The open procedure is an excellent procedure that is performed on the forehead for the forehead lift. One of the important ways to minimize scarring is to have the incision literally at the frontal hairline. The hairline can be brought down closer to the face if there is a high hairline. This requires that skin be removed from the hairless area of the forehead. It is crucial to not place any tension on the skin; all tension should be placed on the deep sutures underneath, pulling the forehead up to the new position. It is also important to divide and soften the corrugator muscle, which is a depressor of the forehead so as not to continually be pulling the forehead down against the incision. These usually allow for excellent healing in a very natural position and can allow for lowering of the hairline. Also, the corrugator muscles, dermal atrophy, and frontalis-procerus muscles can all be addressed much more easily through open approach than an endoscopic approach.





