Restore Natural Lift and Balance to Your Brows

Browpexy Treatment - London

Precision Brow Stabilisation by Expert Oculoplastic Surgeons

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What is Browpexy?

Browpexy is a minimally invasive surgical procedure designed to lift and stabilise the eyebrows in a more youthful, natural position. Over time, the brow can descend due to ageing, gravity, or muscle laxity, creating a heavy or tired look that may also push down on the upper eyelids. Browpexy repositions the brow tissues, restoring facial balance and relieving the weight that contributes to eyelid hooding or vision obstruction.

Unlike a full brow lift, Browpexy is often performed through small incisions hidden within the eyelid crease, frequently at the same time as an upper Blepharoplasty. This approach reduces scarring and recovery time while achieving subtle, long-lasting improvement. The result is a refreshed and open expression with smoother contours around the forehead and eyes that maintain harmony with your natural facial features.

Diagnosis, treatment & management

Before recommending a Browpexy, your oculoplastic surgeon will carry out a detailed examination of the forehead, brow position, and eyelid function. This assessment helps to identify whether brow descent is the main cause of a heavy or tired appearance, or if excess eyelid skin is contributing. In some cases, a visual field test may be performed to see whether drooping brows are affecting your upper range of vision.

Treatment involves a precise surgical lift and fixation of the brow to a more natural level, often performed alongside upper eyelid surgery. The procedure can be carried out under local anaesthesia, with minimal discomfort and very small, hidden incisions. After surgery, patients receive tailored aftercare instructions to manage swelling and promote healing. Most people resume light activities within a few days, with the final brow position settling over several weeks; delivering a refreshed, symmetrical, and long-lasting result.

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A private consultation with our ophthalmologist is £300. This excludes any scans required.

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Browpexy

SIGNS & TREATMENT

Browpexy may be recommended when changes in brow position begin to alter facial expression, contribute to eyelid heaviness, or affect vision. Recognising these signs early can help guide you toward the right treatment for lasting, natural results.

Advanced Diagnostics At My-iClinic

A heavy brow, asymmetry, or pressure on the upper eyelids can signal brow descent or muscle laxity. Use the guide below to understand likely causes, see how severity is assessed, and learn the safest next step from booking a consultation to exploring corrective Browpexy treatment.

Browpexy; Is a Subtle Brow Lift Right for You?

Use this quick guide to match your concerns with likely causes, see how Browpexy can help, and choose the best next step.

