Northwest Face & Body



Procedure Time

3-4 Hours

Recovery Time

7-10 Days

The Problem

Some of the earliest signs of aging affect the area of your eyes. What is the real change that takes place that allows us to look at an individual and immediately judge if they are in their 20’s, 30’s, 50’s, etc? The upper face is the key. We are remarkably adept at forming instant judgments based upon small but significant changes that take place. The overall effect of these changes culminates in an appearance of fatigue, possible angriness, and looking less engaged or involved. There is a loss of the youthful “brightness” of the face.


Brow lift Before & After




Causes Of Brow Sagging

Most often the major factor common to all of the upper face changes is the relentless tendency for the brow and forehead area to become lax and droopier. This is seen very early in the region of the upper lids where it seems that there is now excess skin. Where the heck did that come from? We do not grow eyelid skin as we become older. Additional changes include a hooded appearance of the upper lids to the sides resulting in a heavy and fatigued appearance. Widening and horizontal lines develop at the upper bridge of the nose which detracts from the elegance of the nose. This causes a “scrunched up” look. We instinctively compensate for the brow heaviness by increasingly using the muscles of the brow. This results in the formation of lines and wrinkles. This is an immediate tip-off of age.

The real cause in most individuals is the descent of the brow, which forms the foundation of the upper lids. This directly results in the seemingly excess lid tissue. The best analogy is that of heavy drapery on a flimsy rod that bends over time and results in the drape bunching up on itself. The solution is probably not to cut off the bottom of the drape! The best solution is to restore the support of the drape to its normal position thus achieving a true restoration. This is the basic concept of the endoscopic brow lift technique.

The Solution

The endoscopic brow lift in our Kirkland location offers a correction of the problem. This technique involves simply a restoration of the brow tissue to its youthful and normal position. Dr. Allegra does not remove any tissue whatsoever, it is simply repositioned. The procedure involves gaining access to the deepest level under the brow via small incisions just behind the hairline. Next, Dr. Allegra uses an endoscope with an attached video camera. He then performs the surgery while viewing the video monitor. The procedure then involves simply a meticulous freeing of the tissue and releasing it from its attachments. Once accomplished the whole region virtually wants to assume a relaxed and natural position with virtually no tension at all. The tissue is then simply secured in this position achieving an elegant rejuvenation.

The Brow Lift Recovery

The endoscopic brow lift is a gentle procedure involving only a release of tissue. This generally leads to an excellent and rapid recovery. As the incisions are all behind the hairline, there are no visible sutures or incisions. You can wash and style your hair the next day. Some unavoidable bruising will occur in the area of the eyes but rapidly resolves. There is some minor swelling in the “scowl” area between the eyebrows as this is where the muscles causing these angry and deep lines are weakened.

One is generally socially presentable in 5-7 days with perhaps a modest cover-up of mild bruising. At the 10-14 day mark, there are only trivial residual changes, rapidly resolving, that are easy to cover if needed. There is remarkably little if any pain with this technique and one in fact is able to resume normal activities almost immediately. Most patients require no medication at all. The incisions are so rapid and effective in healing that even with detailed inspection by a hairdresser or myself they often cannot be found after 1-2 months.

The Results

The endoscopic brow lift results in a remarkably effective and pleasing rejuvenation of the upper face. This procedure results in a remarkable satisfaction rate with patients feeling satisfied with how it looks. It is a procedure that will not result in comments such as “what have you had done?” but rather in “you look great”. One simply cannot see any “surgical” signs. Because of the remarkably solid and stable healing of this area, it is essentially a permanent solution. We have patients who are seen more than 20 years after their brow lift who are virtually perfect and look great!

The endoscopic brow lift offers a great solution for rejuvenation of the upper face for both men and women. This is performed at almost any age, even in one’s twenties if their appearance justifies it as there are genetic factors that may create a great deal of heaviness at an early age. As this is a very low stress procedure it may even be suitable for someone in their late 80’s. In men, this offers a remarkable improvement without the procedure looking obvious to others. It is possible to offer this procedure even if there is significant balding as the incisions heal so well and are hard to find. In short, this is often a truly ideal and satisfying procedure.

Combining A Brow Lift With Other Surgical Procedures

Dr. Allegra often finds that patients may benefit from more than one facial plastic surgery, such as a brow lift and a facelift. This can lead to better immediate and long term results. Most patients are candidates for a combined procedure and Dr. Allegra can determine if you may benefit from a combination of customized facial plastic surgeries. Examples of procedures you may have performed at the same time as you brow lift can include:

The Best Brow Lift In Bellevue And Kirkland At Northwest Face & Body

Northwest Face & Body has served the Bellevue and Kirkland areas since 1983. For nearly four decades, they have provided premier facial plastic surgery to the Eastside. As masters of the endoscopic brow lift, our plastic surgeons have seen their brow lift results last upwards of a decade. Dr. Ludwig Allegra is an accomplished plastic surgeon with decades of experience and two board certifications.

Our office is located at Carillion Point in Kirkland, Washington, right on the shores of Lake Washington. Northwest Face & Body offers a welcoming and comfortable environment for your Bellevue and Kirkland lip filler. Just a few minutes drive from both downtown Bellevue and Kirkland, Northwest Face & Body is the Eastside’s top lip filler provider.

To schedule a consultation for lip filler in Bellevue and Kirkland at Northwest Face & Body, call us at 425-576-1700. You can also reach us online via our Price Simulator™ app, contact form, or chat.