lift.

However, if this does not matter to you, you have an existing scar in the area, or you have a generally low scarring risk, a direct brow lift may still be possible. Additionally, while it is a less common procedure, it is still an effective one.

How Much Is Brow Lift Surgery In Bellevue?

The cost of a direct brow lift in Bellevue starts at $5,995. Additional procedures, anesthesia type, and specialized equipment or techniques may incur additional charges. Upon consultation with Dr. Jonov at The Gallery of Cosmetic Surgery, you will receive a personalized brow lift price quote.

The Gallery of Cosmetic Surgery does work with outside financing companies including Care Credit to help you find affordable financing. You can find more information and links to apply on our financing page.

Dr. Jonov is extremely talented and I couldn't have imagined better results. The supporting staff here is wonderful. I will always recommend them to all my friends and family.


I have been very pleased with the services that I have received at The Gallery of Cosmetic Surgery. There is never any pressure to spend money on other services and everything is explained fully. I highly recommend going there for any treatments you feel are necessary.


Amazing surgeon with an amazing staff. Everything was addressed in fine detail to me and I was taken care of like I was an immediate family member. I felt comfortable with my doctor and his staff. My surgery turned out wonderful and I was overly full of questions and concerns along the way, not feeling like I was a bother at all. The facilities were clean and orderly. I definantly recommend The Gallery of Cosmetic Surgery!


Dr. Jonov and staff are very caring and professional. They care about the quality of their work and well being of their patients. I am pleased with my results and the care I received 😊


The Best Direct Brow Lift In Bellevue With Dr. Craig Jonov

Dr. Craig Jonov is a plastic surgeon with years of experience. He specializes in plastic surgery of the face, breasts, and body. Dr. Jonov has performed all types of brow lifts for decades. He has achieved amazing results and helps his patients determine the best procedure for them based on their goals, health, and anatomy. The Gallery of Cosmetic Surgery offers the best direct brow lift Bellevue and Kirkland provide.

The Gallery of Cosmetic Surgery is a premier plastic surgery practice and medical spa. Located near the junction of I-405 and I-5, The Gallery of Cosmetic Surgery serves the Eastside and Greater Seattle area with top-notch plastic surgery, cosmetic injectables, and medical-grade skincare. Our facility is Medicare and state certified.

To learn more and schedule a consultation, call us at 425-775-3561. You can also reach out online using Price Simulator, chat, or our contact form.