Glenview Brow Lift doctors

Adam J. Cohen, MD Adam J. Cohen, MD
Chicago Oculoplastic Surgeon
4709 Golf Road 12th Floor, Skokie
2 answers
Laurie Casas, MD Laurie Casas, MD
Chicago Plastic Surgeon
2050 Pfingsten Road Suite 270, Glenview
Peter D. Geldner, MD Peter D. Geldner, MD
Chicago Plastic Surgeon
680 N Lake Shore Dr Ste 1325, Chicago
Steven Bloch, MD Steven Bloch, MD
Chicago Plastic Surgeon
1160 Park Avenue West Ste. 2E , Highland Park

Recent Answers

Congenital Ptosis Worse After Brow Lift

my congenital ptosis got worst than before after the brow lift surgery ( sling surgery from leg muscle ). After the surgery, my left eyes (congenital ptosis) look the same as before or rather worse. I did make another appointment with doctor X in singapore, and going through my profile again. I told him my condition and stand. But he say that its brillant surgery !! The sling surgery failed, and i felt my eyelid and eyeball are heavy. need advices.

A: Congenital ptosis and the frontalis sling.

The severity of congenital ptosis is related to the amount of eyelid muscle (levator muscle) weakness. In some instances, a frontalis sling is the only surgical option. In other cases eyelid surgery not involving the eyebrow can be used to correct congenital ptosis.  

When a frontalis sling procedure is performed, the surgeon must titrate the height of the eyelid during surgery. The final amount of elevation is related to the severity of the muscle weakness and pre-operative eyelid position. The surgeon must be careful to minimize the risk of post-operative lagophthalmos (inability to close the eyes) when setting the eyelid height. Since lagophthalmos can result in drying of the eye, and damage to the cornea, conservative correction of the ptosis may be performed to minimize this risk.

If the eyelids remain low following surgery, adjustment or removal and replacement of the sling is necessary.  

Adam J. Cohen, MD
Chicago Oculoplastic Surgeon
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