Facial Plastic Surgery Sydney
BROW LIFT Surgery
A brow lift is a surgical procedure that repositions the eyebrows and smooths the forehead to address heaviness, sagging, or asymmetry in the upper face. Dr Illie performs this procedure by carefully lifting the soft tissues and skin of the forehead and brow to create a balanced, natural contour that aligns with each patient’s facial structure.
Elegant, harmonious, authentic.
Facelift and neck lift Sydney
“The goal for a brow lift is to softly elevate and contour while respecting your natural expressions, so the results remain true to who you are, balanced, and lasting.“
Facelift surgery Sydney
What can Brow Lift help with?
Common concerns include:
The surgical procedure aims to:
- Elevated and more symmetrical brow position
- Reduction in forehead lines and creases
- Improved openness of the eye area
- Improved balance and proportion of the upper face with natural-looking results
Overall benefits:
- This procedure raises the brows to a higher level, helping to create a more open appearance in the upper face area.
- By addressing horizontal creases and furrows on the forehead, it can reduce the visibility of these lines for a calmer look.
- It repositions sagging or uneven brows, contributing to a more even and harmonious structure in the forehead and eye region.
Dr ILLIE encourages thorough consultations to:
- Ensure understanding of the procedure, recovery, and outcomes
- Help make an informed decision
Am I a good candidate?
Brow lift may be suitable for individuals who:
- Are experiencing concerns such as lowered or uneven eyebrows, sagging skin on the forehead, or prominent forehead lines
- Good overall physical health, with no medical conditions that could affect healing or increase surgical risks
- Non-smoker status, or willingness to stop smoking before and after surgery to support optimal recovery
- Stable psychological health, with a clear understanding of the procedure, recovery process, and realistic expectations about the results
- Commitment to following pre- and post-operative care instructions provided by Dr ILLIE and his team
- Realistic outlook on the outcomes, recognising that the goal is a natural and balanced enhancement tailored to your individual features
Procedure Options
There are different surgical approaches to a brow lift, each suited to particular needs and facial features. Dr ILLIE will recommend the most appropriate option based on a detailed assessment during your consultation. Common approaches include:
Temporal Brow Lift
- This technique focuses on the outer third of the eyebrows, using small incisions hidden within the hairline at the temples to lift the brow area and address lines around the outer eyes, often called crow’s feet.
- The incisions are placed discreetly in the hair-bearing scalp, allowing for a targeted lift that repositions the lateral brow without affecting the central forehead, which suits many patients seeking a focused adjustment.
Pretrichial Brow Lift
- When a broader lift is required, Dr ILLIE may opt for this approach, making incisions along the hairline to elevate the entire brow while preserving the existing hairline position.
- The hairline technique avoids pulling the hairline back, helping to maintain the overall balance of the upper face and forehead height during the repositioning of brow tissues.
Procedure snapshot
Brow Lift Surgery
Surgical procedure duration: Approximately 1-2 hours.
Hospital stay: Usually performed as a day surgery procedure; overnight stay is not typically required
Anaesthesia Information: Brow surgery is performed using general anesthesia.
Post-operation recovery:
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Recovery varies for each person, but we provide detailed aftercare instructions to support healing. Swelling and bruising are common initially but usually subside within 1-2 weeks.
- Most patients can return to light work or daily activities within 7-14 days, once initial discomfort eases.
- It’s advisable to avoid heavy lifting, strenuous exercise, or bending over for about 4-6 weeks to prevent strain on the surgical site.
- Driving should be postponed for at least 1 week, or until you’re no longer taking pain medication and feel steady.
- We strongly recommend stopping smoking at least 6 weeks before and after surgery, as it can affect healing and increase the risk of complications. Regular follow-up appointments help monitor your progress and address any concerns.
Your surgical team includes:
- Dr Vlad ILLIE, a specialist plastic surgeon with international training across leading Australian and global centres.
- A fully qualified anaesthetist will ensure comfort during your procedure.
- Accredited hospital facilities and highly skilled staff, meeting Australian standards of care.
Expected outcomes:
- A brow lift can help reposition the brows to address sagging, potentially reducing the appearance of forehead creases and creating a more open, balanced upper facial profile.
- Results are designed to align with your individual features for a natural look, often complementing other procedures, such as facelift or eyelid surgery, if discussed in consultation.
