4 Point & Temporal Brow Lift Surgery
Refresh your expression with a refined brow lift that opens the eyes, softens the upper face and maintains your natural character.
Restore Your Expression with Subtle, Natural Lift
A refined brow position can transform how you look and feel. By elevating the brow to its ideal position, Dr. Richard V. Balikian restores openness to the eyes and harmony across the upper face.
His 4 Point and Temporal Brow Lift techniques provide natural, lasting rejuvenation without the pulled or surprised appearance often associated with older surgical methods.
Why Consider a Brow Lift
The brows frame the eyes and play a major role in how others perceive expression. As the brow descends with age, it can cast shadows and create a tired or heavy look. A brow lift restores a refreshed, awake appearance while preserving your natural character.
Common reasons patients choose a brow lift:
- Drooping brows or heaviness across the upper eyelids
- Deep forehead lines or vertical frown lines between the brows
- Outer brow hooding that persists even after Botox or Dysport
- Desire for a longer lasting correction than injectables alone
Dr. Balikian’s approach focuses on harmony rather than height. The goal is to restore the brow to where it once was, not to lift it higher than nature intended.
Brow Lift vs. Eyelid Surgery
Sometimes heaviness around the eyes is due to the brow rather than excess eyelid skin. During your evaluation, Dr. Balikian determines whether a brow lift, upper blepharoplasty, or a combination will best achieve your goals.
- A brow lift elevates drooping tissue that weighs on the eyelid
- Blepharoplasty removes redundant skin and refines eyelid shape
- Many patients benefit from both for complete upper face harmony
Dr. Balikian’s eye for proportion ensures that results look balanced and natural in every expression.
Brow Lift Before and After Gallery
Dr. Balikian’s Approach
Every face is unique and each brow lift is carefully planned using artistry and engineering. During your consultation, Dr. Balikian studies brow position, forehead height, eye shape and muscle activity to determine the ideal vector of lift.
His techniques are built on the same principles that define the Artiste Lift™ facelift philosophy: minimal trauma, natural results, and structural precision.
Key steps in his approach:
- Evaluate facial balance and asymmetry
- Select the least invasive technique that achieves the goal
- Preserve the natural hairline and maintain proportion
- Use hidden incisions and careful vector control for longevity
- Support recovery with light-based healing and scar care protocols
This meticulous process ensures the lift blends seamlessly with your natural anatomy for smooth, lasting and balanced rejuvenation.
The 4 Point Brow Lift
The 4 Point Brow Lift uses four tiny incisions hidden within the hairline to gently elevate and reshape the brow. Through these discreet access points, Dr. Balikian releases and repositions the brow tissues to their youthful position.
This method addresses both central and lateral descent, allowing even correction across the upper face while maintaining the patient’s natural arch. It is ideal for those with generalized brow heaviness or flattening across the forehead.
Benefits:
- Even lift across the entire brow
- Natural arch and expression
- Hidden incisions and fast recovery
- Long lasting results with balanced symmetry
The result is a smoother, brighter upper face that looks refreshed rather than altered.
The Temporal Brow Lift
The Temporal Brow Lift, sometimes called the lateral brow lift, focuses on lifting the outer third of the brow and temple region. This area is often the first to show signs of aging and heaviness.
Dr. Balikian performs this lift through a short incision placed about one centimeter behind the hairline, leaving no visible scarring and no hair loss. By gently releasing the underlying tissue, he lifts the tail of the brow just enough to smooth bunching skin and brighten the eyes.
This approach is perfect for patients who notice outer brow droop or lateral eyelid hooding but do not require a full brow lift.
Benefits:
- Opens and brightens the outer eye region
- Smooths the temple and forehead skin
- Restores natural lateral brow contour
- Preserves forehead length and central brow position
The result is a soft, natural lift that brightens the eyes and restores youthful balance to the upper face.
Recovery and Results
Most patients find recovery to be smooth and easier than expected. Dr. Balikian accelerates recovery through targeted light therapy treatments that reduce swelling, minimize bruising, and support faster healing.
Few offices offer this level of post-surgical care, allowing patients to enjoy a more comfortable and efficient recovery.
The final result is a smoother forehead, brighter eyes and a naturally refreshed expression. Scars remain thin and well hidden within the hairline, and with good skincare and sun protection, results can last for many years.
