Surgical procedure
Brow lifts are performed through a number of approaches and the primary difference between techniques is the location of the incision. Considerations for incision placement are based on such items as pre-existing forehead wrinkles, gender and hair loss, the frontal hairline position and hair styling habits.

Endoscopic brow lift

In an endoscopic brow lift, rather than making one long incision across the top of the forehead, your surgeon will make between three and five scalp incisions of less than an inch in length in the forehead. An endoscope, which is a small tube with a camera on the end connected to a monitor, is inserted through one of the incisions allowing the surgeon to have a clear view of the tissues beneath the skin. Muscles and underlying tissues are removed or slackened and the eyebrows may also be lifted and secured into their higher position by stitches beneath the surface of the skin or by temporary screws placed behind the hairline. Finally, the incisions are closed with stitches or clips and, depending on your surgeon's individual preference, gauze and dressings may also be used.

What are the benefits of endoscopic browlift surgery?
* Smaller incision
* Minimal scarring
* Less bleeding
* Less hair loss
* Minimal numbness
* Quicker recovery

Direct brow lift Brow lift by excision of the skin above the brow is no longer as popular as it used to be. This is because it leaves a scar which may be visible for a long time and the hairline of the brow may have an unnatural look. Nevertheless in selected patients direct brow lifting can produce a good result. It is most useful for a patient who's a standard forehead lift is not possible. Patients with thin skin or hair, and those with a high hairline are sometimes candidates. Patients who use thick brow pencil to create the brow are also candidates because they can conceal the scar with makeup.

Bicoronal brow lift
The bicoronal brow lift allows the maximal effect of brow elevation with a well-camouflaged incision site. It is ideally suited for patients with significant brow ptosis, without frontal baldness, and with a normal-to-low hairline. The incision is hidden posterior to the hairline (posttrichion). Alternatively, in patients who have a high forehead, the incision can be placed at the hairline (pretrichion) to avoid further elevating the hairline.
Lateral brow lift (Temporal brow lift)
Lateral brow lift or temporal brow lift is much less extensive than the bicoronal brow lift and may provide the same or nearly same results, depending on your anatomy and expectations. It is suitable for anyone with heaviness of the upper outer eyelids, crow's feet and sagging of the lateral eyebrows.
Temporal tuck test is a simple test for choosing this procedure. Look straight ahead in the mirror and pull up and back gently on the forehead above the eyebrows. If you see a change in the eyebrows and the upper eyelids that you like, then you are an excellent candidate for the surgery.
A small incision is placed about one inch behind the hairline and follows the curvature of your hairline for several inches. A space is made through the incision down to the eyebrow to release the ligaments and allow for elevation.