525 South Drive, Suite 101 Mountain View, CA 94040 Phone: (650) 964-9600

Ptosis Surgery

Ptosis Surgery Droopy Upper Eyelid

Ptosis is the medical term for drooping of the upper eyelid, a condition that may affect one or both eyes. When the edge of the upper eyelid falls, it may block the upper field of your vision. Symptoms of ptosis include a decreased ability to keep your eyes open, eye strain and eyebrow fatigue from the increased effort needed to raise your eyelids, especially when reading. You may also notice that your eyes have a tired appearance from "droopy eyelids" even though you are well rested. Often other people perceive you as looking “tired” or “old”. In severe cases, it may be necessary to tilt your head back or lift the eyelid with a finger in order to see out from under the drooping eyelid(s).

Acquired ptosis is most commonly a result of stretching of the levator muscle in the eyelid. The levator muscle is the major muscle responsible for elevating the upper eyelid. Another cause of acquired ptosis is interference with the nerve supply to the muscle. Acquired ptosis may occur as a result of aging, trauma, or muscular or neurologic disease.

As you get older, the tendon that attaches the levator muscle to the eyelid stretches and the eyelid falls, covering part of the eye. It is not uncommon for a patient to develop upper eyelid ptosis after cataract surgery, which can sometimes cause the weak tendon to stretch. We have found that many cosmetic patients feel that they need blepharoplasty when they really need a ptosis repair.

Dr. Levin treats acquired ptosis with a surgical procedure based on the severity of the ptosis and the strength of the levator muscle.

The main goals of ptosis surgery are elevation of the upper eyelid to restore normal field of vision and an attempt to achieve symmetry with the opposite upper eyelid. These goals depend on many factors and, therefore, may not always be possible to achieve. Surgery is usually performed with local anesthesia, which numbs the upper eyelid with minimal sedation. It may be combined with other eyelid procedures.

Gallery - Ptosis Repair

62 year old woman before and after bilateral upper ptosis repair.

Ptosis Before and After Photo

62 year old woman before and after upper ptosis repair.

Ptosis Before and After Photo

50 year old woman before and after bilateral upper ptosis repair without upper blepharoplasty.

Ptosis Before and After Photo

56 year old woman before and after bilateral upper ptosis repair.

Ptosis Before and After Photo

40 year old woman before and after left upper eyelid ptosis repair.

Ptosis Before and After Photo

56 year old woman before and after bilateral upper ptosis repair with upper and lower blepharoplasty with fat transfer over the orbital rim.

Ptosis Before and After Photo

53 year old woman before and after right upper ptosis repair and bilateral lower blepharoplasty.

Ptosis Before and After Photo

62 year old woman before and after bilateral upper ptosis repair with upper blepharoplasty. Note: While ptosis repair is often performed to improve impaired vision, many patients may benefit cosmetically by this procedure. Simple removal of eyelid skin and muscle without PTOSIS repair would NOT have made this patient look more awake and younger.

Ptosis Before and After Photo

34 year old woman before and after two-step left upper ptosis repair. Note: Ptosis is an inexact procedure. This patient with long-standing left upper ptosis (top left) showed minimal change to an initial “posterior” ptosis repair. (top right) She did well after a second procedure with reformation of her eyelid crease. (bottom) Note: We and our patients all want a perfect result from ptosis repair—unfortunately different patients respond differently to the same amount of surgery and more than one procedure is sometimes needed. We discuss this in detail at your consultation.

Ptosis Before and After Photo

4 year old boy before and after right ptosis repair by “frontalis suspension”. Note: Dr. Levin currently only operates on adults.

Ptosis Before and After Photo

15 year old young man with congenital right ptosis and lower eyelid retraction before and after right levator resection with lower eyelid canthoplasty. Note: congenital ptosis is challenging since patients have different eyelid muscle strength and may respond to the same surgery differently. Note: Dr. Levin currently only operates on adults.

Ptosis Before and After Photo

Ophthalmic Medical Website Design by Vital Element, Inc. - A Creative Digital Healthcare Agency