Who Is a Candidate
You may be a good candidate for a brow lift or temporal brow lift if you:
- Have a low or flat brow that makes you look tired or stern
- Experience hooding at the outer corners of the eyes
- See deep forehead wrinkles or drooping brow tails
- Are in good general health and a non-smoker
- Have realistic expectations for natural looking rejuvenation
Dr. Balikian evaluates each patient’s unique facial structure to determine the safest and most effective approach for achieving a refreshed, natural look.
Once candidacy is established, treatment can be personalized further by combining complementary procedures that enhance overall harmony and balance.
Combining Procedures
A brow lift can be performed alone or with other facial procedures for comprehensive rejuvenation:
- Upper and lower blepharoplasty
- Deep plane facelift or Artiste Lift™
- Facial fat transfer for volume restoration
- CO₂ laser resurfacing for skin texture improvement
Dr. Balikian’s philosophy is to enhance overall harmony, not to isolate one feature. Every procedure is customized to your anatomy and goals.
Brow Lift FAQs
What is Dr. Balikian’s 4 Point Brow Lift?
A minimally invasive brow lift using four small incisions hidden behind the hairline. Through these tiny access points the brow and forehead tissues are gently lifted and secured to open the eyes, soften heaviness, and restore a natural arch without a long scalp incision.
How is a Temporal Brow Lift different?
A temporal brow lift focuses on the outer third of the brow. Short incisions are placed within the temple hair or just along the hairline to lift the brow tail and reduce lateral hooding over the upper eyelid. It does not change the central forehead as much as the 4 point approach.
Who is a good candidate for each procedure?
4 Point Brow Lift: patients with overall brow descent, heavy or flat brows, and a tired look across the entire upper face.
Temporal Brow Lift: patients with lateral hooding and a droopy brow tail, but a relatively good central brow position.
What concerns do they address?
Both lifts can brighten the eyes, reduce “angry” or tired appearance, and improve upper eyelid show. The 4 point approach addresses central and lateral brow. The temporal approach targets the outer brow and crow’s-feet region.
Where are the incisions and will I have visible scars?
4 Point: four short incisions hidden in the hair.
Temporal: one short incision per side hidden in the temple hair or along the hairline.
Scars are typically thin and well concealed.
What is the recovery like?
Expect swelling and a tight feeling for several days. Many patients return to light activities in 3 to 5 days and to routine work in about 7 to 10 days. Full refinement continues for several weeks.
How long do results last?
Brow lift results are long lasting. Most patients enjoy improvements for many years. Natural aging continues, so maintenance is individualized.
Will my brows look natural?
Yes. Dr. Balikian lifts in the vector of your natural anatomy and avoids over-elevation, so expressions remain authentic.
Can I combine a brow lift with other procedures?
Yes. Common combinations include upper eyelid surgery, lower eyelid rejuvenation, fat grafting, laser or RF tightening, and facelift. Combining can shorten total recovery time.
Will a brow lift change my hairline or forehead length?
With the 4 point technique the hairline is typically preserved. Temporal lifts do not lengthen the forehead and can be tailored for patients with high hairlines.
How do I choose between the 4 Point and Temporal Brow Lift?
If both the center and outer brow are low, consider the 4 point lift. If the main issue is lateral hooding and a droopy brow tail, consider the temporal lift. Your consultation will include photographs, brow position measurements, and a personalized plan.
How soon will I see results?
Improvement is visible right away. Swelling settles over two to three weeks, with continued refinement for several months.
What about cost and financing?
Pricing depends on the technique and whether procedures are combined. You will receive a personalized quote after your exam. Flexible financing options are available.
Trust Your Face to a Facial Plastic Surgeon
Dr. Richard Balikian is a renowned facial plastic surgeon known for his dedication to patients throughout Southern California.
With more than two decades of experience and double board certification in Facial Plastic and Reconstructive Surgery and Otolaryngology – Head and Neck Surgery, he brings together surgical precision and an artist’s eye.
Dr. Balikian is among a select group of specialists whose advanced training is devoted entirely to procedures of the face and neck.
Your Journey Starts Here
The Balikian Experience
Patients choose Dr. Richard Balikian for precision facial procedures, personalized care and results that look naturally you.
Learn More About Facial Plastic Surgery
Richard V. Balikian, MD, FACS
Double Board-Certified Facial Plastic Surgeon
Balikian Facial Plastic Surgery: Richard V. Balikian, MD, FACS
Tyler Frew, MD
Board-Certified Plastic Surgeon