- Keep in mind, outcomes depend on factors like skin type and age—full effects may take several months to settle, and we always emphasise realistic expectations during your initial assessment to ensure you’re fully informed.
Surgical steps:
- Small incisions are made, typically hidden within the hairline or along natural creases, to access the brow and forehead.
- Underlying muscles and tissues are gently lifted and repositioned to elevate the brows and smooth the area.
- The tissues are secured in place to maintain the adjustment, promoting long-term stability.
- Incisions are closed with fine sutures, and any dressings are applied lightly to protect the area. Post-operative care instructions, including wound management, are provided to aid recovery and minimise risks.
Surgical Considerations
Facial Anatomy & Ageing

The eyebrow region is a complex area where skin, muscles, fat, and bone interact to support expression and protection of the eyes. Here’s a straightforward breakdown:
- Skin and Soft Tissues: The skin over the eyebrows is thin and elastic in younger years, anchored by connective tissues that allow movement. It works with underlying fat pads to cushion and shape the area.

- Muscles: The frontalis muscle lifts the eyebrows, while the orbicularis oculi muscle helps close the eyes. These, along with the corrugator and procerus muscles, enable expressions like surprise or frowning, creating dynamic folds in the forehead.

- Bone Structure: The supraorbital ridge (the bony edge above the eye socket) provides a foundation. As we age, subtle bone resorption can occur, altering the support for overlying tissues.

- Blood Vessels and Nerves: A network supplies sensation and movement, making this area sensitive to touch and expression. The supraorbital nerve, for instance, runs through here, influencing how we perceive discomfort or changes.
- Eyebrows Themselves: Composed of hair follicles, they arch over the eye to shield it from light, sweat, and debris. Their position and density contribute to the overall contour of the upper face.
Ageing is a gradual process influenced by genetics, sun exposure, lifestyle, and environmental factors. Over decades, structural changes can lead to shifts in the eyebrow position and surrounding tissues. In my clinic, patients often describe these as subtle but noticeable alterations. Common observations include:
- Descent of Tissues: Gravity and weakening of supportive ligaments can cause the outer tail of the eyebrow to drift downward, potentially narrowing the eye opening and affecting the field of vision during tasks like applying makeup or checking a phone.
- Loss of Volume: Fat pads beneath the skin may diminish, leading to a hollowing effect around the temples and brow. This can make the area feel less padded, sometimes contributing to a sensation of heaviness.
- Skin Changes: Reduced collagen and elastin production results in looser skin, forming horizontal lines across the forehead or vertical creases between the brows (often called ‘frown lines’). These can deepen with repeated expressions, like squinting in bright light.
- Muscle Adjustments: The frontalis muscle may work harder to lift the brows, creating more prominent forehead lines over time. Conversely, overactivity in frowning muscles can pull the inner brows downward.
- Hair and Pigment Shifts: Eyebrow hairs may thin or grey, altering density and arch shape, which some find impacts their grooming routine or how light reflects on the face.
- Bone and Ligament Effects: Minor bone remodelling and ligament stretching can reduce the ‘scaffold’ holding tissues in place, leading to a gradual flattening of the brow arch.
These changes don’t happen overnight and are a normal part of life. In consultations at Dr ILLIE’s practice, we often discuss how they might influence everyday comfort, such as mild headaches from compensatory muscle tension or a feeling of eyelid fatigue during prolonged focus.
Types of Incisions
The choice of incision depends on the extent of correction needed and the areas targeted:
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Temporal Brow Lift Incision: The temporal incision is placed in the hair-bearing area near the temples for brow adjustments in the outer regions. This small cut allows access to the tissues supporting the lateral brow, enabling repositioning of muscles and connective layers. It may lead to changes in the outer brow’s position relative to the eye and upper eyelid. Temporary swelling or bruising around the temples could affect daily activities like driving or makeup application for a few days. Healing typically takes 7-10 days to resume routines, with possible short-term numbness. Risks include infection, scarring, or uneven results, which we review in detail during consultations based on your healing factors.
