The Complete Guide to Brow Lift in Tunisia

This page is the long, pedagogical companion to our procedure page, Forehead And Brow Lift in Tunisia, which sets out how the operation itself works, the stay and the aftercare. Here we go further into the decisions that come before it: the mirror test, over-elevation, forehead height and hairline, and the difference between a male and a female brow. For what a package costs and how the figure is built, see plastic surgery prices in Tunisia, and for where this operation sits among the others, our facial surgery in Tunisia overview.

Three things before you read further.

First, a great many patients who think they need upper eyelid surgery actually have a descended brow — and a great many who ask for a brow lift need their eyelids. Section 2 sets out the test, and getting this wrong is the commonest planning error in upper facial surgery.

Second, over-elevation is the signature error of this operation. Section 3: the permanently surprised look is a real and recognisable outcome, and it comes from lifting too much, in the wrong direction, in the wrong place.

Third, your forehead height and hairline determine which technique is possible. Section 4: a patient with a high forehead should not have an operation that raises it further, and the technique must follow that.

One thing distinguishes Tunisia: it is a French-speaking country. Not a clinic with French-speaking staff — a country where French is a working language across medicine and daily life. This guide is organised around your journey: deciding, preparing, the stay, and the year that follows.

Part one — Deciding

1. What a brow lift addresses

What descends. The brow descends with age, and it descends unevenly — typically the outer third falls further than the inner, producing a heavy, hooded appearance at the outer eye. And the descent is frequently asymmetric, which patients notice in photographs.

What it treats.

• A low or heavy brow, particularly at the outer third.
• Hooding of the upper eyelid caused by brow descent rather than by eyelid skin — section 2, and this is the critical distinction.
• Horizontal forehead lines, softened, because the muscle that raises the brow is addressed.
• The frown lines between the brows, treated by weakening the muscles that produce them.
• And, where present, a heavy or low outer brow that makes a patient look tired or stern regardless of how she feels.

What it does not treat.

• Upper eyelid skin excess itself — which is blepharoplasty. Frequently combined.
• Lower eyelids, cheeks or the midface.
• Skin quality, texture and fine lines, which need resurfacing.
• And crow’s feet, largely, which are treated with botulinum toxin or resurfacing.

2. Brow or eyelid? The test

The most useful section on this page.

Why the confusion. Both produce the same complaint: heaviness over the eye, hooding at the outer corner, and a tired look. And the same photograph looks like either.

The test. Look in a mirror, relaxed. Place a finger at the outer end of your eyebrow and lift it gently upward, to where it used to sit — without pulling the eyelid skin.

• If the hooding largely disappears and the eye opens: your brow is the problem.
• If the hooding remains and there is still a fold of skin on the eyelid itself: your eyelid is the problem.
• If both improve and some fold remains: you need both, which is common.

Why it matters so much. Because removing eyelid skin in a patient whose brow has descended pulls the brow further down. The eye looks better briefly and the brow looks heavier, and the patient has lost eyelid skin she may need later. And conversely, lifting a brow in a patient whose problem is eyelid skin produces a raised brow over an unchanged hooded eye, which looks odd.

What we do. We perform this assessment at the consultation, and we tell you. A meaningful proportion of patients who enquire about one need the other, or both. Ask directly: « Est-ce mon sourcil ou ma paupière, ou les deux ? » A surgeon who examines you dynamically and answers specifically is assessing you.

3. Over-elevation: the signature error

The section that determines whether you look rested or surprised.

What it looks like. A permanently startled expression. Brows sitting too high, too rounded, or with the inner end lifted — which is what produces the “surprised” look rather than a rested one. And a forehead that is too smooth and too long for the face.

What causes it.

• Lifting too much — and the correct movement is frequently a few millimetres, not a centimetre.
• Lifting in the wrong direction. The outer brow needs elevating more than the inner, and lifting the inner brow is what creates the startled look.
• Weakening the frown muscles excessively, which can produce a raised, immobile inner brow.
• And operating on a patient whose brow was not actually low, where the problem was her eyelids. Section 2.

What a correct result looks like. A brow position appropriate to your face and your sex — and men and women have different aesthetic brow positions, which matters, section 5. The outer third elevated more than the inner. A brow that still moves, expression preserved. And a change that reads as looking rested rather than as looking operated.

