Why Drooping Eyelids are Problematic
- Posted on: Feb 15 2018
When we talk about the eyelids and our frustration with them, it is usually related to cosmetic appearance. Many men and women are turning to blepharoplasty to correct issues like excessive wrinkling, puffiness, and drooping of the upper or lower lids. While these concerns can be addressed with eyelid surgery, there are additional benefits to be obtained.
Drooping isn’t always just sagginess caused by facial aging and the loss of collagen. Some people who seek cosmetic blepharoplasty have a functional problem referred to as ptosis. Ptosis is characterized by the excessive sagging or drooping of the upper or lower lids. One or both eyes could be affected, and this sagging could be present from birth or may develop with age. Additionally, ptosis may occur at varying degrees, sometimes impairing vision.
There are a few reasons why ptosis may occur. The levator muscle, which holds the eyelid up, may weaken or stretch due to injury, eyelid surgery, tumor or illness, or from a neurologic or neuromuscular disorder. Because ptosis may be a factor in chronic headaches and eye strain, chronic dry eye and the itching and inflammation that go along with that condition, we want to treat this condition to the best of our ability.
Recommendations for Ptosis
Early intervention for ptosis may involve the use of lubricating eye drops. However, this measure only manages symptoms. Ultimately, the objective of patient care should be to address the underlying problem to eliminate symptoms, or greatly reduce them. The treatment of ptosis in a mild or moderate stage may also prevent progression to ectropion, in which the eyelid begins to pull away from the ocular structure or obstructs vision.
Ptosis Surgery and Blepharoplasty are Not The Same
If a blepharoplasty is performed as corrective surgery for ptosis, the outcome may not be as desired. Ptosis is related to the levator muscle, not to excess skin on the eyelids, or to excessive fatty tissue beneath. The objective of surgery, then, is to appropriately tighten the levator muscle to reinstate proper eyelid position.
Ptosis repair can be somewhat intricate, which is why this procedure should only be performed by a board-certified oculoplastic surgeon. If you have had blepharoplasty for ptosis, and are not satisfied with your results, we can help. Our specialists are experienced in even severe revision cases.
For more information on eyelid revision surgery or treatment for ptosis, call our Beverly Hills office at (310) 657-4354.
Posted in: Eyelid Surgery