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Pretrichial Brow Lift Incision: The pretrichial incision follows the edge of the hairline for brow elevation across the forehead. This cut provides access to the frontalis muscle and skin, allowing brow repositioning along the orbital rim and minor shifts in forehead contour. It might alter how light interacts with the face. Recovery could involve tightness or itchiness, impacting hair styling or headwear initially. Most patients return to work in 10-14 days, with careful sun protection needed. Potential risks are visible scars, hair loss at the site, or ongoing discomfort, monitored through tailored care in our practice.
Effectiveness
A brow lift is a surgical procedure performed by Dr ILLIE to adjust the position of the eyebrows and smooth the forehead area by addressing sagging skin and muscle. Here’s what you can expect in terms of its effectiveness:
- Provides a long-lasting repositioning of the eyebrows and forehead tissues, with results that typically endure for 10 years or more, depending on individual factors like skin type and lifestyle
- Reduces visible furrows and creases in the forehead by lifting and tightening the underlying structures, leading to a more relaxed forehead appearance
- Effectiveness is supported by factors like the patient’s overall health and adherence to post-operative care; Dr ILLIE discusses these during consultation to set realistic expectations based on clinical evidence from sources like the Australian Society of Plastic Surgeons
Potential Risks and Complications
- Bleeding and infection
- Noticeable scarring, although incisions are placed to minimise visibility
- Temporary numbness or altered sensation around the forehead and scalp
- Nerve injury, which may affect movement or sensation in the forehead or eyebrows
- Asymmetry or uneven results
- Hairline changes or hair loss near incision sites
- The potential need for revision surgery to address any concerns
Safety Measures & Surgeon Expertise
Why is it important to choose a fully qualified, board-certified plastic surgeon?
Choosing a certified Specialist Plastic Surgeon (FRACS) who is a member of the Australian Society of Plastic Surgeons (ASPS) or ASAPS ensures your surgeon meets the highest professional standards. A fully qualified and AHPRA‑registered surgeon has completed rigorous training and adheres to strict professional requirements. Board certification and specialised training in facial surgery indicate that the surgeon has the expertise needed to perform procedures safely and competently, helping to reduce the risk of complications.
What qualifications and training does Dr Vlad ILLIE have?
Dr ILLIE brings extensive experience and highly refined surgical skills to facelift procedures, supported by his comprehensive plastic surgery training and more than a decade of performing complex facial reconstructions for patients with traumatic injuries and cancer‑related defects. This depth of experience shapes his approach to aesthetic surgery, enabling him to operate with precision, care, and a deep, anatomically grounded understanding of the face.
As a fully qualified plastic surgeon with training in facial surgery, Dr Vlad ILLIE is registered with AHPRA and holds relevant certifications that demonstrate his commitment to maintaining high standards of surgical care and patient safety.
How does Dr ILLIE ensure surgical safety?
- Conducts comprehensive pre-operative assessments to understand your health status and individual needs.
- Develops a personalised surgical plan tailored to your facial anatomy and goals.
- Uses refined, evidence-based surgical techniques to minimise tissue trauma and promote smoother recovery.
- Works within accredited surgical facilities that adhere to strict hygiene and safety protocols.
- Collaborates with experienced anaesthetists and nursing staff to monitor your wellbeing throughout the procedure.
What role do consultations play in safety?
Dr ILLIE prioritises thorough consultations to:
- Explain the procedure clearly, including potential risks and realistic outcomes.
- Answer all your questions to ensure you have a full understanding before proceeding.
- Discuss lifestyle factors such as smoking cessation and health optimisation to support healing.
- Set clear expectations to help you make an informed decision.
How are risks minimised during and after surgery?
- Careful patient selection and preparation, including managing any medical conditions.
- Strict adherence to infection control and surgical safety checklists.
- Post-operative monitoring and follow-up appointments to detect and manage any issues early.
- Providing detailed aftercare instructions to support recovery.
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Recommendations for Patients
Maintain open and honest communication with Dr ILLIE throughout your surgical journey. It is important to provide a complete and accurate medical history, including any medications, allergies, or previous procedures. Discuss any concerns or questions you have, as well as your expectations, to ensure a clear understanding of the procedure and realistic outcomes.
Follow all preoperative instructions carefully. This may include:
- Adjusting or temporarily stopping certain medications as advised to reduce risks during surgery.
- Ceasing smoking at least six weeks before the procedure to support better healing and reduce complications.
