An endoscopic brow lift uses 3-5 small incisions in the hairline to gain access to treat the brow. A small camera is inserted to visualize the cavity and instruments are used to elevate the brow and improve the forehead appearance. Open brow lifts are most commonly performed through a coronal incision to expose the brow region. The incision is within the hairline and usually runs from ear to ear. For an endoscopic brow lift, endotines (small hook like structures), cortical tunnels, or even screws are used to help support the forehead in its new position. This is not necessary with an open brow lift. In an open brow lift some of the scalp skin and hair is removed to elevate the brow and hold it in position.