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Garnet/Eye Surgery/Sub-brow / brow lift
Board-certified Plastic Surgeon · Apgujeong, Seoul

Sub-brow / brow lift — heavy upper lids opened without touching the eyelid itself.

A sub-brow lift removes a strip of skin just under the eyebrow to lift a heavy, hooding upper lid and re-suspend the brow. At Garnet it is planned and performed by one board-certified plastic surgeon, Dr. In-Soo Baek, from consultation through every follow-up.

10,000+
eye procedures since 2011
~7 days
to suture removal
1
surgeon, every step
Anaesthesia
Local / sedation
Surgery time
~40–60 minutes
Sutures out
~7 days
Social downtime
~1–2 weeks
Follow-up
1 / 3 / 6 months
10,000+ eye procedures since 2011· Board-certified plastic surgeon — accredited member, Korean Society of Plastic & Reconstructive Surgeons· Foreign-patient programme registered· Single-surgeon practice

The bottom line

What it is
A small operation that excises a strip of skin directly beneath the eyebrow and suspends the underlying muscle, lifting redundant upper-lid skin and the brow without an incision on the eyelid itself.
Best for
A heavy, hooding upper lid driven mainly by a low or descended brow — often where the outer brow has dropped — rather than by excess eyelid skin alone.
Who performs it
Dr. In-Soo Baek only — a board-certified plastic surgeon and Garnet's sole operating doctor. The same surgeon consults, operates and follows up.
Downtime
Sutures out at about 7 days; most social downtime over by roughly 1–2 weeks; the scar under the brow continues to mature over months.
Longevity
A lasting structural change; published series of sub-brow excision report high functional and aesthetic satisfaction at follow-up (Yazıcıoğlu et al, 2025).
How to start
Send photos through WhatsApp or the form below for an honest, no-obligation pre-assessment before you travel.
Candidacy What it is How it's performed The anatomy Sub-brow vs alternatives Anaesthesia & safety Incisions & scars Before & after Recovery Longevity Combining Risks International patients FAQ

Is it right for you?

Often a good fit

  • A heavy, hooding upper lid driven mainly by a low or descended brow
  • Outer-brow drop that crowds the corner of the eye
  • A wish to lift the lid without an incision on the eyelid surface
  • General good health and realistic, discussed expectations
  • Able to plan ~1–2 weeks of social downtime and the follow-up schedule

Worth discussing other options

  • Heaviness coming mainly from excess eyelid skin — an upper blepharoplasty may suit better
  • A weak eye-opening muscle, where ptosis correction is the real need
  • Very high or thin brows, where a brow-margin scar may show more — discussed individually
  • Generalised forehead descent, where a forehead lift may be more proportionate
  • Uncontrolled medical conditions or active smoking — assessed and planned around
Dr. In-Soo Baek

Dr. In-Soo Baek

Director & sole operating surgeon
Korean medical licence no. 77407
  • Board-certified plastic surgeon
  • Korea University College of Medicine & graduate school (plastic surgery)
  • Member, Korean Society of Plastic and Reconstructive Surgeons (facial-contour, eye & rhinoplasty groups)
  • Every case planned, performed and followed up by the same surgeon
About the surgeon →

Lifting the lid from above the brow

A sub-brow lift is an eyelid-rejuvenation operation in which a measured strip of skin is excised just below the lower margin of the eyebrow, and the orbicularis muscle beneath it is suspended, so that the heavy, hooding upper lid and the outer brow are elevated. Because the skin is removed at the brow rather than in the lid crease, the eyelid surface is left untouched and the scar sits hidden along the brow hair.

A tired, hooded upper eye is not always an eyelid problem. In many people the upper-lid skin looks heavy because the eyebrow itself has descended, pressing redundant skin down over the lid and crowding the outer corner. Treating the lid crease alone in that situation can lower the brow further and is not what the eye needs.

A sub-brow lift addresses the cause from above. A thin strip of skin is removed at the lower edge of the brow and the muscle is re-suspended, which raises the brow tail and lifts the heavy skin off the lid. The result tends to look rested rather than surprised, because the change sits at the brow and keeps the natural lid fold intact.

At Garnet this is a single-surgeon operation. Dr. Baek assesses whether the heaviness is coming from the brow, the lid skin or both, plans the case at consultation, performs it himself and reviews healing at set intervals; the clinic caps the day at two surgeries, so each case has unhurried time. The stated aim is to address the concern you arrived with rather than to over-operate.

One surgeon, one plan

From marking the brow strip to orbicularis suspension and a fine closure — every step by Dr. Baek.

