Patients seeking rejuvenation of the forehead will present with different problems and no one forehead lift procedure will be best for all patients. Foreheadplasty techniques using a coronal incision offer advantages over closed procedures and should result in an inconspicuous scar and few complications if skilfully performed. This may also be the procedure of choice for patients with low hairlines who wish their hairline to be raised. Many patients seeking rejuvenation of their foreheads are troubled by high hairlines and worry that surgery will make this worse. Hairline elevation occurs in both coronal and closed endoscopic techniques, and a high forehead appears unnatural, masculine, and detracts from an otherwise attractive appearance. Using an incision or partial incisions along the hairline allows hairline position to be maintained or lowered. Experience has shown that it is not necessary to use an endoscope to mobilize the forehead and modify the corrugator supercilii muscles if forehead anatomy is understood, the operation is appropriately planned and a transpalpebral approach to the corrugators is used. Transpalpebral corrugator myoplasty provides not only a means to perform a closed foreheadplasty without an endoscope, but a method by which medial brow elevation can be minimized or avoided.