An endoscopic browlift uses an endoscope to reposition or remove underlying muscle and tissue. This procedure is done using smaller incisions in the hairline and requires general anesthesia. The browlift procedure repositions the eyebrows and relaxes the frowning muscle, creating a younger and smoother look. The advantage of this surgery is that small incisions allow one to heal very quickly with a minimal amount of discomfort. The incisions are well hidden in the hair, so they are not detectable. The procedure helps decrease the excessive muscle movement in the forehead as well as reposition the eyebrows into a more natural position. In some cases, laser resurfacing may be performed simultaneously, or at a later date, to help further rejuvenate the forehead tissues and remove wrinkling. Contour Threads (see Contour Thread Lift) can be used at the hairline to suspend and fix the contour of the brow, also, but the endoscopic approach will be much more long lasting. An endoscopic or coronal browlift can last for 10 years while a Contour Thread Lift shows improvement for several months to two years. In some patients with exceptional eyebrow sagging, a direct browlift is recommended. This procedure accomplishes the same goals but uses an incision directly above the eyebrow, hidden in the brow hairs.