Background:The goals of any brow-lifting procedure are to stabilize the brow at an aesthetically ideal height, orientation and provide reproducible and lasting results while concealing scars and avoiding the stigmata of a facial plastic surgery: hairline elevation, over-elevated brows, or a quizzical appearance.Aim of the study:This study was designed to evaluate the efficacy and safety of using the endoscopic approach in brow lifting surgery.Patients and Methods:This prospective intervention study involved twenty patients who underwent endoscope temporal brow lift at Al-Shaheed Ghazi Al-Hariri hospital and the burn center at Baghdad Medical Complex between October 2020 and June 2022. Twenty patients were included, and surgical intervention for temporal brow lift was done using an endoscope. The patients were assessed before surgery and monthly until 6 months after.Evaluation of all the patients has been advocated objectively and subjectively. The distance (in mms) between the nasal ala and the lateral tail of the brow and the vertical distance between the lateral tail of the brow and the lateral canthus were used as an objective evaluation method.Visual Analogue Scale was used to evaluate the perception of the patients, the surgeon, and the third eye (another surgeon) after the post-operation.Results:In objective evaluation, the mean gain of the distance between the nasal ala and the lateral tail of the brow is 8 mm, the mean increase in the vertical distance between the lateral tail of the brow and the lateral canthus is 6.5 mm. Regarding subjective perceptions using VAS, most patients have good perceptions, while most surgeons’ perceptions are perfect. No major complications were faced in our patients, perhaps due to the lack of complexity, such as calvarial interventions, and avoidance of using biodegradable implantable devices.Conclusion:Endoscopic temporal brow lifting is a minimally invasive option with a smooth postoperative recovery that can provide promising aesthetic results. However, larger series of patients and more extendedperiods are needed for more precise evaluation.