Droopy Eyelid

Overview of Upper Eyelid Surgeries

There are two main enucleation that may be performed on the upper eyelid.

  • Ptosis is the medical term for drooping of the upper eyelid; it may affect one or both eyes.
  • Pseudoptosis is different from ptosis and refers to the situation when excess skin may encroach on the eyelid; it may affect one or both eyelids and is repaired by blepharoplasty

 

Replacement of Ptosis
Removal of Excess Skin
  • Ptosis (Ptosis is also known as Blepharoptosis. It refers to an eyelid which is droopy. This may cause a loss of vision, especially while reading, headaches, and eyebrow strain.

  • Surgery engage elevating the eyelid itself, either by a skin incision or from the back of the eyelid

  • Pseudoptosis refers to the situation when excess skin causes a hooding, or blinders effect, limiting the peripheral visual field.

  • Surgery is called a Blepharoplasty.

  • Surgery engage removing excess skin and fat from the eyelid

Replacement the one or both of the eyelid flesh  that has weakened resulting in a ptotic eyelid. 

  • Ptosis can be corrected via several different techniques.

  • Replacement of a droopy eyelid can be performed via an eyelid crease incision or from the inside of the eyelid (no skin incision), or if severe, via alternate suspension techniques

  • Replacement of ptosis & blepharoplasty are much performed at the same time.

Your droopy upper eyelids and droopy brows may give you the appearance of being sleepy, tired and aging prematurely

  • In addition, this languish , may lead to brow/eyelid strain

  • Eyelid surgery to progress the appearance of the eyelids is much called 'eyelift' or 'blepharoplasty'.

  • This surgery can be performed on both the UPPER and on the LOWER eyelids.

 

After Surgery
After Surgery
  • In the pre-operative photograph above, take note that there appears to be little, if any excess upper eyelid skin.

  • Rather, the patient's superior visual field is limited by the position of the eyelid since it partially obstructs the pupil.

  • The natural position of the upper eyelid is midway between superior limbus and the upper pupillary margin.

  • When the edge of the upper eyelid falls, it may block the upper field of your vision
  • Removal of upper eyelid excess skin and fat (much cosmetic in nature and not covered by insurance).

  • This is much called Pseudoptosis and is repaired by Blepharoplasty

  • Replacement of ptosis & blepharoplasty may be performed at the same time.

 

 

Ptosis may be classified by time of onset or by etiology.

Congenital Ptosis

Typical
Jaw Wink Ptosis

 

Capture  Ptosis

 
  • Neurogenic
    Horner's Syndrome
    Third nerve palsy
    Aponeurotic
    Myogenic

    Myasthenia gravis
    Progressive external ophthalmoplegia