Ptosis is a condition that causes the upper eyelid to droop or close involuntarily. It may affect one or both of the eyes, beginning in childhood or adulthood. Ptosis is caused by an abnormality in the levator muscle. This may include genetic weakness, age-related stretching and thinning, nerve damage, or other medical conditions such as diabetes.
Ptosis repair surgery includes various surgical techniques performed to lift the eyelid into the proper position. The surgical techniques treat drooping eyelids and tighten the area around the eyes to rejuvenate and open them, effectively resolving ptosis.
As this condition affects both children and adults, both children and adults with ptosis may be candidates for ptosis repair. Ideal candidates meet the following requirements:
Your ptosis repair procedure will depend on which type of surgical approach is ideal for your unique needs. Most of these techniques will take about an hour to complete.
Local anesthetic with sedation is administered. Once this takes effect, an incision is made in the natural crease of the upper eyelid. The levator muscle attachment is then repositioned to the connective tissue in the eyelid. The patient will be asked to perform certain eye movements during the procedure to help determine the best eyelid position.
Internal ptosis repair also requires anesthetic, either general or local with sedation. This surgery also focuses on the levator muscle in the upper eyelid. The eyelid is turned inside out, allowing Dr. Lee to observe both the levator muscle and Mueller’s muscle, which also helps to lift the eyelid. The Mueller’s muscle is tightened and the levator muscle is shortened if needed.
This ptosis repair technique may be necessary when a patient has poor levator muscle function. It begins with general anesthesia. During this procedure, a tiny silicone sling is inserted beneath the skin of the upper eyelid up to the frontalis muscle on the forehead. This procedure allows the eyelid to be raised and lowered by lifting and lowering the eyebrows.
Once the desired outcome has been achieved with ptosis surgery, the appearance of the eye should remain consistently better than it was before treatment.
You will experience blurry vision after your treatment due to the ointment used to ensure your eye remains lubricated. Adults can remain home with a friend or family member once the surgery is complete. You will feel soreness, slight bruising and swelling, itching, dryness and other similar effects as you’re healing.
Plan to take several days off before returning to light work or school. Sleep propped up for the first couple of days, and use an ice pack on the area with minimal pressure. Wait to resume exercise, wear contacts or make-up for 1-2 weeks post-surgery. By a few weeks after surgery, it will be easier to move your eyes around and lift your eyelids up and down.
Ptosis repair surgery achieves many benefits for patients who are struggling with droopy eyelids. Benefits include the following:
Dr. Michelle Lee is an award-winning, board-certified plastic surgeon whose commitment to artistry, innovation, and safety at her welcoming, inclusive practice make her an excellent choice for patients. She has a modern understanding of what it means to be an original beauty today, respecting the heritage and cultural features of her patients, and ensuring they achieve their aesthetic goals while staying true to their unique look.
With her customized approach, natural-looking results, and state-of-the-art technology and equipment, Dr. Lee satisfies her patients and achieves beautiful outcomes.