When a person undergoes an endoscopic brow lift, the surgeon must decide exactly where to cut and move tissue. This choice is vital because certain areas contain delicate nerves that control feeling and movement in the face. The goal is to achieve a natural look while avoiding permanent nerve damage.
A review of different surgical approaches—called supraperiosteal, subperiosteal, and multiplane—looks at how these techniques affect lifting power and safety. Each method uses a different layer of tissue to move the brow. These differences matter because they change how much of the area the surgeon can see and how much risk there is for the deep branch of the supraorbital nerve.
Because this was a narrative review, it does not provide hard numbers or prove that one specific method is better than the others. Instead, it provides a roadmap of anatomical details to help surgeons choose the safest path. It highlights the importance of understanding tissue layers to protect nerves during the procedure.