Blepharoplasty for Lazy Eye?

asked 3 years ago by mj171 in nj in NJ
Latest answer by William Portuese, MD
Question viewed 1,774 times
Tags: droopy eye, lazy eye

I was born with my left upper eyelid drooping lower than my right, thus, it makes a lazy left eye effect. I think (after reading numerous articles online) that my levator muscle is weak or inactive. I am seriously considering having it corrected. Is Blepharoplasty the procedure I should be researching on? Will this involve intensive recuperation afterwards?

9 answers to Blepharoplasty for Lazy Eye?

Greater benefit with ptosis repair

A blepharoplasty is not performed for a lazy eye. Ptosis repair is performed for a lazy eye. Even though only one eye may be lazy, usually both eyes are performed because of the reflex between both eyelids and the brain. Blepharoplasty is only done for cosmetic purposes, not functional opening of the eyelid.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

The procedure you need is probably ptosis repair

If indeed your levator muscle is weaker and your eyelid covers the colored portion of youe eye or even the pupil on the affected side, it could be interfering with your vision, so your problem could be functional as well as cosmetic. Many plastic surgeons are experienced in these repairs, as well as some opthalmologists. Be patient with the procedure, as it can be difficult to get "perfect" symmetry with the unaffected side, if you only chose to operate on the side with the... more

W. Tracy Hankins, MD
Las Vegas Plastic Surgeon

See an Oculoplastic Surgeon

MJ in NJ, It sounds like you have congenital ptosis, as you mentioned this is usually a disability of the levator aponeurosis. A lazy eye is amblyopia which is more of a poor vision issue in that eye secondary to the brain not recieving the proper impulses during childhood to allow the visual axis to grow. Ptosis could be corrected by doing surgery on the levator muscle if it is strong enough. If it is not then the levator might need to be attached to the forehead muscle. You could... more

Robert Schwarcz, MD
New York Oculoplastic Surgeon

There may be some confusion: diagnosis and treatment

Mj171 in nj: There may be some confusion about both diagnosis and treatment. Having one eyelid sag since birth may represent ptosis, not "lazy eye." Treatment would be ptosis repair, not blepharoplasty. However, you need in-person assessment and recommendations from an experienced surgeon. Some plastic surgeons are very experienced in ptosis repair, but many do not perform this procedure. Inquire when you make an appointment or request a referral. Ophthalmologists with... more

Sutton Graham II, MD
Greenville Plastic Surgeon

Blepharoplasty with Ptosis repair may be appropriate

Your condition should be evaluated by ophthalmologist prior to referral to a surgeon accomplished in blepharoplasty with ptosis repair if in fact your diagnosis involves dysfunction of the levator muscle.

Richard Gentile, MD
Cleveland Facial Plastic Surgeon

www.facialplastics.org

Eyelid ptosis need to be assessed by an Oculoplastic surgeon

Dear MJ in NJ Eyelid ptosis is a relatively common situation. It is not a lazy eye. Lazy eye is a lay term for an eye that does not align properly. Generally when this occurs, it is the results of an early developmental issue with lack of a properly formed image on the back of the eye, or some other circumstance leading to an abnormal neural wiring. The medical term for this condition is amblyopia and diagnosed early this can generally be treated with patching and if necessary... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Blepharoptosis is best evaluated by an Ocular Plastic Surgeon

Ptosis a drooping of the eyelid is best evaluated by an ocular plastic surgeon. Congenital blepharoptosis can be surgically treated by tightening of the levator muscle aponeurosis. Ocasionally the forehead muscles are used to lift the eyelid. Recuperation from both procedures is a matter of days. There are excellent ocular plastic surgeons in New Jersey.

Mark Berkowitz, MD
Sterling Heights Oculoplastic Surgeon

True drooping eyelid requires levator surgery, not blepharoplasty

From your description, it sounds like you have what is called ptosis, which is dysfunction of the levator palpebrae superioris muscle. You do need a formal ophthamologic exam for diagnosis. Your eye doctor will refer you to a plastic surgeon who does the levator surgery. A blepharoplasty can also be combined with the levator surgery to achieve symetry between the two eyes. Expect 10 days to 2 weeks recovery time although the levator repair may need 4-6 weeks for final eyelid position and... more

Brooke R. Seckel, MD
Boston Plastic Surgeon

www.drseckel.com

You need to see a doctor not your computer

See a doctor - self diagnosis will not help you. First, be evaluated by an Ophthalmologist. If you have true Ptosis , surgery can help, but not a purely cosmetic Blepharoplasty. Not all plastic surgeons take care of true ptosis, so get advice from a qualified physician, not the Internet.