Why it is hard to undo. Lowering an over-elevated brow is difficult, and the results of correction are modest. Which is a strong argument for conservative lifting, and for asking your surgeon how much elevation they plan and where. Ask: « De combien allez-vous relever, et dans quelle zone ? » An answer in millimetres, distinguishing inner from outer, is a planned operation.

4. Forehead height and hairline: what determines the technique

The anatomical fact that dictates the approach.

Why it matters. Some techniques raise the hairline. Some lower it. Some leave it unchanged. A patient with a high forehead who has an operation that raises the hairline further ends up with a forehead that dominates her face, and it is very difficult to reverse.

The measurement. Forehead height is measured from the hairline to the brow, and it is assessed against your facial proportions. A short forehead tolerates — and sometimes benefits from — a technique that raises the hairline. A long forehead requires a technique that does not, or one that lowers it.

The techniques and what they do to the hairline.

What we do. We measure, assess your hairline, and tell you which technique your anatomy permits. Ask: « Compte tenu de la hauteur de mon front, quelle technique convient, et que fera-t-elle à ma ligne de cheveux ? » A surgeon who offers one technique regardless of forehead height is not planning your operation.

5. Men and women: different brows

Frequently overlooked, and it produces obvious results when it is.

The aesthetic difference. A female brow typically sits above the orbital rim, with an arch peaking toward the outer third. A male brow typically sits at or just below the orbital rim, flatter, with less arch.

Why it matters. Lifting a male brow to a female position feminises the face, and it is immediately recognisable. This is one of the commonest errors in brow surgery on men.

What we do for men. A more conservative elevation, preserving the flatter shape, and avoiding arching the outer brow. And frequently a different technique: a direct or limited lift may suit a man with deep forehead lines and a receding hairline, where an endoscopic approach is impractical.

Hairline considerations in men. Male pattern hair loss changes what is possible, and an incision behind a hairline that recedes further becomes a visible scar. This is assessed specifically, and it is a reason some men are better served by a direct or transblepharoplasty approach.

6. Botulinum toxin first

The honest alternative, and worth trying.

What it does. Weakening the muscles that pull the brow down — at the outer brow and between the brows — produces a modest lift, frequently of a few millimetres. And it softens the frown and forehead lines.

Why it is worth trying first. Because for a patient with early or mild brow descent, it may achieve enough. Because it is reversible, and it lets you see whether a lifted brow suits your face before committing surgically. And because it costs a fraction and requires no recovery.

What it does not do. It does not lift a genuinely descended brow meaningfully. It does not remove skin. And it requires repeating, indefinitely, at a recurring cost.

A caution. Over-treatment produces its own problems: a heavy brow where the forehead muscle has been excessively weakened, which is a common and temporary result of poorly placed injections.

What we say. Where your descent is mild, we will suggest trying this first, and it is a genuine recommendation rather than a formality.

7. Where we would want more information first

• Previous upper eyelid surgery, which matters enormously. Where eyelid skin has already been removed, lifting the brow afterwards can make it impossible to close the eyes fully, because there is not enough skin to accommodate a higher brow. Tell us about any previous blepharoplasty, and we assess the skin available before planning.
• Dry eye, which brow and eyelid surgery can worsen. Section 8.
• Thyroid eye disease, which changes both the assessment and the plan.
• Previous facial nerve injury or asymmetry.
• Migraine. Some patients report improvement in migraine after brow surgery involving the frown muscles, and the evidence is mixed. We would not offer this as a treatment for migraine.
• Hair loss or a receding hairline, section 5.
• Smoking — four weeks before and after, minimum.
• And uncontrolled blood pressure.

8. Dry eye

Worth stating, because it is frequently overlooked before upper facial surgery.

Why. Raising the brow, and particularly combining it with upper eyelid surgery, can reduce how completely the eyes close — temporarily, and occasionally longer. A patient who already has dry eye can find it substantially worse.

What to tell us. Whether your eyes feel gritty, burn, water excessively, or are uncomfortable in wind or air conditioning. Whether you use drops, and how often. Whether you wear contact lenses, and whether they have become less comfortable. And whether you have had laser eye surgery, which is associated with dry eye and which patients frequently do not think to mention.

What we do. Assess it, and where it is significant, modify the plan or recommend treating it first. And provide lubricating drops afterwards, which are part of the aftercare rather than optional.

