The goal is to determine which of these factors are involved and discuss the best comprehensive treatment. So, it is crucial for the eyelid specialist to evaluate the patient’s anatomy. However, each of these has its differences. Upper blepharoplasty (removing excess skin/fat).Eyelid ptosis treatment (levator tightening to raise the upper eyelid).
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Similarly, the term “eyelid or lid lift” is often used incorrectly or broadly. This can mean true droopy upper eyelid, or other eyelid and brow conditions that look similar. The term “droopy” upper eyelid is often used loosely. This technique is called frontalis sling. This step allows use of the forehead muscle to lift the droopy upper eyelids. In congenital ptosis, the upper eyelid has to be linked to the forehead muscle (frontalis muscle). Such an incision is the same as in standard upper blepharoplasty. This approach hides the incision in the upper eye fold crease line.
Droppy eyelid surgery skin#
This correction could also be performed from the front skin approach (external ptosis surgery). This method results in scar-less treatment with an excellent eyelid contour. The chosen method depends on the:Įyelid ptosis repair can be performed with incisions behind the upper eyelid. Taban uses various available techniques to tighten the levator muscle, also known as a levator resection. It works by surgically tightening the levator muscles to raise the droopy upper eyelids. Upper eyelid ptosis surgery is the proper droopy eyelid surgery. Such cases may require a combination of three separate surgeries. Many patients have a combination of the three factors that contribute to “droopy” upper eye folds. However, the treatment for this would be brow lifting. They commonly also give the appearance of hooded, saggy, droopy upper eyelids. In this procedure, excess skin and fat are removed from the upper eye folds.ĭroopy eyebrows can also cause heaviness of the upper eyelids. The treatment for this would be upper eyelid surgery. Excess or puffy upper eye fold skin will NOT change the height but can give the illusion of it. We want to ensure it is not dermatochalasis (excess puffy upper eye fold skin/fat) or droopy eyebrows.Īs mentioned earlier, the position of the upper eyelid is determined by the levator muscle/tendon. The most important factor to consider in evaluating true eyelid ptosis is to rule out other causes of pseudo-ptosis. Wearing contact lenses long-term can also affect the muscle and cause the upper eyelid to droop. This weakening of the levator muscle or tendon can be worsened by previous eye surgery due to stretching the muscle or tendon. The levator muscle lifts the upper eyelids about 20,000 times per day, every day! One can imagine that the tendon attachment can get loose, which causes the upper eye fold to drop.
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