Abstract Introduction: Eyebrow lifting with a temporal approach is an increasingly widespread technique. Many surgical procedures are described, but the long-term stability is dependent on the effectiveness of the anchorage of elevated tissues and approach for elevation. Objective: In our study we compared 2 commonly utilized lateral brow lift techniques (subcutaneous temporal brow lifts and subperiosteal brow lift with barbed PDO threads as regard efficacy, longevity, safety, and patient satisfaction. This study intends to provide evidence-based insights into the advantages and limitations of each technique, aiding clinicians in making informed decisions and optimizing patient satisfaction outcomes. Patients and Methods, Results: 20 consecutive patients aged between 40 to 60 with mild to moderate lateral brow ptosis, underwent temporal brow lift. Patients were divided into 2 groups; group 1, anchorage was performed with PDO barbed suture through closed subcutaneous approach, group 2 anchorage was performed with same suture material through open lateral temporal approach in subperiosteal plane. The amount of brow elevation was assessed by patient satisfaction and by comparing the distance between interpupillary line and superior eyebrow hairline. The distance (mm) between this line and the upper edge of each eyebrow were measured in 2 points: Pupil, and lateral canthus. The follow-up was 3,6, 12-week and 6 months. Conclusion: Subperiosteal lateral eyebrow lifting provides higher satisfaction rate and less risk of complications post-operatively.