9. Your Canadian options

Cosmetic brow surgery is not covered. One exception worth knowing: where eyelid or brow descent is severe enough to obstruct the visual field, some provinces cover upper eyelid surgery, and the assessment is a formal visual field test. That applies to eyelids rather than brows in most provinces, and it is worth asking your physician if your vision is genuinely affected. Otherwise the comparison is private against private.

Part two — Preparing

10. From first contact to confirmed dates

The online consultation. Send photographs:

• Front, completely relaxed — and this matters, because patients unconsciously raise their brows for photographs, which hides the problem entirely.
• Front, with eyes closed, which shows the resting brow position.
• Front, raising your eyebrows.
• Front, frowning.
• Both profiles and both three-quarter views.
• Hair back off the forehead, and the hairline visible.
• Natural daylight, no makeup, no filters.

Plus: your age, what specifically bothers you, whether you feel you have to raise your brows to see comfortably, previous eyelid or facial surgery, any botulinum toxin and when, any dry eye symptoms (section 8), any laser eye surgery, medications, keloid history, whether you smoke, and any hair loss.

What you receive. A plan stating whether your problem is brow, eyelid or both (section 2), which technique your forehead height and hairline permit (section 4), how much elevation is planned and where, what is combined, the stay, and the cost. Within 24 to 48 hours. And where botulinum toxin would serve you first, or where your eyelids are the real issue, the plan will say so.

Questions worth asking before you commit.

• « Est-ce mon sourcil ou ma paupière ? » — section 2.
• « Quelle technique, et que fera-t-elle à ma ligne de cheveux ? » — section 4.
• « De combien allez-vous relever, et où ? » — section 3, and an answer in millimetres is a planned operation.
• « Comment allez-vous éviter un regard étonné ? »
• « Où seront les cicatrices, et seront-elles visibles si mes cheveux s’éclaircissent ? »
• « Où votre chirurgien a-t-il été formé ? »

What to arrange at home before you travel. Stop smoking, four weeks before and after. Treat any dry eye, and bring your drops. Stop botulinum toxin, generally three months before, so your true brow position can be assessed — and tell us when you last had it. Review medications and supplements: fish oil, vitamin E, ginkgo, ginseng and garlic increase bleeding. Get your blood pressure controlled. And arrange time off, two weeks, with bruising around the eyes.

Part three — The stay

11. Your stay in Tunisia

Eight to ten days, and longer where combined with a facelift.

Day 1 — Arrival. Your driver meets you at the airport and takes you to your hotel with your companion. Nothing clinical today.

Day 2 — Consultation and planning. Full upper facial assessment:

• Brow position at rest, with you genuinely relaxed, which requires a moment of quiet rather than a quick look.
• The lifting test — section 2.
• Forehead height measurement and hairline assessment — section 4.
• Eyelid skin assessment, and the skin available if previous surgery has been done — section 7.
• Frown and forehead muscle activity.
• Documentation of pre-existing brow asymmetry, present in almost everyone, and worth pointing out beforehand.
• Dry eye assessment.
• Photographs, blood pressure, blood tests, anaesthetic assessment.

Then the planning conversation, including how much elevation and where — section 3.

Day 3 — Surgery. One to two and a half hours, depending on technique and what is combined, under general anaesthesia or sedation with local. The technique per your plan (section 4). Frown muscles addressed where planned. Fixation — and the method varies by technique, from sutures to absorbable devices. Blepharoplasty where combined. A light dressing. Day case or one overnight.

Days 4 to 7 — Recovery. Swelling and bruising around the eyes, peaking at day two to three, and it frequently tracks downward into the eyelids and cheeks, which surprises patients who expected forehead swelling. Head elevated, cold compresses, medication. Lubricating drops as instructed. Numbness of the forehead and scalp — section 14. Review appointments.

Days 8 to 9 — Suture or staple removal. Removed at around days seven to ten, depending on technique.

Day 10 — Final review and departure. Final examination, and your documentation: an operative report describing the technique, the elevation achieved and where, and any muscle work; written aftercare in French or English; scar care; and a letter for your Canadian physician. Then your transfer to the airport.

