Dear Lacroix, When I perform an endoscopic browlift I undermine down below the malar "cheek" area and lift the tissue, skin and muscle together to provide a nice lift in the malar region. This is a unique procedure that I have been performing for over twenty years. The beauty of the procedure is that you have no tell tale signs of surgery since the small incisions are hidden in the hairline and no skin is removed. This procedure also helps slow the aging process and provides the patient with a natural and youthful appearance. All of my office staff have had this procedure performed due to its high rate of patient satisfaction. See before and afters in the link below and video. Best regards, Michael V. Elam, M.D.