This page will provide you with information about ptosis surgery. For further details, please speak to your consultant.
What is ptosis?
The levator muscle (which lifts your upper eyelid) can stretch and weaken. When this happens, it can cause your eyelid to droop down over your eye and could start to interfere with your vision (known as ptosis) (see Figure 1). This can be as a result of aging, long-term contact lens wear, or after other eye operations.
What are the benefits of surgery?
If your eyelid is drooping over your eye and affecting your vision, ptosis surgery can help improve this.
Ptosis surgery can also be used for cosmetic reasons and can make you look younger. For example, if one of your eyelids has begun to sag or there is a difference in the height of your eyelids this can be corrected with ptosis surgery.
What are the alternatives to surgery?
If you want to effectively tighten the levator muscle, ptosis surgery is the only effective procedure. However, you should consider the options carefully and have realistic expectations about the results.
A non-surgical alternative includes ptosis props, which can be fitted to a pair of glasses to lift your eyelid up. However, these props can be awkward to wear and do not correct the problem.
What will happen during the operation?
The operation is usually performed under a local anaesthetic, which will numb the area being operated on. A ptosis surgery usually takes between 45 to 90 minutes, depending on whether the operation involves one or both upper eyelids.
Your surgeon will usually make an incision on the natural skin crease of your eyelid. They will place stitches in the levator muscle to strengthen its attachment to your eyelid, as well as adjust the eyelid to a more preferable height.
Risks and complications
Any risks or complications will be discussed in advance of your treatment with your expert consultant.
You should be able to go home after a few hours but your eye will likely be padded shut for 24 hours following the procedure to reduce swelling. If you have had the procedure on both eyes, you may be given icepacks to reduce swelling.
Do not get your eyelid wet, perform any strenuous exercise or bend down until the stitches are removed.
Do not wear eye make-up for a few weeks following the surgery, and try to keep your face out of the sun.
Author: Prof Anthony King MD FRCOphth
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EIDO Healthcare Limited - The operation and treatment information on this website is produced using information from EIDO Healthcare Ltd and is licensed by Aspen Healthcare.
The information should not replace advice that your relevant health professional would give you.