Upper facial aging is frequently “overlooked” as a problem in facial aging. However, descent of the forehead and eyebrows leads to deep forehead creases and “crowding” of the eyes, which leads to a tired look with “heavy” eyebrows; it may even lead to an angry appearance. In females, this may lead to difficulty applying upper eyelid makeup. Even though neuromodulators (such as BOTOX®, Dysport®, Xeomin®) may improve some forehead creases and minimally lift portions of the eyebrow, there are limitations as to what injectables can accomplish. As a matter of fact, it is sometimes the eyebrow descent creating perceived upper eyelid skin redundancy, and hence brow surgery (rather than eyelid surgery/blepharoplasty) would be the appropriate procedure of choice. In carefully selected patients, forehead and eyebrow rejuvenation can be achieved through contemporary endoscopic techniques to reduce and reverse some of the effects of upper facial aging.