- Maintaining a balanced diet and staying well-hydrated to prepare your body for surgery.
- Arranging for support on the day of surgery and during the initial recovery period, as you may have limited mobility.
Adhere strictly to postoperative care guidelines provided by Dr ILLIE and his team. This includes:
- Proper wound care and hygiene to prevent infection.
- Avoiding heavy lifting, strenuous exercise, and smoking for the recommended duration to promote healing.
- Taking prescribed medications as directed to manage pain and reduce inflammation.
- Attending all scheduled follow-up appointments to monitor your recovery progress.
Be vigilant for any signs of complications and contact the clinic promptly if you experience:
- Severe or persistent pain that is not relieved by medication.
- Redness, warmth, swelling, pus, or fever, which may indicate infection.
- Excessive bleeding or swelling beyond what was explained during your consultation.
- Any other unexpected symptoms or concerns regarding your recovery.
Following these recommendations carefully helps to minimise risks, supports effective healing, and contributes to achieving the best possible results from your procedure.
Combined Surgical Interventions
A brow lift can be performed as a standalone procedure or combined with other facial surgeries to address multiple areas in a single surgical session. Combining procedures can provide a more comprehensive approach to facial rejuvenation and may reduce overall recovery time. Common procedures often performed alongside a brow lift include:

Brow Lift + Facelift (Rhytidectomy)
To improve the appearance of the mid and lower face, providing a balanced and harmonious overall result.

Brow Lift + Eyelid Surgery (Blepharoplasty)
To address excess skin or puffiness around the upper and/or lower eyelids, complementing the effects of a brow lift.
Combining these procedures allows for a more harmonious and natural restoration of facial balance and ageing signs across multiple areas, with careful planning to ensure patient safety and optimal recovery.
Frequently Asked Questions
How long do the results of a brow lift typically last?
- Brow lift results often last 10 years or more for many patients, influenced by skin type, genetics, and habits like sun protection or avoiding smoking.
- Natural ageing will progress, so changes may occur gradually over time.
Will there be visible scarring after surgery?
- Incisions are positioned strategically, such as along the hairline for pretrichial approaches, within the scalp for endoscopic or coronal techniques, or laterally for temporal lifts, to keep scars hidden and minimal.
- Scars generally fade within 6-12 months using silicone gels or tapes as recommended.
- Dr ILLIE monitors healing at follow-ups and suggests scar management if needed to ensure discreet outcomes.
How do I know which type of brow lift is right for me?
- Options include temporal (targeting outer brows), pretrichial (along the frontal hairline for direct forehead access)
- Dr ILLIE examines your brow height, skin laxity, and facial structure with photos and measurements.
- He recommends the best fit based on your health, recovery needs, and concerns, avoiding mismatched techniques.
How can I optimise my results after surgery?
- Adhere to wound care: clean gently, apply ointments, and elevate your head to reduce swelling.
- Attend follow-ups at 1 week, 1 month, and beyond for progress checks and adjustments.
How soon can I return to work and normal activities?
- Desk jobs: 7-10 days, once bruising fades with makeup cover if desired.
- Light exercise: after 1 week; avoid bending or lifting for 2-4 weeks to protect incisions.
- Full activities: 4-6 weeks, tailored by Dr ILLIE to your role and procedure extent for safe progression.
Can a brow lift be combined with other procedures?
Common pairings: eyelid surgery for upper face harmony or facelift for overall balance.
Benefits include one recovery period, but staged if health requires.
Dr ILLIE assesses compatibility based on your goals, age, and fitness, discussing risks and sequencing upfront.
Are there non-surgical alternatives to a brow lift?
- Options like muscle relaxant injections or thread lifts can temporarily adjust brow position by relaxing muscles or providing a subtle lift, lasting 3-6 months or up to a year.
- These suit mild concerns with no downtime, but don’t address excess skin like surgery does.
- Dr ILLIE discusses these during consultation if surgery isn’t ideal, helping you weigh factors like duration and invasiveness against your needs.
What should I expect in terms of swelling and bruising after surgery?
- Swelling peaks around days 2-3, affecting the forehead and eyes, but starts subsiding within a week; bruising may appear as discolouration around the brows or cheeks.
- These are normal responses to tissue adjustment and can be managed with ice packs, elevation, and prescribed anti-inflammatories.
