RESUMEN
<p><b>OBJECTIVE</b>To study the effect of the fixation on skull and thorough mobilization of the brow area on the results of the endoscopically assisted subperiosteal forehead lift.</p><p><b>METHODS</b>The operation procedure included adequate subperiosteal dissection, especially at the frontotemporal transition area; complete mobilization of the brow area and fixation of the incised scalp to the skull through a cortical tunnel without tension. 19 patients received the operation.</p><p><b>RESULTS</b>Long-term follow-up showed that all the 19 patients were satisfied with the surgical results. A transient frontal branch paresis happened in one case, which resolved in 3 months spontaneously without sequelae.</p><p><b>CONCLUSIONS</b>Cortical tunnel fixation well keeps the brows at a lifted position and achieves persistent rejuvenation of the forehead.</p>