Dr. In-Soo Baek performing surgery at Garnet Plastic Surgery, Apgujeong

A single surgeon, start to finish. Dr. Baek plans the case, performs the operation himself and reviews every follow-up. The clinic caps the day at two surgeries, so each operation has unhurried time.

A sub-brow lift typically takes about 40–60 minutes and is usually carried out under local anaesthesia, with light sedation added for comfort where appropriate; the anaesthesia plan is decided with you at consultation. The steps below outline how the procedure is carried out at Garnet.

01

Consultation & planning

Dr. Baek assesses in person whether the heaviness comes from the brow, the lid skin or both, checks brow symmetry and eye-opening, and agrees the exact amount of skin to remove and where the lower line will sit along the brow.

02

Marking the brow strip

With you sitting upright, the strip to be removed is marked directly under the brow hair so the lower edge of the excision follows the natural brow line and the scar will hide in the hair-bearing margin.

03

Skin excision

The marked strip of skin (and a thin layer of muscle as needed) is removed precisely under local anaesthesia, lifting the redundant upper-lid skin and the outer brow upward.

04

Orbicularis suspension & fixation

The orbicularis muscle is suspended and fixed so the lift is taken by the deeper layer, which supports the elevated brow position rather than relying on the skin alone.

05

Closure

The skin is closed in fine layers along the brow margin, with the suture line tucked into the lower edge of the brow hair to keep it discreet.

06

Review

Because Garnet is single-surgeon, Dr. Baek reviews you himself before you settle in, removes sutures around day 7 and checks healing at each follow-up.

Why a heavy brow weighs on the lid

The position of the eyebrow is held by a balance: the frontalis muscle lifts it, while the orbicularis, corrugator and depressor muscles pull it down, and a set of retaining structures anchor the soft tissue to the orbital rim. As these loosen with age, the brow — especially the outer third — descends and its skin folds down over the upper lid. The lateral orbital and orbicularis retaining ligaments are central to how the brow and lid are tethered to the bone (Mendelson, Aesthetic Plast Surg 2013; DOI 10.1007/s00266-013-0066-8).

A sub-brow excision works precisely on this layer: removing skin at the brow margin and suspending the orbicularis re-tensions the descended outer brow and lifts the hood off the lid without disturbing the levator mechanism that opens the eye. In a series of sub-brow procedures for mild-to-moderate brow ptosis, patients reported high satisfaction with both functional and aesthetic results and minimal early complications (Int Ophthalmol 2025; DOI 10.1007/s10792-025-03858-y). Where the upper lid itself also carries excess skin or a weak opening, an upper blepharoplasty or ptosis correction may be planned alongside.

Sub-brow vs upper blepharoplasty vs forehead lift

Sub-brow liftUpper blepharoplastyForehead lift
Where skin is removedUnder the eyebrowIn the upper-lid creaseScalp / hairline (no lid skin)
Main cause it treatsDescended brow / outer hoodExcess eyelid skinWhole-forehead & brow descent
Effect on the browLifts & re-suspendsLittle direct changeGreatest elevation
Scar positionAlong the brow marginHidden in the lid foldWithin the scalp / hairline
Typical useHeavy lid from a low browHeavy lid from lid skinMarked, generalised brow drop

Brow descent is a recognised contributor to a heavy upper lid, and the right operation depends on where the heaviness comes from (Int Ophthalmol 2025; DOI 10.1007/s10792-025-03858-y). Dr. Baek determines which approach — or combination — fits your anatomy at consultation.

How your safety is handled

Anaesthesia

A sub-brow lift is usually performed under local anaesthesia, with light sedation added for comfort where appropriate over a roughly 40–60 minute procedure. Your medical history is reviewed beforehand and the plan is decided with you.

Single-surgeon care

Because Garnet caps the day at two surgeries, the procedure is unhurried and the same surgeon who planned the case carries it out and reviews recovery — there is no separate operating doctor and no rotation of care.

Foreign-patient programme

Garnet is registered with Korea's foreign-patient programme; pre-operative checks, scheduling and after-care are coordinated for international visitors in English.

Honest assessment

If a sub-brow lift is not the right answer — for example if the heaviness is mostly lid skin or needs an eye-opening adjustment — that is said at consultation. Photos can be reviewed before you travel.

A scar that hides along the brow

The incision for a sub-brow lift is placed immediately below the lower border of the eyebrow, so the line settles into the margin of the brow hair. Tucking the closure against the hair-bearing edge is one of the factors associated with a scar that is difficult to notice once it matures, particularly when brows are kept in their natural shape.

Scars are permanent and, in the early weeks, the line may look pink before it fades. Healing varies by individual and skin type; visibility is greater in those who wear the brows very high or thin. Dr. Baek reviews scar maturation at the 1-, 3- and 6-month visits and advises on scar care and sun protection.

