Aging and the effect of gravity cause the eyebrow to turn down and cause the upper lid to sag over the eye. A forehead lift or brow lift procedure is an excellent option to address these symptoms related to aging. Botulinum toxinA injections can be done without surgery and will assist in giving the forehead a lifted appearance. If the patient elects a brow lift surgery a small incision will be made at the scalp and using suspensions techniques and a temporal lift will result. This operation is usually performed under local anesthesia.