Also Serving Mclean, Alexandria, Loudoun County and Arlington


Overview of Surgical Frown Line Reduction in Washington DC

Surgical frown line reduction is a surgical procedure designed to soften and smooth frown lines by surgically weakening the frown (“Corrugator supercilii”) muscles. It offers patients a “permanent Botox effect” and it is comfortable to undergo awake with injected numbing medicine. This treatment is growing in popularity and is utilized to correct what is commonly known as “resting bitch face.”

Dr. Rad often performs frown line reduction with a brow lift and upper blepharoplasty to give patients a bright, warm and positive appearance to the eyes, forehead and brows.


Your vision for your results will emerge through detailed consultation with Dr. Rad, meticulous examination of your anatomy, and careful pre-surgical planning. While Dr. Rad’s surgical approach is unique for each patient, the goal of naturalness remains constant.

Swipe left/right to view the slideshow

  • Actual Facial Cosmetic Surgery Patient
  • Actual Facial Cosmetic Surgery Patient
  • Actual Facial Cosmetic Surgery Patient
  • Actual Facial Cosmetic Surgery Patient
  • Surgical Frown Line Reduction Before & After Results
  • Surgical Frown Line Reduction Before & After Results
  • Surgical Frown Line Reduction Before & After Results
  • Surgical Frown Line Reduction Before & After Results
  • Surgical Frown Line Reduction Before & After Results
  • Surgical Frown Line Reduction Before & After Results

Actual Washington DC Surgical Frown Line Reduction Patient of Dr. Rad’s
See More Top Surgical Frown Line Reduction Results

Sherber+Rad cannot guarantee specific results.
Individual results may vary.

Learn The Nuance Of The Washington DC Surgical Frown Line Reduction

Surgical Frown Line Reduction

Is Surgical Frown Line Reduction Right For Me?

Surgical frown line reduction is great for patients who have tried Botox for frown weakening and who now want both a permanent and more extensive effect. Patients of all ages can enjoy an excellent result and there is no age limit.

How Does Dr. Rad Approach Surgical Frown Line Reduction?

Surgical frown line reduction should be performed only by a board-certified plastic surgeon. Dr. Rad first assesses your inner brow anatomy. While you are standing upright with your eyebrows relaxed Dr. Rad makes precise measurements in order to assess eyebrow and facial asymmetry at baseline. If planning an upper blepharoplasty at the same time, Dr. Rad marks the skin area to be removed. As a solo procedure Dr. Rad otherwise precisely marks the incision to fold within the upper eyelid crease. Through the incision, Dr. Rad dissects beneath the eyelid muscle (called “Orbicularis oculi”) upward and inward and identifies the Corrugator supercilii muscle (i.e. the frown muscle). Dr. Rad then removes a segment of the muscle which weakens it, and replaces the removed tissue with fat: this disrupts the function of the muscle while maintaining normal surface contour. Dr. Rad asks you to frown in order to check for symmetry. Dr. Rad then closes the incision precisely with fine suture.

Dr. Rad’s technique achieves approximately 60-80% weakening of the muscle (depending on anatomy) which dramatically softens and smooths frown lines. Some movement of the inner brow tissues remains, a desirable result, without deep “number 11” lines, giving patients a natural softening effect. Dr. Rad avoids a frozen appearance which can distort the eyebrow shape and position, and look unnatural.

He can perform this procedure under local anesthesia, or as part of more significant facial rejuvenation under general anesthesia. Surgery is outpatient, which means there is no need for overnight stay in the hospital, and recovery is just a few days with minimal discomfort.

An in-person consultation with Dr. Rad is crucial to determine whether the frown line reduction procedure approach is right for you.



Frown line reduction is an outpatient procedure and recovery lasts about 5-7 days. The results of trans-blepharoplasty incision brow lift are immediate and minor discomfort, bruising and swelling resolve after a few days. You should avoid heavy lifting, such as at the gym or moving furniture, as well as inversions such as yoga headstands, etc. for about 2 weeks but otherwise you may return to normal activities quickly. Suture remains in place for 5-7 days. Once removed comfortably in the office you may return to work and normal activities with minimal restrictions.


Surgical frown line reduction is very safe. The most common complications that can occur are slight asymmetry in muscle activity, and contour depression. Dr. Rad is extremely meticulous in surgery and the chance of these problems occurring is extremely low. Such problems are correctable and patients who have had suboptimal results from other surgeons often seek Dr. Rad’s experience for corrective work.


The eyebrow and upper eyelid are intimately related, and for optimal aesthetics, it’s important to address both. If the eyebrow is in a properly elevated position with arched contour, and upper eyelid skin excess is a concern, then upper blepharoplasty is indicated. If, the eyebrows are low, then excess upper eyelid skin may be relieved partially or completely with brow lift. If excess upper eyelid skin is only partially relieved by brow lifting, then combining the two is best. Keep in mind that correct diagnosis is essential and the right approach requires in person evaluation with Dr. Rad.

Consultation with Dr. Rad


Our plastic surgery office in Washington DC is centered on your comfort and privacy. You’ll be received by our exquisitely attentive staff, and escorted to your own private cabana wherein you’ll feel relaxed and comfortable while consulting discreetly with Dr. Rad. First Dr. Rad will determine if you are a good candidate for surgery and during your consultation you should decide if Dr. Rad is the right surgeon for you. Credentials are crucial and, in addition to being Board certified in plastic surgery, Dr. Rad is Assistant Professor at Johns Hopkins, and he enjoys an impeccable reputation as a top flight aesthetic surgeon. His facial plastic surgery expertise is sought out as one of the best surgeons in Washington DC, northern Virginia and the US.

