This is a full-incisional forehead or brow lift. Due to its large wound and relatively longer recovery period, this surgery has been gradually replaced by endoscopic lifts. However, it still has a certain value for elderly patients with severe forehead skin laxity and sagging. During the surgery, a coronal incision is made approximately 2.5 cm posterior to the scalp hairline that ends near both temples. The forehead skin is fully detached from the periosteum to the superior brow margin. Then, the loosened skin is stretched toward the posterior–superior scalp incision and fixated on the periosteum. Finally, the excess scalp is removed, and the incisions are closed. In this approach, the surgical field is the same as that in endoscopic lifts, but incisions are longer, which allow for the removal of loose skin to provide better and longer-lasting effects in patients with severe forehead laxity than in those undergoing endoscopic surgery. It is suitable for elderly patients requiring longer-lasting effects. Nevertheless, because this surgery may cause a relatively large trauma, the risks of nerve and blood vessel injuries are also increased. Because modern plastic surgery emphasizes minimal invasiveness and safety, this approach is no longer an optimal option for forehead lifts.