Despite advances in techniques, aesthetic surgeons must realize that n
ot every patient requires a complete forehead rejuvenation. This artic
le discusses the contemporary armamentarium for forehead rejuvenation.
Injection of botulinum toxin for glabella furrows is minimally invasi
ve but only temporarily effective. Fat injection and fat grafts are us
eful for patients with a limited number of wrinkles and frown lines. S
ubcutaneous brow elevation provides direct correction of the forehead
wrinkling by dividing the subcutaneous septae responsible for the furr
ows. Endoscopic techniques facilitate forehead rejuvenation with less
morbidity and greater patient acceptance. Detailed descriptions of the
spectrum of surgical options for forehead rejuvenation are included.