12. The first weeks

Swelling and bruising. Around the eyes rather than the forehead, which patients do not expect — gravity carries it downward. Frequently substantial, and resolving over ten to fourteen days.

Numbness. Of the forehead and scalp behind the incisions. Near-universal, and section 14.

Itching. Of the scalp, as nerves recover. Common, sometimes intense, and settling over weeks to months. Patients find this more bothersome than they expect, and it is worth knowing it is normal.

Tightness. A sensation of tightness across the forehead, settling over weeks.

Restrictions. Head elevated for a week. No strenuous activity or bending for two weeks. No hair colouring for four weeks, and no heat styling near the incisions while numb — you will not feel burning properly. And sun protection, strictly.

Part four — The year that follows

13. The result over time

The settling. The brow sits higher immediately after surgery than it will finally, because of swelling and because tissue relaxes. Which means the early appearance can be alarming — and a brow that looks over-elevated at two weeks frequently is not at three months. Do not judge your result before three months, and preferably six.

What patients should expect. A rested, more open upper face, not a dramatically different one. Expression preserved. And forehead lines softened rather than eliminated, because they are creases in skin as well as muscle action, and deep static lines need resurfacing as well.

Longevity. Good, with the endoscopic and hairline techniques generally durable over years. Ageing continues from the new position. And where the frown muscles were addressed, that effect is generally lasting, though it is not the same as permanent.

14. Numbness, itching and hair

Numbness. Of the forehead and the scalp behind the incisions. Near-universal, and improving over three to six months, with some patients reporting a small permanent area. Practical warning: be careful with hair dryers, straighteners and hot water for several months — you will not feel heat properly, and burns are a real and under-mentioned risk.

Itching. As nerves recover, frequently intense. Settles over weeks to months.

Hair loss around the incisions. Temporary shedding along the incision lines is common — shock loss — and it regrows in most patients over three to six months. Permanent loss along the incision is uncommon, and more likely with tension or in patients with existing thinning. Where you have thinning hair, tell us: it affects incision planning. Section 5.

15. Scars

Where they are depends entirely on the technique — section 4.

• Endoscopic: short incisions behind the hairline, usually very difficult to see.
• Pretrichial: at the front hairline, usually well concealed, and visible if hair recedes.
• Coronal: across the top of the scalp, hidden by hair, and visible if hair thins.
• Temporal: in the temporal hair.
• Direct: above the brow, and visible — used only where it is the right trade, and generally in older patients with deep lines.

Care: sun protection, silicone from around three weeks, and early treatment where a keloid tendency exists.

16. Your Canadian follow-up

Little is required medically, though arrange a physician who will see you if needed.

What warrants urgent attention.

• Increasing pain with swelling and tightness — possible haematoma. Urgent.
• Inability to close your eyes fully, or a painful, gritty eye — assessed promptly, because a cornea that is not properly protected is at risk.
• Fever, spreading redness or discharge.
• An eyebrow that will not move. Temporary weakness of the frontal branch of the facial nerve does occur, but it should be assessed.

Take your operative report. Canadian coverage: not covered. Treatment of any complication is covered.

Part five — Practical matters

17. Canadian patients: travelling to Tunisia from your region

Aylan Clinic works with patients from every province and territory in Canada.

Montreal and the surrounding region. Montreal is our largest Canadian source for Tunisia, with connections through Paris, Frankfurt or Istanbul. Patients from Laval, Longueuil and Brossard are within easy reach of the airport.

Quebec City and across the province. From Quebec City and the Capitale-Nationale region including Lévis, most patients connect through Montreal, as do patients from Trois-Rivières, Sherbrooke, Drummondville and Saint-Jérôme. Gatineau patients depart from Ottawa or drive to Montreal.

On this operation the francophone advantage is at the assessment. You are being told whether your problem is your brow or your eyelid, and how many millimetres of elevation are planned, and where. Those are precise technical distinctions, and patients consistently tell us they asked better questions in their own language. And there is a second conversation that matters here: describing the expression you want to keep. “I want to look rested, not surprised” is easy to say and hard to make precise, and the precision is what prevents over-elevation.

Acadia and New Brunswick. We work with patients from Moncton, Fredericton and Saint John. Moncton and the surrounding Acadian communities are served in French throughout.

Francophone Ontario. Sudbury, Thunder Bay and Sault Ste. Marie all have substantial francophone populations, served in French from first contact onward. Ottawa patients typically connect through Montreal.

