Introduction: The endoscopic forehead lift brought great advances in aesthetic surgery of the upper third of the face. The method of fixation of the brow and forehead in the upper position has always been a point of controversy due to the lack of studies that compare these different types of fixation.

Objective: To compare the elevation of the eye brow by two different methods of fixation: bone and periosteum.

Methods: Fifteen patients were submitted to endoscopic forehead lift with two different methods of fixation of the brows: bone and periosteum, randomized to each eye of the same patient. The degree of brow elevation was measured bilaterally and compared pre and 6-month postoperative.

Results: There were not statistically significant difference when comparing the two types of fixation in any of the 3 sites of measurement of the oculopalpebral complex: CP (distance from the pupil to the inferior border of the eye brow), LP (distance from the lateral margin of the pupil to the inferior border of the eye brow), and CO (external canthus of eye to the inferior border of the eye brow). All the patients were satisfied with the outcomes.

Conclusion: Similar results were found when either bone or periosteum fixation were performed in the endoscopic forehead lift.

Conflict of interest: None declared.