Sub-Brow Excision

Sub-brow excision is a specialized eyelid rejuvenation procedure designed to elevate heavy brows, reduce upper eyelid hooding, and restore a refreshed, youthful eye appearance without altering the natural eye shape. By removing a precise amount of skin just beneath the eyebrow, this technique improves visual openness while maintaining facial harmony. At CK Plastic Surgery in Los Angeles, Dr. Charles Kim performs sub-brow excision using meticulous planning, advanced facial analysis, and a conservative surgical approach to deliver natural-looking results. This procedure is ideal for patients seeking upper eyelid improvement without a traditional upper blepharoplasty.

Overview

Sub-brow excision, also known as sub-brow lift surgery, is a refined facial rejuvenation procedure that targets upper eyelid hooding caused by brow descent, skin laxity, and aging-related tissue relaxation. Unlike traditional upper eyelid surgery, which removes skin directly from the eyelid crease, sub-brow excision addresses excess tissue from beneath the eyebrow, preserving eyelid anatomy while improving eye openness.

As we age, the brow naturally descends due to gravity, collagen loss, and weakening of supporting structures. This descent can create a tired, heavy, or stern appearance and may contribute to functional concerns such as visual field obstruction. Sub-brow excision surgery offers a precise solution for patients experiencing brow-related eyelid heaviness without significant eyelid fat prolapse.

At CK Plastic Surgery, Dr. Charles Kim approaches sub-brow excision with a comprehensive understanding of facial anatomy, eyebrow aesthetics, and age-related changes in the upper face. Each procedure begins with an in-depth consultation and facial assessment to evaluate brow position, eyelid skin redundancy, muscle tone, and symmetry. Advanced facial analysis and personalized surgical planning ensure results that align with the patient’s natural features.

During sub-brow excision, a carefully placed incision is made directly beneath the eyebrow, allowing for removal of excess skin while preserving underlying muscles and nerves. This technique minimizes disruption to eyelid structures and avoids the hollowed appearance sometimes associated with aggressive upper blepharoplasty. Dr. Kim’s layered closure technique is designed to minimize scarring and promote optimal healing.

One of the key advantages of sub-brow excision is its ability to create subtle yet impactful rejuvenation. Patients often experience a brighter, more alert appearance, improved upper eyelid definition, and restored brow position without an over-operated look. This procedure is particularly popular among patients with thick brows, Asian eyelid anatomy, or those seeking natural upper facial rejuvenation.

By combining surgical precision, aesthetic judgment, and patient-centered care, Dr. Kim delivers sub-brow excision results that enhance both function and appearance while maintaining long-term facial balance.

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Overview

Benefits & Candidates

Improves upper eyelid hooding without altering eyelid crease

Restores youthful brow position and eye openness

Maintains natural eye shape and facial harmony

Minimizes risk of hollowed or overcorrected appearance

Offers discreet scar placement beneath the eyebrow

Enhances visual field in patients with brow-induced obstruction

Provides long-lasting upper facial rejuvenation

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1. Patients with significant upper eyelid hooding due to brow descent

2. Individuals seeking a natural alternative to upper blepharoplasty

3. Patients with thick or well-defined eyebrows

4. Individuals experiencing visual field obstruction from brow heaviness

5. Patients seeking subtle facial rejuvenation without dramatic change

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The Process

Comprehensive Consultation & Facial Analysis
Detailed evaluation of brow position, eyelid anatomy, and facial symmetry

Personalized Surgical Planning
Precise incision design using facial measurements and aesthetic balance

Anesthesia Administration
Local anesthesia with sedation for patient comfort and safety

Sub-Brow Skin Excision
Removal of excess skin beneath the eyebrow while preserving muscles and nerves

Layered Closure Technique
Meticulous suturing to minimize scarring and optimize healing

Recovery & Follow-Up Care
Post-operative monitoring and tailored aftercare for long-term results

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Recovery & Risks

Sub-brow excision is considered a safe and effective procedure when performed by a board-certified plastic surgeon with extensive experience in facial anatomy. As with any surgical procedure, there are potential risks, including swelling, bruising, temporary numbness, asymmetry, scarring, or delayed healing. Rare complications may include infection or unfavorable scar formation, though these risks are minimized through meticulous surgical technique and proper aftercare.

Following sub-brow excision surgery, patients can expect mild to moderate swelling and bruising around the brow and upper eyelid area. Swelling typically peaks within the first 48 to 72 hours and gradually subsides over one to two weeks. Most patients are able to return to light daily activities within several days and resume work within 7 to 10 days.

Post-operative care includes keeping the incision clean, avoiding strenuous activity, and attending scheduled follow-up appointments at CK Plastic Surgery. Dr. Kim provides detailed recovery instructions and monitors healing closely to ensure optimal outcomes. Scar maturation continues over several months, with incision lines fading naturally along the eyebrow contour.

Patients who follow post-operative guidelines carefully often experience smooth recovery, minimal downtime, and high satisfaction with their results.

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Real Results

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Sub-Brow Excision

Frequently Asked Questions

Does sub brow excision improve asymmetry between the eyelids?

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Sub brow excision can help correct mild asymmetry by adjusting uneven skin redundancy under the brows. Patients searching for eyelid asymmetry correction options often have one side with more hooding or heaviness. Dr. Charles Kim tailors the amount of skin removal on each side to create smoother, more symmetrical upper lids. This precise customization supports a balanced, natural look that enhances overall facial harmony.

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Can sub brow excision help with eyelid hooding or tired-looking eyes?

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Yes, sub brow excision is highly effective for improving eyelid hooding and heaviness. People searching for upper eyelid hooding treatment often want a solution that doesn’t change their eyelid crease or require a full blepharoplasty. By removing redundant skin beneath the brow, Dr. Charles Kim lifts the upper lid margin and restores a brighter, more rested appearance. This conservative approach preserves natural eyelid anatomy while enhancing freshness and balance.

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Will sub brow excision create a natural-looking eye shape?

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Yes, sub brow excision creates a very natural result when performed thoughtfully. By removing excess skin close to the brow line, Dr. Charles Kim enhances the lid contour without dramatically lifting the eyelid. Many individuals searching for natural sub brow lift results want to avoid an exaggerated or surgical look. This method softens heaviness, brightens the eyes, and preserves the patient’s natural crease, giving a subtle and elegant rejuvenation.

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What should I expect during a sub brow excision consultation?

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Expect a detailed evaluation of brow position, eyelid skin, and overall facial harmony. Patients researching sub brow excision consultation details appreciate understanding how much skin can be safely removed without affecting brow mobility. Using advanced imaging and measured planning, Dr. Charles Kim explains the incision placement, expected improvements, and healing process. The goal is to design a subtle rejuvenation that enhances your natural eye shape while maintaining structural integrity.

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How long do sub brow excision results usually last?

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Results last many years because excess skin is physically removed rather than simply tightened. People researching long-term sub brow lift results appreciate that the correction remains stable even as aging continues. Dr. Charles Kim’s precise skin removal and tissue alignment help maintain a smooth lid contour and prevent recurrent hooding. With proper skincare and brow support, improvements in upper eyelid definition remain consistent and natural-looking.

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