Brow lifts have been performed for a century, constituting a key surgical technique in upper face rejuvenation [1]. Among various options, the endoscopic approach has the advantage of good surgical exposure with magnification, a short incisional scar, and a relatively low risk of scalp denervation. But acquiring the technique requires a long learning period. In addition, in some cases it is difficult to fixate the forehead musculature adequately [2,3], and it may be difficult to avoid widening of the forehead. The anterior hairline approach is one of the most widely accepted approaches in patients with high hairlines. This technique offers good surgical exposure. Moreover, it makes it possible to lower a high hairline. But it has disadvantages, such as visible scars and scalp denervation [3,4]. The authors designed a new brow lift technique, an endoscopeassisted trichophytic anterior hairline brow lift. This new technique combines the advantages of an endoscopic approach and an anterior hairline approach. It has the advantage of providing good sur