This article explores the technique of brow lift by direct excision to treat brow ptosis and rejuvenate facial appearance. Current brow lift techniques include thread lifts and traditional surgical methods such as frontotemporal lift and endoscopic lift. Direct excision stands out for its precision and ability to offer long-lasting and aesthetically pleasing results. By adjusting the amount of excised tissue and the suturing technique, surgeons can achieve a significant and harmonious brow lift. However, this method is not ideal for all patients, particularly those with thin or blond eyebrows. The article also highlights the importance of careful evaluation before combining upper blepharoplasty with a brow lift. In conclusion, direct excision is presented as the most effective and durable method for brow lifting, requiring individualized evaluation to ensure optimal aesthetic results.