Before & After

Sub-brow lift before/after sets are identifiable and are reviewed privately at consultation with consent, rather than published. Results, recovery and suitability vary by individual and are not guaranteed.

Week by week

Days 1–3
Light dressing over the brow. Swelling and some bruising build over the first few days; rest with the head elevated and use cold compresses as advised. Discomfort is usually mild and manageable with prescribed medication.
Days 4–7
Swelling begins to settle and bruising starts to fade. The brow line is tender but most patients feel comfortable in everyday surroundings; sutures are removed around day 7.
Weeks 1–2
Most social downtime is over for everyday settings, with residual swelling and a pink scar line that keep easing. Light routine and desk work resume as advised; brow make-up can usually be used once the line is sealed and cleared.
Weeks 2–4
Residual firmness and any pinkness continue to settle. Strenuous exercise and activities that flush the face wait until cleared at follow-up.
Months 1–6
The brow position settles and the scar matures over the following months. Dr. Baek reviews healing at one, three and six months — in person, or by messenger after you return home.

Do

Keep the head elevated, use cold compresses early, take medication as prescribed, keep the brow area clean and dry as instructed, and keep your follow-up visits.

Avoid

Rubbing or stretching the brow, strenuous exercise and heavy lifting early on, alcohol and smoking, very hot showers/saunas, and direct sun on the healing scar until cleared.

How long does it last?

A sub-brow lift makes a lasting structural change, because it removes skin and re-suspends the muscle rather than relying on a temporary tightening. In a published series of sub-brow excision for mild-to-moderate brow ptosis, patients reported high functional and aesthetic satisfaction at follow-up with minimal complications (Yazıcıoğlu et al, Int Ophthalmol 2025; DOI 10.1007/s10792-025-03858-y).

No procedure stops ageing, and the brow and lid continue to change slowly over the years; tissue quality, sun exposure and weight change all play a part. Garnet's approach is to lift conservatively so the result sits naturally from the start. Where the eye later develops separate concerns, options such as an upper blepharoplasty can be considered independently.

Often planned together

Upper blepharoplasty

Where the lid itself also carries excess skin, an upper blepharoplasty can be planned in the same sitting so both the brow and the lid skin are addressed in balance.

Ptosis correction

If the eye-opening muscle is weak, ptosis correction treats the underlying cause of a tired look that a skin lift alone would not fix.

Under-eye work

Lower-lid concerns such as eye-bags can be addressed separately with under-eye fat repositioning when the lower eye is part of the picture.

Forehead lift

For marked, generalised brow descent rather than an isolated outer hood, a forehead lift may give a more proportionate elevation and is discussed at consultation.

An honest word on risk

Every operation carries risk. For a sub-brow lift the main considerations are scar visibility along the brow margin, temporary asymmetry of the brows, and short-lived numbness above the line as small sensory nerves recover. In published sub-brow series, early complications were generally minor and temporary, such as redness and swelling (Int Ophthalmol 2025; DOI 10.1007/s10792-025-03858-y).

Less common issues include over- or under-correction, a scar that stays pink longer in some skin types, and — uncommonly — a persistent sensory change near the incision. Smoking raises wound-healing risk. These are explained individually at consultation so expectations are clear before surgery.

What reduces risk in practice: careful selection of who genuinely benefits from a brow-level lift versus a lid procedure, conservative skin removal, a closure tucked into the brow margin, and follow-up by the operating surgeon. Garnet's single-surgeon, low-volume model is built around this kind of unhurried planning and personal after-care.

Planning from abroad

Most international patients plan roughly 7–10 days in Korea for a sub-brow lift, so sutures can be removed by the surgeon around day 7 and the early swelling has settled before travel. The coordinator confirms the timing for your specific plan.

Before you travel, send clear photos (front, and a relaxed view with the brows in their natural position) and a note on your concern and dates through WhatsApp, LINE or the form below. You'll get an honest pre-assessment — including whether a brow lift or a lid procedure suits you — rather than a hard sell.

Garnet is registered with Korea's foreign-patient programme and coordinates consultations, scheduling and after-care in English. After you return home, Dr. Baek can continue to review your recovery by messenger.