Greater Toronto Area and southern Ontario. Toronto patients connect through European hubs. Across the wider Greater Toronto Area: Mississauga, Brampton, Markham, Vaughan, Richmond Hill and Oshawa. Along the lake: Hamilton, Burlington, Oakville, St. Catharines and Niagara Falls. In southwestern Ontario: London, the Waterloo region — Kitchener, Waterloo and Cambridge — plus Guelph, Windsor and Barrie. Kingston patients generally drive to Toronto or Montreal.

Vancouver and British Columbia. Vancouver patients face the longest journey, typically two connections. We frequently recommend extending by a day or two, and note that bruising around the eyes is what you will be travelling with — sunglasses manage it. Across the Lower Mainland: Surrey, Burnaby and Richmond. From Victoria and Nanaimo, ferry or short flight. Kelowna, Abbotsford and Kamloops connect through Vancouver or Calgary.

Alberta. Calgary and Edmonton both offer European connections. Red Deer and Lethbridge patients generally drive to Calgary. And dry air is uncomfortable where dry eye is a factor — bring your drops on the flight.

Manitoba and Saskatchewan. Winnipeg patients connect through Toronto or Montreal, and Saint-Boniface is served in French. From Saskatoon and Regina, a domestic connection plus two further flights. Prairie winter air and dry eye: the same point applies.

Atlantic Canada. Halifax routes through Montreal or Toronto. From Charlottetown and St. John’s, two or three connections.

Northern Canada. We work with patients from Whitehorse in Yukon, and from communities across the Northwest Territories and Nunavut. Dry air and dry eye are relevant, and addressed in your aftercare. And privacy: bruising around the eyes is visible for two weeks, which in a small community is noticed. We plan around that without comment, and we plan the full stay plus buffer.

How we handle the logistics. Your coordinator arranges transfers, confirms your hotel, and builds your schedule around your arrival time.

Five recommendations. Do the mirror test before you enquire (section 2). Send a genuinely relaxed photograph, not one where you are raising your brows. Stop botulinum toxin three months before. Tell us about dry eye and any laser eye surgery. And ask how many millimetres, and where.

18. What your package includes

• Free consultation in French or English, with an assessment of whether your problem is brow, eyelid or both
• Full on-site assessment: resting brow position, the lifting test, forehead height, hairline, eyelid skin available, muscle activity, and dry eye
• Documentation of pre-existing brow asymmetry
• Standardised photography, blood pressure assessment, blood tests, anaesthetic assessment
• A planning conversation stating how much elevation and where — section 3
• The technique chosen for your forehead height and hairline — section 4
• Brow lift, with frown muscle work where planned
• Blepharoplasty where combined and quoted
• General anaesthesia or sedation with local, as agreed
• Dressings, medication and lubricating eye drops
• Day case or one overnight
• Review appointments across the stay
• Suture or staple removal
• Scar care supplies
• Operative report describing the technique, the elevation and where, and any muscle work
• Written aftercare in French or English, including numbness, itching and burn precautions
• A letter for your Canadian physician
• Continued contact in French or English after you return
• Hotel accommodation, full board
• A companion at no extra cost, accommodated and fed in the same room
• Airport–clinic–hotel transfers
• A personal coordinator from arrival to departure
• French-speaking care throughout, with English available on request

The clinical team. A plastic surgeon experienced in upper facial surgery, frequently French-trained; an anaesthetist; and a dedicated nurse.

19. Results by patient profile

Where it was the brow. A patient of fifty-two who had been told elsewhere she needed upper blepharoplasty. The lifting test showed her hooding largely resolved when her outer brow was elevated — her eyelid skin was not the problem. An endoscopic brow lift, with no eyelid skin removed. Had she had blepharoplasty, her brow would have been pulled lower still.

Where it was the eyelid. A patient who asked for a brow lift, whose brow sat at a normal position and whose upper lids carried substantial skin. Upper blepharoplasty alone. Lifting her brow would have produced a raised brow over an unchanged hooded eye. Section 2 works in both directions, and this is as common as the reverse.

A high forehead. A patient with a long forehead and a high hairline, who had been quoted for an endoscopic lift elsewhere. That technique raises the hairline, which would have made her forehead dominate her face further. A pretrichial lift instead, which did not raise it, and which can lower a hairline where indicated. Section 4 is why the technique must follow the anatomy.

