Sub-Brow Excision

What Is Sub-Brow Excision?

Sub-brow excision, also known as a sub-brow lift or brow lift without endoscope, is a precise surgical technique designed to correct sagging skin and heaviness in the upper eyelid area by removing a small strip of skin just beneath the eyebrow. Unlike traditional brow lifts, this approach directly targets excess skin that causes hooding or drooping, creating a more youthful and refreshed look without over-elevating the brow.

At CK Plastic Surgery in Los Angeles, Dr. K. Charles Kim, M.D., F.A.C.S., a board-certified Korean plastic and reconstructive surgeon, performs sub-brow excision using advanced, scar-minimizing techniques that blend seamlessly with the natural brow line. This subtle yet transformative procedure is particularly popular among Asian patients who want to rejuvenate their eyes while maintaining their natural brow shape and expression.

Why Choose Sub-Brow Excision at CK Plastic Surgery

Sub-brow excision requires exceptional precision, as even a few millimeters of adjustment can dramatically affect eyelid appearance. At CK Plastic Surgery, Dr. Kim combines technical expertise with artistic refinement to achieve results that look natural, balanced, and harmonious with your facial proportions.

Why patients choose Dr. Kim for sub-brow surgery:

• Board-certified in plastic and reconstructive surgery with decades of experience.
• Specialized expertise in Asian eyelid and brow anatomy.
• Minimal-scar techniques for smooth healing and natural results.
• Personalized approach to every patient’s eye shape, skin thickness, and aesthetic goals.
• State-of-the-art surgical planning with precision tools and magnification.

Dr. Kim’s goal is to enhance—not change—your natural beauty, delivering refreshed, youthful eyes that appear well-rested and elegant.

Benefits of Sub-Brow Excision

A sub-brow excision is ideal for those seeking eye rejuvenation without a full brow or eyelid lift. Key benefits include:

• Corrects upper eyelid hooding and droopiness
• Creates a smoother, lifted eye contour
• Preserves natural brow position and shape
• Reduces fine lines around the brow and upper eyelid
• Provides a refreshed, youthful expression
• Long-lasting, natural results with minimal scarring

This procedure is often favored over traditional upper blepharoplasty for patients who want a natural-looking lift while avoiding the “overdone” or overly arched brow appearance.

Who Should Avoid It?

Sub-brow excision may not be appropriate for:

• Individuals with very thin or low-set brows
• Patients with uncontrolled bleeding disorders or medical conditions
• Those seeking dramatic brow elevation (better candidates for endoscopic brow lift)
• Individuals who cannot commit to proper post-operative care

Dr. Kim will evaluate your facial structure, skin elasticity, and aesthetic goals to determine if sub-brow excision—or another technique like endoscopic brow lift or upper blepharoplasty—is best for you.

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Ideal Candidates

You may be an excellent candidate for sub-brow excision surgery if you:

• Have sagging upper eyelids or hooded skin caused by brow descent
• Notice difficulty applying makeup due to drooping skin
• Desire subtle eye rejuvenation without changing your brow shape
• Are in good overall health and maintain realistic expectations

At CK Plastic Surgery, each sub-brow excision is tailored to your unique anatomy to ensure balanced, beautiful, and long-lasting results.

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The Procedure – What to Expect

Sub-brow excision is typically performed under local anesthesia with light sedation, making it a comfortable and quick outpatient procedure that takes approximately 45–75 minutes.

Step-by-Step Overview

1. Consultation & Design: Dr. Kim carefully marks the incision line along the lower edge of the brow to ensure the scar remains virtually invisible.
2. Anesthesia: Local anesthesia is administered for comfort and precision.
3. Skin Excision: A thin strip of excess skin is removed just beneath the brow.
4. Tissue Adjustment: Dr. Kim may tighten underlying tissues or adjust the brow fat pad for smoother contour.
5. Closure: The incision is meticulously closed using fine sutures for minimal scarring.

This meticulous technique not only smooths and opens the upper eyelid but also subtly lifts the outer portion of the brow for a refreshed yet natural appearance.

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Recovery and Aftercare

Recovery after sub-brow excision is typically straightforward and well-tolerated.

Typical recovery timeline:

• Days 1–3: Mild swelling or bruising; discomfort controlled with medication.
• Week 1: Sutures are removed; most swelling begins to resolve.
• Weeks 2–4: Results continue to refine, with natural eye contour visible.

Aftercare tips:

• Apply cold compresses for swelling.
• Keep head elevated during rest.
• Avoid strenuous activity or rubbing the brow for two weeks.
• Follow Dr. Kim’s scar care protocol to ensure optimal healing.

Results are long-lasting and continue to improve over the first 3 months as tissues settle naturally.

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Surgery / Service Results

Sub-brow excision at CK Plastic Surgery delivers natural, elegant eye rejuvenation with little downtime and minimal scarring.

Expected outcomes:

• Reduced upper eyelid heaviness and hooding
• Refreshed, awake, and youthful eye appearance
• Natural brow and eyelid balance
• Subtle, scar-concealed rejuvenation

Dr. Kim’s precise technique ensures the scar follows the brow line, blending seamlessly for virtually invisible results.

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