As we grow older, the muscles that raise the eyelids can become weak and stretch in length. When this stretching occurs, the upper eyelids can drift downward and create a tired, worn-out appearance, also known as upper eyelid ptosis. Upper eyelid ptosis can also be caused by trauma, neurologic diseases and congenital malformations (i.e. abnormal formation of muscles during fetal development).
Upper eyelid ptosis repair is a procedure that serves to tighten and lift the muscles that open the upper eyelids, creating a more youthful, rested and symmetrical appearance. Upper eyelid ptosis repair can also be performed in conjunction with upper eyelid blepharoplasty and/or brow lift surgery to achieve a harmonious, rejuvenated appearance of the forehead, brow and upper eyelids.
Benefits of Upper Eyelid Ptosis Repair
Upper eyelid ptosis repair can:
Elevate the height of the upper eyelids, which may improve vision.
Improve asymmetry if one eyelid is droopier than the other.
Create a more rested, youthful appearance.
Candidates for Upper Eyelid Ptosis Repair
Candidates for upper eyelid ptosis repair include those who:
Do not have a history of significant eye problems.
Do not smoke and remain in good health.
Do not have a history of excessive scarring or keloid formation.
The Upper Eyelid Ptosis Repair Procedure
Upper eyelid ptosis repair can be performed via two different approaches: external levator advancement and posterior approach ptosis repair.
External levator advancement surgery involves a small incision in the natural fold of the upper eyelid, after which additional dissection is carried out to identify and tighten the muscles that lift the upper eyelid. Once the muscles are tightened, sutures are then used to close the incision. These sutures are usually removed one to two weeks after surgery.
For some patients with mild upper eyelid ptosis, posterior approach ptosis repair can be performed. In this surgical approach, the upper eyelid is flipped, and the muscles that lift the eyelid are tightened from behind the eyelid. Although this surgery does not involve a skin incision, not all patients are candidates for this procedure.
After a thorough exam, Dr. Berbos or Dr. Moore will explain which surgical technique will be most effective for your unique anatomy and concerns.
Results and Recovery of Upper Eyelid Ptosis Repair
Following surgery, you may experience swelling and bruising around the eyes. Bruising and swelling are usually present for approximately two weeks. You may also experience itching, burning or dryness of the eyes for a short period of time. Length of recovery time will depend on the technique utilized during surgery. Most patients are able to return to their normal activities after one or two weeks.
Post-surgery recommendations following upper eyelid ptosis repair include:
Apply an ice pack to the surgical areas during the first three to four days after surgery to control swelling.
Refrain from wearing contact lenses or makeup around the eyes for the first week after surgery.
Protect your skin from the sun, which will help prevent scarring.
Avoid strenuous exercise or lifting weights over eight pounds for the first few weeks after surgery.
Schedule an Upper Eyelid Ptosis Repair Consultation
If you would like to learn more about how our surgeons at Visage Aesthetics and Plastic Surgery can help you with your upper eyelids, contact us today to schedule a consultation. We look forward to meeting with you and discussing your unique aesthetic goals.