"Despite the lack of evidence for long-lasting results of closed thread-lift suture lift, its use iscurrently still very popular, probably driven by industry and money-driven cosmetic physicianspromising face-lift results without surgery, a fairy tale story many potential clients for facial rejuvenationwish to believe. Also, because these clients have already been successfully treated in the past by their cosmetic doctor with botulinum toxin type A and fillers, many of them also believe in the next step offered by them: the nonsurgical face lift using a closed thread-lift suture lift." Bret Van der Lei M.D.P.H.D Plastic and Reconstructive Surgery March 2018. A thread lift provides longer lasting and more successful results when added to an open or endoscopic lifting procedure not by itself.A direct brow lift through the upper outer eyelid crease is the most conservative option with long lasting results. Minor dissection, undermining and moderate swelling may this a very attractive option. Please consult in person with an experienced Board Certified Plastic Surgeon prior to making treatment decisions.