A man. A patient of fifty-six with a heavy brow and deep forehead lines, and a receding hairline. A conservative elevation preserving the flatter male brow shape, and a technique chosen around his hairline. Lifting him to a female brow position would have been immediately recognisable — section 5.

Where botulinum toxin was enough. A patient with mild outer brow descent. We suggested botulinum toxin first. It achieved what she wanted, and she has not had surgery. It also let her see whether a lifted brow suited her, which is a genuine advantage of trying it first.

Where previous eyelid surgery limited the plan. A patient who had had upper blepharoplasty twelve years earlier. We assessed the skin available, and planned a conservative elevation, because lifting further would have compromised her ability to close her eyes. Telling us about previous surgery is what allowed that.

A patient from Québec. A patient who chose Tunisia so the planning conversation could happen in French. Her comment was about a distinction she needed to make exactly: « Je voulais avoir l’air reposée. Je ne voulais surtout pas avoir l’air surprise. Et je voulais pouvoir encore froncer les sourcils quand je suis contrariée. »

20. Practical points to know

What to expect. A dynamic assessment before anything is planned (section 2). A one to two and a half hour operation. Bruising around the eyes rather than the forehead, for ten to fourteen days. Numbness and itching of the scalp for months. Two weeks before you are presentable. And a result that settles over three to six months, with the brow sitting higher initially than it will finally.

Recognised points. Brow lifting is well established with good outcomes in appropriately selected patients. Your surgeon will discuss the considerations relevant to you. The main ones: over-elevation, the signature error (section 3), difficult to correct; asymmetry, including pre-existing asymmetry persisting; frontal branch facial nerve injury, causing inability to raise one brow, uncommon, usually temporary and occasionally permanent; numbness of the forehead and scalp, near-universal and usually improving; itching, common; hair loss along the incisions, usually temporary; hairline elevation where the technique raises it (section 4); inability to close the eyes fully, usually temporary, and more likely where eyelid surgery is combined or where previous eyelid surgery has been performed; worsening of dry eye; haematoma, uncommon; visible scarring, particularly with direct or coronal techniques and in thinning hair; recurrence over years; and the general risks of anaesthesia.

Three things within your control. Doing the mirror test honestly before you enquire. Telling us about dry eye, previous eyelid surgery and laser eye surgery. And not judging your result before three to six months.

Who this suits. Adults with genuine brow descent confirmed on dynamic assessment, a forehead height and hairline suited to an available technique, realistic expectations, and no significant untreated dry eye.

Who should consider something else. Anyone whose problem is eyelid skin — blepharoplasty. Anyone with mild descent — botulinum toxin first. And anyone whose brow is not actually low, which is more common than expected.

21. Price: how it is built and how to compare it

What determines your price. The technique, and they differ substantially in operating time and complexity. Whether frown muscle work is included. Whether blepharoplasty or a facelift is combined. The anaesthetic. And the length of stay. Itemised, and fixed once you approve it.

What is included. Everything in section 18: the full assessment including the lifting test and forehead measurement, the planning conversation, the operation, combined procedures where quoted, the anaesthetic, dressings, medication and eye drops, review appointments, suture removal, scar care, the operative report, written aftercare, the letter for your Canadian physician, continued contact, hotel with full board, transfers, and your coordinator. A companion is accommodated and fed at no additional cost.

What sits outside it. Flights, travel insurance, skin resurfacing where staged, and any revision.

How to compare quotes properly. Four checks.

• Has the clinic established whether your problem is brow or eyelid? The most important check, and a quote issued without a dynamic assessment may be for the wrong operation.
• Which technique, and what will it do to your hairline? Section 4 — and a clinic offering one technique regardless of forehead height is not planning your operation.
• How much elevation, and where? An answer in millimetres distinguishing inner from outer brow is a planned operation.
• Is blepharoplasty included where you need both?

Why the lowest quote is the wrong question here. Because the commonest bad outcome of this operation is not a complication — it is a face that looks surprised. That comes from judgement, not from price, and correcting it is difficult. Choose the surgeon who measures, tests and answers in millimetres.

Canadian coverage. Not covered. Treatment of any complication is covered.

