The endoscopic brow-lift is typically performed in younger patients, in whom the problems include brow ptosis or drooping, with or without excess upper eyelid skin, as well as crow’s feet, but without significant forehead excess skin. Because minimal skin excision is needed, the brow lift is performed through three small incisions behind the hairline. There is a multitude of devices available for fixation of the brows. Dr. Gerzenshtein prefers the Endotine® Forehead fixation device. The two outside (lateral) incisions serve as points of small triangular skin excisions. In addition, the lateral brow-lift may be added to the endoscopic approach to correct any skin excess, especially when the brow lift is combined with the lower blepharoplasty, with or without the midface lift procedure.