The endoscopic approach for forehead rejuvenation and brow lift has many advantages. It provided excellent exposure for release of periorbital soft tissues combined with endoscopic magnification, shorter scars, and reduced risk of alopecia and scalp sensory changes compared with the traditional open coronal brow lift. The technique has improved over the last 15 years with better fixation devices, a better understanding of the longevity, and decreased complications of the procedure. The endoscopic brow lift offers the patient a much easier and safer solution for the aging forehead, active wrinkles from corrugator and frontalis hyperactivity, and the ptotic, asymmetric brow.