The descent of the eyebrows as the skin looses tone and elasticity, gives the eyes a tired and sad expression. To give a more youthful and rested look, a brow lift is done through incisions in the hairline. The soft tissues of the forehead, including the eyebrows, are lifted and fixed in a higher position. Depending on the particular situation, excessive skin is removed. If certain muscles are causing deep expression lines on the forehead or between the eyebrows, they can be restructured to diminish their effect. Local anesthesia with sedation is used and the patient can return home the same day.