Resection of benign tumors of the forehead and brow raises aesthetic c
oncerns. An endoscopic subperiosteal approach to benign bony and soft-
tissue tumors in the supraorbital and frontotemporal regions permits e
xtirpation of these masses without producing visible facial scars. The
refore, this technique was used for tumor resection in 4 patients. Thi
s procedure demonstrated magnified visualization of the masses, and sa
fe access for excisional biopsy and bony contouring. In addition to mo
re acceptable surgical scars, patients experienced no significant post
operative morbidity and a reduced incidence of swelling, discomfort, a
nd scalp anesthesia. Therefore, we conclude that the endoscopic subper
iosteal approach is a favorable alternative for resection of suitable
tumors.