Asian Eyelid Surgery: Q&A
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Mild Ptosis More Complicated to Fix?
I have mild ptosis and I was wondering if mild ptosis is more difficult to correct considering that the chances for overcorrection is higher and since overcorrection would make the eye so much worse than it was before. I'm so tired of living with ptosis but I'm not sure if surgery would be the right thing especially after hearing that perfect symmetry is difficult to achieve. Can any doctor pls advice me?Thank you so so much
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10 Doctor Answers |
Asked by
nelly89
in california
+3
Mild Ptosis More Complicated to Fix?
Hi Nelly. You ask many good questions. The answers are not simple. A lot will depend on your particular findings and what your expectations are. Oculoplastic surgeons commonly perform surgery for mild ptosis with good results so you may indeed be a good candidate.
I believe you need an evaluation with a physician who performs a lot of ptosis repairs. You will either be comfortable with his approach or decide that it is not right for...
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+2
Internal vs External Incision.
There have been some very insightful comments made. I think we are all in agreement that Asian Eyelids can be challenging cases, especially when the ptosis is subtle. Oculoplastics Surgeons [synonymous with Ophthalmic Plastic or Oculofacial Plastic Surgeons] have the most amount of experience in this type of surgery. But make sure you find a surgeon that is experienced in both external and internal approaches to ptosis repair, as the different techniques can offer different benefits...
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+2
Mid ptosis surgery
Hi Nelly, I also agree with the other doctors that although ptosis surgery is one of our "bread and butter" surgeries as Oculoplastic surgeons, mild ptosis in Asian eyelids is very challenging due to several reasons. Of particular note, there is always the possibilty of overcorrection or undercorrection, but this can be largely avoided by selecting the right surgeon who has experience in mild ptosis surgery. More specific to you though, the surgeon needs to pay close...
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+2
Mild ptosis
Mild ptosis is at times more challenging but not always. Asian eyelids are challenging as well. Having the proper exam to understand the problem in your particular eyelid and discuss solutions is critical. Managing expectations is also important. You should consult with an oculoplastic surgeon.
Dr Taban
+2
I respectfully disagree with Dr. Truong
Nelly
While it is absolutely true that ptosis surgery is a bread and butter procedure for board certified ophthalmologists who are fellowship trained in oculoplastic surgery and admitted to the American Society for Ophthalmic Plastic and Reconstructive surgery, mild ptosis repair is not easy particularly in an Asian eyelid.
It is important to understand that there can be a degree of inaccuracy with any ptosis surgery even when performed by the most experienced surgeons....
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+2
Mild ptosis correction
How easy the correction is depends on your levator function which is measured during your eyelid exam. If it is 12mm or more, it should not be a problem correcting the mild ptosis. Overcorrection can be adjusted easily if done within 2 weeks of the initial surgery. Consult with an ophthalmic plastic surgeon.
+1
Ptosis in the Asian Eyelid
This is very common in the Asian eyelid practice but it can be difficult to achieve perfect results. However, you do have options. I take a couple of approaches.
1. It can be staged in two minor local procedures. If the ptosis is minimal it can be addressed with a repair that is performed on the mucosal side (underside touching the eye). This technique can reliably move the lid edge 1 to 3 mm. After that, if there is a slight change in the position of...
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+1
Is Mild Ptosis More Complicated to Fix?
It depends on how mild the ptosis is. Some ptosis is considered a mild/border line ptosis. You should also ask, is there an asymmetry or is it a bilaterally symmetric ptosis? What is more difficult to correct is asymmetric ptosis. Overall, the answer to the question is that mild ptosis is actually easier to correct. The reason is because of the fact that mild ptosis has a relatively good levator apponeurosis and Mueller’s muscle functions compared to those of severe ptosis. Therefore,...
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Ptosis is more complicated, but is correctable
Mild ptosis is not uncommon in Asians. It is important first to recognize the condition prior to performing eyelid surgery so that it can be corrected. Levator advancement during the procedure is an effective manuever performed symmetrically to best address the ptosis. A conservative amount of skin excision may also be necessary depending upon the amount of levator advancement to avoid the "fat lid" look. Make sure your surgeon performs Asian...
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+1
Ptosis Repair in Asian Eyelids
Dear nelly89,
Ptosis repair, particularly in Asian eyelids, can be challenging, but an experienced eyelid surgeon should be able to help. Your photos are difficult to see.
Warmest wishes,
Larry Fan, MD
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