The new concepts of endoscopy have taught plastic surgeons to rely on the frontalisgalea-occipitalis unit for brow elevation through inferior release of the frontalis attachment. After proper elevation of the complex through scalp incisions, the technique consists of re-entering the periosteum from below and releasing it from the orbital rim, thus allowing frontalis muscle retractiontotake place without being hindered by the tissue's attachment to the periosteum. Elevation is assured by sutures, screws or skin plication.