Guides for international patients

Questions about this procedure

Will a sub-brow lift leave a visible scar?
The incision sits right under the brow, so the line is tucked into the brow-hair margin and is usually hard to notice once it matures. It can look pink for some weeks first. Visibility is greater in very high or thin brows, which is discussed at consultation.
How is a sub-brow lift different from an upper blepharoplasty or a forehead lift?
All three open up a heavy upper eye, but at different places. A sub-brow lift removes skin under the brow to lift a descended outer brow and the hood; an upper blepharoplasty removes excess skin in the lid crease itself; a forehead lift raises the whole forehead and brow for marked, generalised descent. The scar position and the cause each one treats differ, so the right choice depends on whether your heaviness comes from the brow, the lid skin or the forehead. Dr. Baek determines which approach — or combination — fits your anatomy at consultation.
Sub-brow liftUpper blepharoplastyForehead lift
Where skin is removedUnder the eyebrowIn the upper-lid creaseScalp / hairline (no lid skin)
Main cause it treatsDescended brow / outer hoodExcess eyelid skinWhole-forehead & brow descent
Effect on the browLifts & re-suspendsLittle direct changeGreatest elevation
Scar positionAlong the brow marginHidden in the lid foldWithin the scalp / hairline
Typical useHeavy lid from a low browHeavy lid from lid skinMarked, generalised brow drop
Does Dr. Baek perform the surgery himself?
Yes. Garnet is a single-surgeon practice, so Dr. Baek handles the consultation, the operation and the follow-up personally. There is no separate operating doctor and no rotation of care, and the clinic caps the day at two surgeries so each case has unhurried time.
How long does a sub-brow lift last?
It is a lasting structural change, since skin is removed and the muscle is re-suspended rather than temporarily tightened. The brow and lid still age slowly over the years, and tissue quality and lifestyle play a part. A separate upper blepharoplasty can be considered later if the lid changes.
How long should I stay in Korea?
Most international patients plan about 7–10 days, so sutures can be removed by the surgeon around day 7 and early swelling settles before travel. The coordinator confirms timing for your plan and any combined procedures.
What anaesthesia is used and how much pain is there?
Usually local anaesthesia, with light sedation added for comfort where appropriate, over a roughly 40–60 minute procedure. Most patients describe pressure and tightness rather than sharp pain, and any discomfort afterwards is managed with prescribed medication.
Where exactly is the incision?
Immediately below the lower border of the eyebrow, so the closure tucks into the brow-hair margin. The eyelid surface itself is not cut, which is the main reason patients choose this approach over a lid-crease operation when the brow is the cause.
When will I look presentable?
Most social downtime is over by about 1–2 weeks, with residual swelling and a pink scar line that keep easing. Brow make-up can usually be used once the line is sealed and cleared at review.
Can I combine it with eyelid surgery?
Yes. Where the lid also carries excess skin or a weak opening, an upper blepharoplasty or ptosis correction is commonly planned in the same sitting so the brow and the lid are balanced together.
Is a sub-brow lift better than Botox for the brow?
They do different things. A neuromodulator can soften brow-pulling muscles temporarily, while a sub-brow lift makes a structural change by removing skin and re-suspending the muscle. If the lid skin itself is heavy, an upper blepharoplasty may be the better answer; which suits you is discussed at consultation.
Am I a good candidate?
Often a good fit if your heavy upper lid is driven mainly by a low or descended brow rather than excess lid skin or a weak eye-opening muscle, which would point to an upper blepharoplasty or ptosis correction instead. Very high or thin brows, generalised forehead descent or active smoking are reasons to discuss other options first.
What are the main risks?
Mainly scar visibility along the brow, temporary brow asymmetry, and short-lived numbness above the line as small nerves recover. Published sub-brow series report generally minor, temporary early complications; over- or under-correction is uncommon and discussed individually at consultation.
Can I see before-and-after photos?
Eye and brow results are identifiable, so full sets are reviewed privately at consultation with consent rather than published on this page. Other eye procedures such as lower blepharoplasty have example sets shown on this site.
Will my eyes look different or surprised?
The aim is the opposite — a rested rather than surprised look. Because the lift sits at the brow and keeps the natural lid fold, conservative skin removal is intended to open the eye without an over-done appearance.
How do I start without flying to Korea first?
Send photos and your dates through WhatsApp, LINE or the form below. You'll get an honest pre-assessment — including whether a brow lift or a lid procedure is the right answer — before you plan a trip.

Sources

  1. Yazıcıoğlu T, Ağaçkesen A, Boğazlıyan ÖF. Subbrow blepharoplasty for mild and moderate brow ptosis in Caucasians. Int Ophthalmol. 2025. DOI 10.1007/s10792-025-03858-y. link
  2. Mendelson BC, et al. Anatomic Study of the Retaining Ligaments of the Face and Applications for Facial Rejuvenation. Aesthetic Plast Surg. 2013. DOI 10.1007/s00266-013-0066-8. link
  3. Lateral pretrichial subcutaneous brow lift with upper eyelid blepharoplasty. Sci Rep. 2025. DOI 10.1038/s41598-025-16196-x. link

Citations are provided for general education. This page is informational and does not replace an in-person consultation; suitability, technique and recovery are individual.

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