
Dr. Andrés Pérez Nieto
Specialized Plastic Surgery
Just like other areas of the face, the eyebrows also suffer a progressive descent as part of the natural aging process. This change alters their original position and significantly affects facial expression.
In women, one of the most noticeable transformations is the loss of the elongated curvature that gives femininity and youth to the face. Over time, eyebrows tend to become more horizontal and even tilt downwards in severe cases, giving a tired or sad appearance.
Dr. Pérez considers that the position and shape of the eyebrows are key elements in any facial rejuvenation procedure. Throughout his career, he has carefully studied the features that make eyebrows visually attractive and changes, integrating this knowledge into his surgical techniques to achieve refined and natural results.
Unlike traditional techniques that lift the eyebrows generally—especially those that perform suspensions from the center of the forehead—Dr. Pérez avoids approaches that may generate an artificial expression or a permanent look of surprise.
Many patients consult for a blepharoplasty because they feel heaviness in their upper eyelids, unaware that the actual cause is the drooping (ptosis) of their eyebrows. When the tail of the eyebrow falls below the orbital bone edge, it pushes the eyelid skin downward, creating a sad, tired, or aged look that cannot be corrected by eyelid surgery alone.

Elevating the eyebrow tail requires a deep understanding of facial anatomy to avoid a constant 'surprised' expression. Dr. Andres Perez Nieto has 30 years of international experience. Trained at The University of Illinois and Manhattan Eye and Ear Hospital, he artistically designs each brow lift to open up the eyes naturally and safely at the Santa Ana Medical Center.
A subtle technique for a more harmonious and rejuvenated look
Dr. Pérez considers that the selective lifting of the eyebrow tail is one of the most effective and aesthetically pleasing interventions to improve facial expression. Unlike techniques that lift the entire eyebrow, his focus is on repositioning only the outer part, preserving the naturalness of the face and avoiding artificial or exaggerated expressions.
Restores the natural and harmonious shape of the eyebrow, positioning the tail slightly higher than the head, which softens and stylizes the gaze.
Reduces excess skin on the upper eyelids, providing a more rested and youthful appearance.
Notably and lastingly improves expression lines in the lateral eye area, known as 'crow's feet'.
Dr. Pérez uses surgical variants for the lifting of the eyebrow tail, selecting the most appropriate one according to the patient's anatomy and expectations. One of the most frequently used is:

This technique is performed through a small incision within the scalp, in the temple region, allowing the scar to be completely hidden. Through this opening, a careful detachment of the tissues around the eyebrows is carried out, followed by their lifting and fixation using high-precision surgical sutures.

The intervention is performed through an incision discreetly located in the hairline, just above the sideburns. This strategic location allows the scar to be completely hidden and without visible evidence after recovery.
Patients presenting descent and loss of the normal shape and position of the eyebrows.
Patients consulting for blepharoplasty, for whom Dr. Pérez recommends simultaneous eyebrow tail lifting to achieve better definition of the upper eyelids.
Those patients presenting pronounced expression lines in the crow's feet area.




See how combining a brow lift with blepharoplasty completely rejuvenates the eyes.
Real patient experiences transcribed directly from their video testimonials.
Amazed, the doctor did something super natural. The eyebrows look perfect, in a better position, opening up the eyes and making them look brighter without any artificial look.
Hair Stylist - Bogota
We opted for a brow lift and blepharoplasty. The change in the eyes is immediate: the eyelids look open, the brow arch is precisely located, and the scar is completely camouflaged at the hairline, making it invisible.
Patient from Bogota