Endoscopic Brow Lifting: A 35-Year Experience and Lessons Learned.

The endoscopic brow lift delicately alters the balance between the elevator and depressor musculature of the brow-forehead complex to elevate the position of the brow, reduce rhytids, and achieve improved symmetry of the brows. Wide subperiosteal dissection to the level of the zygomatic arch and orbit is critical to the successful endoscopic brow lift. Myotomies are performed in order to weaken the depressor musculature so that the natural function of the frontalis can predominate to lift the brow. Lateral suture fixation is sufficient to obtain long-term, stable rejuvenation of the brow-forehead complex when complete dissection is achieved.