

As the skin and underlying structures of the upper face lose their youthful elasticity, a heavy, descending brow can add years to your appearance. It can also project an expression of fatigue, anger, or sadness. While non-invasive treatments offer temporary smoothing, a surgical brow lift addresses the underlying muscle laxity and tissue descent that cause deep forehead furrows and hooded eyes.
Dr. Leo Otake approaches forehead rejuvenation with an eye for structural refinement and harmony, smoothing and lifting the brow in a way that honors the character of your features for a naturally refreshed appearance. Our White Plains plastic surgery practice provides a sophisticated environment where technical rigor meets attentive, personalized care.

A brow lift, also known as a forehead lift, is a surgical procedure designed to reposition the skin and muscles of the upper face. The overall purpose is to reverse the "hooding" effect of a sagging brow on the upper eyelids and to soften the deep horizontal lines and vertical "frown lines" (11s) that form between the eyebrows.
Dr. Otake offers several sophisticated surgical options. For many patients, an endoscopic brow lift—using small, hidden incisions and a specialized camera—allows for a significant lift with a faster recovery. For others, a temporal or limited-incision lift may be more appropriate to address the outer portion of the brow. By integrating his academic background in biochemistry and tissue engineering, Dr. Otake ensures the internal tissues are stabilized to provide a long-lasting lift.


On the day of your surgery, your safety and comfort are our primary priorities. The procedure is typically performed under general anesthesia or deep sedation in a state-of-the-art surgery center. Dr. Otake begins by placing incisions that are strategically hidden within the hair or along the natural hairline to ensure that any resulting marks are virtually undetectable.
Using meticulous surgical principles, Dr. Otake releases the tissues causing the brow to sag and removes or modifies the muscles responsible for deep furrowing. The brow is then elevated and secured into a more youthful, arched position, using advanced suturing techniques to reduce tension on the skin and support a natural-looking lift.
A brow lift is the definitive solution for:
Dr. Otake’s approach to the brow lift procedure focuses on the internal architecture of the forehead. By repositioning the underlying muscle rather than just stretching the skin, he creates a result that ages naturally with you. The result is an open, youthful expression. Patients frequently report that they no longer look tired or unapproachable and that their friends and colleagues notice a refreshed, vibrant glow without realizing surgery took place.


The brow or forehead lift procedure is designed for men and women who are bothered by sagging brows or deep forehead wrinkles. It is particularly effective for those who find that their heavy brow makes them look older or more fatigued than they feel. During your consultation, Dr. Otake will evaluate your forehead height, hairline, and skin elasticity to ensure the chosen surgical technique is perfectly aligned with your goals.

You can expect mild swelling and bruising around the forehead and eyes for the first few days after surgery, which are well-managed with prescribed medication and cold compresses. You will be advised to keep your head elevated to minimize fluid buildup.
Dr. Otake provides detailed instructions on when you can resume exercise and social daily activities. Most patients find they can return to non-physical work within 10 days. Dr. Otake monitors your progress closely during follow-up visits to ensure the treatment area is settling exactly as intended.

As swelling resolves, you will notice a significantly more open eye area and a smooth, elegant forehead that remains stable over time. These results are designed to be long-lasting.
While no surgery can stop the natural aging process, a brow lift effectively "sets the clock back" for your upper face. By maintaining a healthy lifestyle and protecting your skin from sun damage, you can enjoy your rejuvenated, refreshed look for many years to come.
Dr. Leo Otake is a board-certified plastic surgeon with a rare MD/PhD background from Yale. His understanding of the biochemical aspects of skin aging and the complex anatomy of the facial nerves allows him to offer a level of precision that is rare in aesthetic surgery.
Our team shares Dr. Otake’s commitment to excellence, ensuring that every step of your journey, from consultation to recovery, is smooth, supported, and deeply rewarding.

Yes. A brow lift repositions the eyebrows and smooths the forehead, while a blepharoplasty specifically removes excess skin and fat from the eyelids themselves. However, many patients benefit from performing both together to achieve a complete, harmonious rejuvenation of the upper face.
When performed by an expert like Dr. Otake, the results are natural and subtle. The goal is to restore the brow to its anatomical home, not to pull it unnaturally high. Dr. Otake’s precise technique ensures you maintain your natural range of expression.
On average, the results of a surgical brow lift last 10 to 12 years. While the aging process continues, you will always look younger than you would have without the procedure.
This depends on the technique used. In an endoscopic brow lift, incisions are small and hidden within the hair. In a temporal lift, they are located in the hair near the temples. Dr. Otake is a specialist in scar management and ensures that all incisions are as discreet as possible.
Most patients describe the recovery as a feeling of "tightness" or mild headache-like pressure rather than acute pain. This is typically well-controlled with mild prescription pain relief or over-the-counter options.
Botox can provide a temporary "chemical lift" for very mild sagging by relaxing the muscles that pull the brow down. However, for significant skin laxity or deep structural descent, a surgical brow lift is the only definitive and long-term solution.