Scenario What It Might Be Result You Can Expect What To Do Now Common Assessments Typical Treatments / Outcomes
Brows sitting low, making eyes look tired or “angry” Age-related brow descent and soft tissue laxity A softer, more open expression without changing your natural look Book a Browpexy consultation to review brow height and shape Brow position mapping, eyelid crease and forehead muscle assessment Subtle internal brow lift via small incisions; refreshed yet natural brow contour
Constantly lifting brows to see clearly or reduce heaviness Brow ptosis contributing to eyelid hooding and visual field restriction Lighter, more comfortable forehead with clearer upper vision Arrange specialist review; Browpexy may be combined with Blepharoplasty Visual field testing, lid/brow measurements, photographic documentation Targeted Browpexy to support brow position and reduce strain
One brow noticeably higher or lower than the other Natural asymmetry, past trauma, or previous surgery imbalance Improved symmetry that enhances overall facial balance Book a consultation for tailored symmetry planning Facial harmony analysis, brow height comparison, muscle function review Unilateral or selective Browpexy to fine-tune alignment
Heaviness or hooding persists after previous eyelid surgery Underlying brow descent not fully addressed A more complete lift by supporting the true source of heaviness Seek oculoplastic opinion; consider complementary Browpexy Review of prior surgery, brow/eyelid relationship assessment Revision plan combining Browpexy to enhance previous results
Mild brow descent with subtle change in expression only Early soft tissue relaxation Preventive, subtle lift to maintain a rested look Discuss both surgical and non-surgical options Skin quality check, muscle activity review, photographic baseline Conservative Browpexy or non-surgical lift depending on goals
Sudden change in brow position, weakness, or facial droop Possible nerve palsy or neurological cause Fast, accurate diagnosis before any cosmetic decision Seek urgent medical/neurological assessment Full facial nerve exam, imaging as indicated Treat underlying cause first; Browpexy considered only when safe
This guide is informational and cannot replace a specialist consultation. If your brows feel heavy, asymmetrical, or affect how you see or feel, our oculoplastic team can advise whether Browpexy or another approach is right for you.
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I would like to extend my heartfelt thanks to Dr. Bolger for their exceptional care and dedication. Your support has made a meaningful difference, and I truly appreciate everything you’ve done. With All my Love Gabriel Boboaca
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Excellent clinic and great service. Recommend.
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I can’t thank My-iclinic enough, Bola Odufuwa-Bolger and the team she has around her have just been fantastic, I’m over the moon with how my surgery has gone. This has been in the making for the last 5 months so I’m glad we have been able to get the surgery done.
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I have had several consultations and examinations at My I Clinic and have to say that every time, i have experienced excellent levels of care, advice and service. Staff are always really helpful and polite.
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⭐⭐⭐⭐⭐ Outstanding care from start to finish I am writing this review on behalf of Mr. Alan Nathan Gershon (Mr G), whom I care for. At 95 years old, he attended myiClinic London on 12 August 2026 for a YAG laser procedure, which was initially planned for his left eye only. From the moment we arrived, every member of staff was welcoming, kind, respectful, and professional. We were treated with genuine care and dignity throughout our visit. A special thank you goes to Ms. Bola Odufuwa-Bolger, the Clinic Director and Consultant Ophthalmic Surgeon. Her patient-centred approach was exceptional. During the assessment, she carefully discovered that although Mr. G's left eye had the thicker after-cataract, his right eye was also affected. The procedure took much longer than expected, but she remained patient, meticulous, and determined to achieve the best possible outcome. After the procedure, she felt the left eye might need to be redone. However, by the very next day, Mr. G's eyesight had improved remarkably. He now enjoys a renewed lease of vision—he can even read without his prescription glasses, something that has made an enormous difference to his quality of life. We are also incredibly grateful to Catalina Tomulescu, the Ophthalmic Technician, whose kindness and support were wonderful, as well as every member of the team who cared for Mr. G. As his carer, I left feeling humbled by the compassion, respect, and professionalism shown to us. Mr. G is deeply thankful for everything the myiClinic team has done. Thank you all for your outstanding work—please keep doing what you're doing. You have given a 95-year-old gentleman the priceless gift of seeing the world more clearly again.
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I was very impressed by the efficiency, professionalism, and thoroughness of My-iClinic. The staff went out of their way to make me feel comfortable, and to explain each step of the procedure
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Friendly professional staff. Miss Bola Odufuwa explained the procedures to me and I am very happy with the result of my cataract surgery
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My-iClinic in Whetstone, North London is, quite simply, the best. I went there for a bilateral cataract procedure, and the surgical team's depth of technical expertise, professionalism, care and empathy are all beyond compare. The results speak for themselves, but I will also do so anyway: following the procedure, I now have vision better than at any point in my life to date, even with contacts. All my thanks go to Bola and her team. My advice: if you have vision issues, do not waste your time going anywhere else- go to My-iClinic and say I sent you!!
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Browpexy Treatment FAQs

Many people choose Browpexy when they notice their brows sitting lower, creating a heavy or tired look. Below, you’ll find clear answers to some of the most common questions about how the procedure works, what to expect, and how it compares to other brow lift techniques.

Browpexy is a smaller, targeted procedure that repositions and supports the brow through the same incision as an upper eyelid surgery. A traditional brow lift usually involves longer incisions higher on the forehead and is suited for more significant sagging.

You may be a good candidate if your brows have descended slightly over time, causing a tired expression or heaviness on the upper lids. It’s ideal for people seeking subtle, natural enhancement without the downtime of a full brow lift.

Yes. Browpexy is often performed at the same time as an upper Blepharoplasty. This allows the surgeon to address both eyelid hooding and brow descent in one procedure, creating a balanced and refreshed look.

Most patients experience mild swelling or tightness around the brow for a few days. Bruising typically fades within a week, and normal activities can usually be resumed in 7–10 days. Your surgeon will provide aftercare instructions to ensure smooth healing.

Results are long-lasting, with most patients enjoying their improved brow position for many years. While ageing continues naturally, the brow generally stays higher and better supported than before surgery.

No! The goal of Browpexy is subtle enhancement, not alteration. The technique lifts and stabilises the brow in harmony with your facial structure, giving you a rested and more open look without changing your natural expression.

