Ptosis or drooping of the upper eyelid is the most common lid malposition in children. It accounts for over 50% of lid malposition encountered in clinical practice in the adult population and is the most popular surgically correctable lid disorder.1 It can be divided into a large group of congenital (70%) and a smaller group of acquired ptosis (30%). Remarkable advances in ptosis surgery have occurred in the past decade. In this work we explore all these advances with special attention to their advantages as compared to the traditional approaches.