- Dr ILLIE advises arnica supplements if suitable and schedules early follow-ups to monitor and alleviate these effects for a smoother recovery.
What is the recovery like in the first week?
- Days 1-3: Rest at home with head elevated, minimal activity, and light meals to manage nausea from anaesthesia.
- Days 4-7: Swelling decreases, stitches may be removed if applicable, and you can start short walks; avoid driving until cleared.
- Dr ILLIE’s team offers daily check-ins via phone or app to track progress and adjust care, ensuring you feel supported through this initial phase.
Why should I book a brow lift surgery consultation with a qualified surgeon?
- Confirm they are a certified Specialist Plastic Surgeon (FRACS) and a member of the Australian Society of Plastic Surgeons (ASPS) or ASAPS, ensuring they meet the highest professional standards.
- Look for surgeons with substantial, specialised experience in facial procedures, including deep knowledge of facial anatomy and advanced brow lift techniques.
- Review their before‑and‑after portfolio to assess consistency, attention to detail, and alignment with your aesthetic goals.
- Ensure they operate in accredited surgical facilities, which support safety, sterility, and appropriate standards of care.
- Choose someone you feel comfortable with, who listens to your goals and concerns and communicates clearly throughout the process.
Dr ILLIE exemplifies these qualities, combining FRACS‑accredited training with extensive experience in facial surgery, personalised care, clear communication, and a strong commitment to patient safety.
how Dr Vlad ILLIE’s Approach Stands Out

Dr Vlad ILLIE is a highly qualified Specialist Plastic and Reconstructive Surgeon based in Sydney, with extensive experience in facial plastic and reconstructive surgery.
Dr ILLIE has completed comprehensive international fellowships in Oxford, UK and Stuttgart, Germany, specialising in microsurgical reconstruction, complex facial revision surgery, and advanced cosmetic techniques. His background includes managing challenging reconstructive cases, including head and neck reconstruction, which contributes to his precise surgical skill set.
His results distinguish by:
- Minimal Visible Scarring
Incisions are carefully placed along the hairline or using endoscopic methods within the scalp, allowing scars to remain hidden and blend naturally as they heal, in line with established Australian surgical standards. - Preservation of Natural Brow and Forehead Expression
Techniques focus on maintaining muscle function and subtle movements, preventing any rigid or altered appearance while adjusting brow position for improved upper face contour. - Balanced Adjustment of Brow and Surrounding Areas
Attention is given to the eyebrows, forehead, and upper eyelids to create a cohesive upper face structure, avoiding uneven adjustments or disproportionate changes. - Natural Brow Position without Over-Lifting
Conservative tissue elevation is prioritised to avoid an exaggerated or pulled look, respecting the brow’s inherent shape and anatomy for subtle repositioning. - Preservation of Forehead and Brow Volume to Avoid Hollowing
Fat and tissue layers are repositioned rather than excessively removed, helping to sustain volume in the upper face and prevent a depleted or sunken effect over time. - Use of Advanced, Layered Surgical Techniques
Deeper structures like the frontalis muscle and underlying tissues are addressed for durable results, going beyond surface-level adjustments to support long-term stability. - Customised Surgery Based on Individual Anatomy and Ageing Patterns
Each procedure is planned around the patient’s specific brow height, forehead skin quality, and signs of ageing, steering clear of standardised methods for truly personalised care. - Comprehensive Pre- and Post-Operative Care
Dr ILLIE provides thorough consultations, detailed recovery guidance, and follow-up support to facilitate smooth healing and promptly manage any post-surgery questions or needs.
Further information
For brow lift and facial cosmetic surgery interventions, please book a consultation with Dr Vlad ILLIE, Specialist Plastic Surgeon and Fellow of the Royal Australasian College of Surgeons. Dr ILLIE will provide further information on the treatment and specific recommendations for your circumstances.
For additional emotional care through your wellness journey, we can also provide psychological support.
Schedule a Consultation
Ph (02) 9101 4707
Fax (02) 9182 0092
office@drvladillie.com.au
Sydney Centre for Plastic Surgery
Suite 1702, Westfield Tower 2
101 Grafton St
Bondi Junction NSW 2022
Gosford Private Medical Centre
Suite 2, 213 Albany St North,
Gosford NSW 2250
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