Can I do endotine forehead lift and lowering hair line at the same time? (Photo)

An endotine fixation system is used in combination with an endoscopic brow lift. This option actually raises your hairline. To lower your hairline, often called forehead reduction, you will need to make a "trichophytic" incision at the hairline, release the scalp and advance it downward, and then excise the now "redundant" non hair-bearing skin of the forehead. This is often combined with a trichophytic brow lift. The endotine fixation system is not required in this type of surgery.

You can advance your hairline and do a brow lift. I would recommend a more permanent fixation of the brow. You will need a hairline incision anyway so may as well do a formal brow lift. You can resect some of the FH musculature so you don't need botox in the near future. If you are looking for more peak in your brow, you could do a formal pexy to create more definition.

You can have a browlift, with an endotine or similar system to hold the hairline in place, with a scalp advancement. The timing with botox is not relevant. You'll need botox either way to keep wrinkles from muscle movement away. But, the surgery can happen at any time.