Getting your figure. Send photographs including a genuinely relaxed one, eyes closed, brows raised and frowning, with the hairline visible, in daylight and unfiltered. Plus your age, what bothers you, previous eyelid or facial surgery, when you last had botulinum toxin, any dry eye or laser eye surgery, medications, keloid history, whether you smoke, and any hair loss. A plan and quote follow within 24 to 48 hours, in French or English, including where your eyelids or botulinum toxin would serve you better. You can request a free, personalised quote directly.

22. Glossary

• Brow ptosis — descent of the eyebrow
• Endoscopic brow lift — through small incisions behind the hairline; raises the hairline slightly
• Pretrichial lift — at the front hairline; does not raise it, and can lower it
• Coronal lift — across the scalp; raises the hairline significantly
• Temporal lift — a limited lift of the outer brow
• Direct brow lift — immediately above the brow; visible scar
• Transblepharoplasty brow lift — a modest lift through the eyelid incision
• Corrugator and procerus — the frown muscles
• Frontal branch — the facial nerve branch that raises the brow
• Lagophthalmos — incomplete eye closure

23. How Canadians search for this

• “Brow lift Tunisia cost” — the most common search.
• “Lifting frontal Tunisie” — how most Quebec patients search.
• “Brow lift or eyelid surgery” — do the mirror test, section 2, and getting it wrong is the commonest planning error in upper facial surgery.
• “Brow lift surprised look” — the signature error, from lifting too much, in the wrong direction, or lifting the inner brow. Difficult to correct.
• “Endoscopic brow lift hairline” — it raises the hairline slightly, which matters if your forehead is already high.
• “High forehead brow lift” — a pretrichial technique does not raise the hairline and can lower it. Section 4.
• “Male brow lift” — a male brow sits lower and flatter, and lifting to a female position is immediately recognisable.
• “Botox brow lift” — worth trying first for mild descent, and it lets you see whether a lifted brow suits you.
• “Brow lift after blepharoplasty” — tell your surgeon, because there may not be enough skin to allow a higher brow.
• “Numbness after brow lift” — near-universal, improving over three to six months. Be careful with heat styling.
• “Brow lift scars” — they depend entirely on the technique, and are visible where hair thins.
• “French speaking facial surgeon abroad” — Tunisia’s distinguishing feature.

In summary

The most useful thing this page does is establish whether your problem is actually your brow. A great many patients who think they need upper eyelid surgery have a descended brow, and a great many who ask for a brow lift need their eyelids — and the mirror test in section 2 tells you which. Getting it wrong is the commonest planning error in upper facial surgery, and removing eyelid skin in a patient with a low brow pulls the brow lower still.

Over-elevation is the signature error — the permanently surprised look — and it comes from lifting too much, lifting the inner brow, or operating on a brow that was not low. It is difficult to correct, which is a strong argument for conservative, correctly directed elevation. And your forehead height and hairline dictate the technique: some approaches raise the hairline, one can lower it, and a patient with a high forehead should not have an operation that raises it further.

At Aylan Clinic Tunisia that means a dynamic assessment before anything is planned, a technique chosen for your anatomy, and a planning conversation that states how many millimetres and where. It takes place in a French-speaking country, which matters when you are describing the expression you want to keep. With accommodation, full board and a companion at no extra cost, for up to 60% less than Canadian private prices.

Five things to hold onto.

• Do the mirror test. Lift your outer brow with a finger — if the hooding disappears it is your brow; if a fold of eyelid skin remains it is your eyelid.
• Ask how many millimetres, and where. An answer distinguishing inner from outer brow is a planned operation, and it is what prevents the surprised look.
• Ask what the technique does to your hairline. If your forehead is already high, that determines which operation you can have.
• Try botulinum toxin first if your descent is mild. It is reversible, and it lets you see whether a lifted brow suits your face.
• Send a genuinely relaxed photograph. Patients unconsciously raise their brows for photographs, which hides the very problem being assessed.

Send your photographs and you will have an honest answer within 24 to 48 hours, including where your eyelids are the real issue.

Next, read the procedure page itself — Forehead And Brow Lift in Tunisia — for how the operation is performed, the stay and the aftercare. Compare plastic surgery prices in Tunisia, explore the full facial surgery in Tunisia overview, or request a free, personalised quote.