Your safety is Dr. Rad's primary concern and he will review your medical history. You should inform Dr. Rad of any medical problems or medications that may affect your healing. If you are medically appropriate to undergo surgery then Dr. Rad's focus will be to understand what specific aesthetic concerns you have. Washington DC patients expect natural results with minimal downtime. Dr. Rad will spend time carefully listening to your concerns, asking clarifying questions and then masterfully guiding you, step by step, to understand how your unique anatomy can be improved to convey a rested appearance. Dr. Rad’s goal is to determine the most comprehensive approach for long lasting, natural results while minimizing downtime. Dr. Rad first needs to understand your specific concerns and you should prepare your thoughts prior to your consultation. Think of words that convey how you feel about your appearance. For example, Washington DC patients often say they look fatigued, tired or lackluster because of undereye bags or dark undereye circles, or they look sad, upset or disinterested such as from heavy eyebrows, excess skin above the eyes or downturned corners of the mouth. Patients often relate concerns of looking older than how they feel and this can be caused by jowls, nasolabial folds, loose neck skin, lines and wrinkles. Try to put into words how your appearance bothers you, and the priority you give to each area. Dr. Rad will then present to you his expert opinion about which procedures would be best to restore your anatomy to create a rested and refreshed appearance. And since surgery is intricate Dr. Rad will guide you through a stepwise approach of aesthetic analysis and he’ll deliver his recommendations in a clear and honest manner. Dr. Rad will present all options available in modern day surgery, both non-surgical and surgical.

Dr. Rad and Board certified dermatologist Dr. Sherber often collaborate to optimize patients’ results and to minimize invasiveness. As such Dr. Rad’s modern approach to surgery harnesses the power of both dermatology and plastic surgery as both specialities address different aesthetic challenges. For example, plastic surgery is effective to lift, tighten and volumize loose, atrophied tissues, whereas dermatologic treatments such as laser, radiofrequency tightening and skincare are best to improve skin texture, pigmentation and tone. Dr. Rad can address any concerns regarding skin quality and how to obtain and maintain optimal results.

Dr. Rad will review with you photos of his patients’ results (many of which you’ll not find online due to privacy concerns) to highlight his aesthetic approaches and skill. He will take your photographs, which remain confidential, to assist with the planning of your surgery. For your safety Dr. Rad performs surgery in a hospital-based operating room, considered to be the safest environment, rather than in the office. Anesthesia is delivered by a board certified anesthesiologist (MD) and you’ll be under light anesthesia which is important for your safety and comfort.

You will receive a customized quote for the procedures in which you’re interested. Once approved we may then move forward with pre-operative preparations and you will meet with Dr. Rad again at your final in person consultation prior to surgery. Dr. Rad’s reputation as one of the most technically gifted surgeons attracts patients nationally and from around the world. We cater to patients from across the globe by arranging virtual consultations, luxury accommodations at The Jefferson hotel, Washington DC’s most luxurious 5 star boutique hotel, as well as private nursing care. Your privacy, comfort and safely achieving exceptional results are our top priorities.

What are Dr. Rad’s patients saying?

My goal was to be a refreshed, happy, more confident version of “me.” As I prepared for surgery I had no unanswered questions and was totally confident about Dr. Rad’s skill and judgement. Interactions with Dr. Rad and his team at the time of surgery and follow up were efficient, expert, and delivered with compassion and kindness. I recommend him without qualification.”

Cathy | December, 2016

About your Washington DC surgeon

Dr. Rad’s credentials speak for themselves: Princeton (B.S.E, Magna Cum Laude), Duke School of Medicine (M.D.) and University of London (Ph.D.) educated and Johns Hopkins Plastic Surgery trained, he is a Diplomate of the American Board of Plastic Surgery, Assistant Professor at Johns Hopkins, and long-standing member of the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgery. Dr. Rad is considered an expert in facial plastic surgery and microsurgery. He is ranked the #1 plastic surgeon in Washington DC based on aggregate ratings from all independent ranking websites: “top rated local“, “three best rated” top plastic surgeon and “top plastic surgeon reviews“. SHERBER+RAD have never engaged in paid advertising, and all rankings, reviews are from vetted and respected sources.

Meet Dr. Rad

What is the cost of surgical frown line reduction in DC?

As an in-office procedure the cost of frown line reduction is $4,500. Botox patients often ask whether they will save on Botox in the long run by having this procedure: if you undergo Botox treatment of your frown lines every 3 months, then your surgical frown line reduction will be paid off in about 2-2.5 years (assuming 25 units/treatment), and if you’d otherwise continue Botox treatment for the next 25 years you save $40,000. While total cost increases when combined with other procedures, surgery is cost-effective when multiple procedures are combined. Cost is a reflection of the skill and experience required to obtain excellent results. Under Dr. Rad’s care your experience is guaranteed to be the highest quality.

Get Started

We look forward to welcoming you for your private consultation with Dr. Rad

Enjoy a unique experience centered on your privacy and on unhurried attention to your concerns


Or Send a confidential inquiry and our staff will be happy to reach out to you


Sherber+Rad1101 15th St. NW, Suite 100, Washington, D.C. 20005