Age related changes in the face usually become apparent in the fourth decade of life. The degree to which a patient is affected has to do with multiple factors, the most likely of which are smoking, significant weight-loss, prolonged or intense sun exposure, and genetic predisposition. In fact, some patients would benefit from an endoscopic brow lift as early as in their thirties. There are variations on a brow lift, with respect to depth of dissection, incision placement, and open versus endoscopic techniques that may be tailored to the individual patient’s needs, in terms of how aggressive the correction has to be to obtain a good result. The ideal candidate for a brow lift would have prominent crosswise forehead creases, furrowing, “bunny lines,” and”crow’s feet.” Apart from this, a good candidate would be emotionally secure, with appropriate reasons for desiring surgery, at a stable time in his or her life, and be in good health.