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Meera Radia

Consultant Ophthalmologist

SPECIALTIES

EDUCATION

  • FRCOphth – Fellow of the Royal College of Ophthalmologists
  • CertLRS – Certificate in Laser and Refractive Surgery, Royal College of Ophthalmologists
  • MBA – awarded a fully funded academic scholarship for postgraduate business studies
  • MBBS (Hons)
  • BSc (Hons)
  • Ophthalmology Specialist Training – North Thames Deanery
  • Advanced Fellowship Training in Medical Retina, Uveitis and Cataract Surgery – Moorfields Eye Hospital, London

RESEARCH

Meera has published and presented research across medical retina, artificial intelligence, ophthalmic imaging, cataract and digital eye care.
Her research has included work on deep-learning systems for the detection of retinopathy of prematurity, artificial-intelligence classification of retinal images, surgical outcomes in macular hole surgery, ophthalmic simulation and the availability of image datasets for anterior-segment artificial intelligence research.
Selected publications include work in the Journal of Cataract & Refractive SurgeryThe Lancet Digital HealthGraefe’s Archive for Clinical and Experimental OphthalmologyInvestigative Ophthalmology & Visual Science and the British Journal of Hospital Medicine.
She was also part of a team awarded a £70,000 Bayer Ophthalmology Research Award for research into artificial intelligence in retinopathy of prematurity.

AFFILIATIONS

  • Royal College of Ophthalmologists
  • European Society of Retina Specialists (EURETINA)
  • European Society of Cataract and Refractive Surgeons (ESCRS)
  • UK & Ireland Society of Cataract and Refractive Surgeons
  • International Ocular Inflammation Society
  • Chair and Lead, North West London Uveitis Network
  • Royal College of Ophthalmologists CESR Pathway Assessor
  • Former Associate College Tutor, Western Eye Hospital, Imperial College Healthcare NHS Trust
  • NHS England Clinical Entrepreneur Programme Fellow
  • Former elected Public Governor, Royal Free London NHS Foundation Trust

Harry Orlans

Consultant and Surgeon

SPECIALTIES

EDUCATION

– BA (Hons) Physiology & Neuroscience, 1st Class, University of Cambridge (2007)
 
– BM BCh Batchelor of Medicine & Batchelor of Surgery with Distinction, University of Oxford (2010)
 
– MA (Cantab), University of Cambridge (2011)
 
– The Crombie Medal, Royal College of Ophthalmologists (2011)
 
– FRCOphth, Royal College of Ophthalmologists (2017)
 
– DPhil (PhD), University of Oxford (2019)
 
– Fellowship in Vitreoretinal Surgery, St Thomas’ Hospital, London (2020-2021)
 
– Fellowship in Vitreoretinal Surgery, Moorfields Eye Hospital, London (2022-2023)
 
– Fellowship in Medical Retina, Moorfields Eye Hospital, London (2023)
 
– AFHEA, Associate Fellow of the Higher Education Academy (2025)
 

LATEST RESEARCH

– MRC/Fight for Sight Clinical Training Research Fellowship (2015)
 
– The Founders Cup and Medal, Oxford Ophthalmological Congress (2018)
 
– MRC Developmental Pathway Funding Scheme (2020)
 
– The Ruskell Medal for Research, The Worshipful Company of Spectacle Makers (2021)
 
Zheng Q, Orlans HO, Staurenghi F, McClements ME, MacLaren RE. Design and Validation of Mirtron-Mediated RNA Interference for Gene Therapy Therapy Methods Mol Biol. 2026; 3023: 195-206.
 
Orlans HO, Yazdouni S, Williamson TH, Wong RS, Laidlaw DAH. A novel post-operative drop regimen reduces risk of ocular hypertension following pars plana vitrectomy. Ophthalmologica. 2023; 246(1):32-38.
 
Azad A, Laidlaw DAH, Orlans HO. Using QR smartphone technology to improve patient communication and information distribution. Eye 2022;26(6):1321-1322.
 
Orlans HO, McClements ME, Barnard AR, et al. Mirtron-mediated RNA knockdown/replacement therapy for the treatment of dominant retinitis pigmentosa. Nat Commun 2021;12:4934.
 
Corazza P, D’Alterio FM, Kabbani J, Alum MMR, Mercuri S, Orlans HO, Younis S. Long-term outcomes of intravitreal anti-VEGF therapies in patients affected by neovascular age-related macular degeneration: a real-life study. BMC Ophthalmol 2021;21:300.
 
Xue K, Jolly JK, Barnard AR… Orlans HO et al. Beneficial effects on vision in patients undergoing retinal gene therapy for choroideremia. Nat Med 2018;24:1507–1512.

AFFILIATIONS

Fellowships and Memberships in Professional Societies
 
– Fellow of the Royal College of Ophthalmologists
 
– Member of the British & Eire Association of Vitreoretinal Surgeons (BEAVRS)
 
– Member of the European Society of Retinal Specialists (Euretina)
 
– Associate Fellow of the Higher Education Academy (Advance HE)