My Concern with a Brow Lift is One Brow That Elevates and the Other That Remains Low.

Is it unrealistic to ask the plastic surgeon to agree in writing before surgery that he will redo for free either brow that does not "move" and shows no change from pre-op photos, especially if worsening asymmetry is a consequence?

Doctor Answers 5

Brow Lifting, Assymetry, Endoscopic Brow LIft

Thanks for your question.  In general, nerve injuries are incredibly unlikely during the surgery as it is performed today.  Obviously, seeking consultation with an experienced and qualified surgeon affords you the best protection from this unlikely outcome.  That said, assymetry in the brow is incredibly common prior to surgery.  Although the surgeon will try to correct this with surgery, it is more likely going to recur as the muscles begin to move naturally after surgery.  The end result should still be fantastic if you were well suited for this type of surgery.

I hope that helps you in your consideration.

Dr. Hobgood.

Phoenix Facial Plastic Surgeon
4.9 out of 5 stars 53 reviews

Brow Lift

A brow lift, by its very nature, elevates both brows so I'm not sure I understand why the question. In hundreds of brow lifts over thirty years I have never seen one brow not go up. On occasion there may be temporary weakness in one or both muscles that actively elevate the brows but that doe not require more surgery. It only involves patience until the muscle function returns which could take 1-4 months. But it is always good to have an understanding (and in our office it is in writing) as to what the surgeon's policy is regarding revision surgery.

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 27 reviews

Cosmetic Surgery Written Guarantees

Guarantees that you will be happy with the results, and that there will not be any problems afterwards is being unrealistic.

Plastic Surgery is an inexact science and art form. For example it is not like carpentry where you can measure and make a piece of furniture over and over exactly the same both immediately after you finish and in the future. All surgery has risks, some of which you mentioned for Brow Lifts including asymmetry and decreased movement among others problems.. You as a patient need to understand, and it is the plastic surgeon's responsibility to make you aware of the risks associated with this procedure. This is called "informed consent". Most plastic surgeons (all surgeons for that matter) would agree that that it is important for the patient to understand that what they are paying for is  the best possible effort using all of their skill and experience to achieve your goals. There are no direct or implied guarantee of results as too many variables exist between patients (such as loss of elasticity, underlying muscle imbalance, sun damage, prior trauma, smoker, anatomic variation, etc, etc).

Most important is the skill and experience of the surgeon. Always check out his/her before and after photos and ask to see long term results and most of all that he is trained and a  Board Certified Plastic Surgeon  or Board Certified Facial Plastic Surgeon with extensive experience over many years in Brow Lifts.  Check your surgeon out with some online research. The best way to find one is to start with a  Board Certified Plastic Surgeon  or Board Certified Facial Plastic Surgeon with extensive experience over many years. . A good place to start is "find a doctor" on the American Society of Plastic Surgeons or American Society of Aesthetic Plastic Surgeons  web sites

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 154 reviews

Browlift and asymmetry

While there may be some asymmetry in the immediate post operative phase due to the healing proces and nerve and muscle rejuvenation symmetry is expected as a post operative result. Most surgeons will discuss all surgical complications and review with you ahead of time all of these issues and the recovery process to ensure a full understanding prior to your procedure. Best regards!

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 208 reviews

Written guarantees before surgery

You should have a frank discussion with your surgeon on what is possible or not possible, what the expected results are. 

The question is why are you so mistrustful that you would require such a written guarantee?

While it is perfectly acceptable and even expected to ask the surgeon what their policy is on revisions and complications (many surgeons will spell it out in a document you sign before surgery), if you are thinking you need an additional contract spelling out written assurances before surgery, many surgeons will perceive this as a red flag and decline you as a patient.

You are going to trust your face to somebody and you should feel confident in their ability and their integrity.


Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 177 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.