الفهرس 
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Abstract
Brow ptosis occurs as part of the aging process due to thinning and descent of the tissue of the forehead. It can co-exist with upper eyelid ptosis and dermatochalasis. Occasionally, eyebrow ptosis is caused by facial palsy, or weight of a tumour, or trauma on one side.
The aim of the study is to compare direct versus transblepharoplasty brow lift techniques for correction of brow ptosis.
Proper patient selection and preoperative evaluation minimize the incidence of complications .The complications which occur are minimal and manageable (Dryden, 1995 & pop, 1992).
In conclusion: The direct brow lift is suitable for any degree and pattern of brow ptosis. It is also suitable for older females as well as male patients with facial paresis or marked involutional brow ptosis.
The transblepharoplasty brow lift is suitable for relatively small degrees of brow ptosis in any age group. It is combined with upper lid blepharoplasty and is performed through the same incision.
Complications associated with the direct brow lift include a cosmetically disturbing scar that is not tolerated by a lot of patients. Complications associated with the transblepharoplasty brow lift include less lift than desired so it is reserved for brow ptosis of small degree .Also there is higher incidence of asymmetry between both eyes .The main advantage of this technique that it provides a single hidden scar for performing blepharoplasty simultaneously with browpexy.
Finally, these two techniques are performed according to the degree of ptosis, presence or absence of dermatochalasis, in order to give the best result to the suitable patient.