A pre-trichial brow lift is undertaken through an incision in or along the hairline and a flap is raised. A subdermal bite of tissue is taken to raise the brow with a permanent suture and hitched to the higher level bringing about the right amount of brow lift. This approach is particularly useful in people with high foreheads which in women may not be very attractive. In such cases, a pre-determined amount of skin can be removed to reduce the height of the forehead known as “Forehead reduction."