Before and After Droopy Eyelid Treatment in LA

Ptosis means droopy. Upper eye fold ptosis (blepharoptosis) means drooping of the upper eyelid(s).  The upper eye fold margin (where the lashes are) is lower than normal.  It can be mild to severe.  If mild, it can be subtle and not noticed by the patient or others. If severe, it can cause obstruction of the field of vision and the patient will have difficulty keeping his/her eyes open.  In these cases, the patient will elevate or arch their eyebrow in order to assist lifting the eye fold ptosis.  The visual obstruction is relieved once the upper eyelid are lifted (ptosis surgery).  However, children with blepharoptosis may develop lazy eye (amblyopia) with permanent visual loss if not addressed promptly.

What Causes Droopy Upper Eyelid?

There are various causes of upper eyelid droopiness (ptosis), including congenital (born with it), traumatic, neurologic, and most commonly age-related loosening/weakening of the levator muscle tendon (muscle responsible for lifting the upper eyelids).  The levator muscle lifts the upper eyelids about 20,000 per day, every day!  One can imagine that the tendon attachment can get loose, which causes the upper eye fold to drop (ptosis).  This weakening of the levator muscle or tendon can be exacerbated by any previous eye surgery due to stretching of the muscle or tendon.

The most important factor to consider in evaluating true ptosis is to rule out other causes of pseudo-ptosis, including dermatochalasis (excess puffy upper eye fold skin/fat) and droopy eyebrows.  As mentioned earlier, the position of the upper eyelid is determined by the levator muscle/tendon.  Excess or puffy upper eye fold skin will NOT change the height but can give the illusion of it.  The treatment for this would be upper blepharoplasty where excess skin/fat is removed from the upper eye folds(called upper blepharoplasty).  Droopy eyebrows can also cause heaviness of the upper eyelids and give appearance of droopy upper eyelid. The treatment for this would be brow lifting.  Many patients have combination of the three factors that contribute to “droopy” upper eye folds (ptosis, dermatochalasis, and droopy eyebrow), requiring a combination of eye fold ptosis surgery, upper belpharoplasty, and/or brow lifting.



How is Upper Eyelid Ptosis Corrected?

Upper eyelid ptosis surgery (true droopy eyelid surgery) works by surgically tightening of the levator muscle to raise the droopy upper eye folds. There are various technique available to tighten the levator muscle, also known as a levator resection, depending on the type and severity of the ptosis.  Ptosis treatment surgery can be performed through a posterior eye folds approach (internal ptosis surgery, mullerectomy, or a muller muscle resection), resulting in scar-less treatment with excellent eyelid contour.  It could also be performed from the front skin approach (external ptosis surgery), where the incision is hidden in the eye fold crease line.  In congenital blepharoptosis or ptosis due to very weak levator muscle tendon, the upper eye fold has to be linked to the forehead muscle (frontalis muscle) in order to use the forehead muscle to lift the droopy upper eyelids. This technique is called frontalis sling.

During your consultation with Dr. Taban in Beverly Hills/Los Angeles or Santa Barbara, he will evaluate your eyes and face and perform tests to determine the best technique for droopy eye folds surgery (eyelid ptosis surgery), customized to each individual patient, depending on their exact anatomy/problem and desired goals.

IMPORTANTLY, eyelid ptosis treatment surgery is easily (and should be) performed under local anesthesia to give the best possible result. During this procedure, the patient’s eyelid is numbed using local anesthesia. The patient is able to open and close his/her eye fold during the procedure which helps achieve best eyelid contour and eye symmetry. To better understand your options for droopy eyelid treatment, contact expert eye fold ptosis surgeon Dr. Taban to schedule your initial consultation in our offices in greater Los Angeles area (Beverly Hills or Santa Barbara).

Read more about ptosis eyelid surgery from WebMD.com.

Recovery after Eyelid Blepharoptosis Surgery

The recovery period includes bruising/swelling of the eyelids for about 7-10 days. It is practically painless and vision remains intact since no patch is placed. The sutures are taken out about 1 week after surgery, at which time the person can resume normal activities.

Who Should Perform Droopy Eyelid Repair Surgery?

Eye fold corrective surgery should be performed by an specialist. An oculoplastic surgeon, who is a member of American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), is someone who is  a board certified ophthalmologist who has completed additional 2-year fellowship training in cosmetic and reconstructive plastic surgery of the eyelids, orbits (eye socket), lacrimal system( tearing system) and surrounding structures.  Dr. Taban is double board certified by American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), American Academy of Ophthalmology (AAO), and a diplomat of American Board of Cosmetic Surgery (ABCS).  Dr. Taban is an oculoplastic surgeon in Beverly Hills and Santa Barbara with expertise in eye fold ptosis treatment and revisional eyelid ptosis surgery.

Before and After Droopy Eyelid Treatment in LA

Before (left) and 3 months after (right) Quad-Blepharoplasty (with fat transposition), ptosis surgery, and Braiserre brow support.

 

Before and After Droopy Eyelid Surgery In LA

Before (left) and 3 months after (right) Quad-Blepharoplasty (with fat transposition), ptosis surgery, and lateral pretrichial brow lift.

Eyelift Surgery in Los Angeles

Before (left) and 6 months after (right) upper blepharoplasty, ptosis surgery, brow contouring.

Eyelid Surgery Guide Los Angeles

Before (left) and after (right) 3 months after maximal ptosis treatment.

 

Droopy Eyelid Treatment in LABefore (left) and 3 months after (right) quad-blepharoplasty and blepharoptosis surgery.

Drooping Eyelid Treatment near Los AngelesBefore (left) and 3 months after (right) quad-blepharoplasty and blepharoptosis surgery.

Before and After Drooping Eyelid Surgery in LA

Before (left) and 3 months after (right) revisional right upper eye fold ptosis treatment.

Upper Eyelid Surgery Treatment near Los Angeles

Before (left) Female patient with right upper eyelid ptosis (droopy upper eyelid). Note the right eyebrow is raised in order to help lift the droopy eye fold. After (right) 2 months after right upper eyelid blepharoptosis treatment (ptosis surgery). Note the right eyebrow is now more relaxed.

Before (left) 32 year old female, with droopy upper eyelids (ptosis). After (right) 3 months after droopy upper eyelid (ptosis) surgery and fat injection.

Before (left) 32 year old female, with droopy upper eyelids (ptosis). After (right) 3 months after cosmetic droopy upper eyelid (ptosis) surgery and fat injection.

Next, read about eyelid ectropion and eyelid entropion.

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