RESUMO
Dermatochalisis is a quiet common condition affecting elderly people and leading to remarkable visual and cosmetic disabilities. Traditionally those patients were treated with blepharoplasty and most of them achieve satisfactory results. But in some severe cases a brow lift surgery should be considered to correct the problem. To evaluate direct brow lift surgery as a primary procedure for correction of sever upper eyelid dermatochalisis. Seven patients [6 females and 1 male] with a mean age 71.1 years complaining of severe bilateral dermatochalisis were included in the study, one of them had a previous unsatisfactory blepharoplasty surgery in one eye. All of the patients underwent a direct brow lift surgery to correct their problem. The results were very satisfactory with a mean postoperative marginal reflex distance [MRD] 2.9 mm and a mean difference between the two eyelids less than 0.5 mm in all cases. Brow ptosis should be suspected in elderly people complaining of upper eyelid dermatochalisis and a brow lift surgery should be considered as the primary management procedure