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Tired, droopy eyes: Do I Have Ptosis? (photo)

I have been told my quite a few people that I always look high and/or sleepy. My eyes tend to droop down and I am quite self conscious about it. I have done a lot of research and I think I may have a mild case of ptosis. It's not so bad that it interferes with my vision but none the less I think I have a mild case of it. Any feedback would much appreciated! Thanks!

Doctor Answers 9

Eyelid Ptosis

From the photo you are submitting, it is difficult to determine if you have ptosis.  You would need to take the photo in neutral gaze without any expression.  It is best to have someone take the photo for you.  Also, if it is bad enough, vision may be affected. Ideally, you would see an Occuloplastic, Facial Plastic or Plastic Surgeon to help determine this and then seek a surgeon who specializes in repair of ptosis.  

San Diego Facial Plastic Surgeon
4.5 out of 5 stars 98 reviews

11943 El Camino Real
San Diego, CA 92130

Mild ptosis

From the photo you are presenting, it suggests mild ptosis, but this is complicated by the fact that you are smiling in the photo. Smiling will naturally lower the position of the upper eyelids, so it is not the idea way to evaluate your eyelid position.

A.J. Amadi, MD
Seattle Oculoplastic Surgeon
5.0 out of 5 stars 28 reviews

1110 112th Ave NE
Bellevue, WA 98004


Thank you for your photo.  It is not clear enough to see your pupil.  The relationship of the pupil to the upper lid is one way to determine ptosis.  You should seek opinion from a plastic surgeon or an oculoplastic surgeon with experience with ptosis repair.

Dr. ES

Earl Stephenson, Jr., MD, DDS, FACS
Atlanta Plastic Surgeon
5.0 out of 5 stars 19 reviews

2220 Wisteria Drive
Snellville, GA 30078

Eyelid ptosis

Your photo does suggest that you have ptosis.  The photo angle appears to be taken from below eye level which can make it appear that you have ptosis even it you don't.  However based on you description and photo I suspect you do have lid ptosis.  This problem can have a few different causes which can determine the most appropriate treatment. A consultation with an experienced plastic surgeon will help determine the cause and the most appropriate treatment.

Jeffrey Thaxton, MD
Charleston Plastic Surgeon
4.0 out of 5 stars 5 reviews

4415 MacCorkle Ave. SE
Charleston, WV 25304

Eyelid ptosis

It does appear that you have some eyelid ptosis.  But it is best to have a formal exam and consultation with a plastic surgeon or oculoplastic surgeon who has experience and training in this issue. Best of luck.

Dean Fardo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 8 reviews

4165 Old Milton Pkwy
Alpharetta, GA 30005

Upper eyelid ptosis

Yes it does appear that you have upper eyelid ptosis.  A physical examination would be needed to determine the degree of the problem.  The condition can be surgically corrected. 

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 13 reviews

3096 Peachtree Industrial Blvd
Duluth, GA 30097

Do I have eyelid ptosis?

It is sometimes difficult to tell on a single photograph, especially as it looks like you are looking down a bit. However, with the history and the photo you have provided it does appear that you have eyelid ptosis on both sides, the right side more than the left. I would recommend seeing an oculoplastic surgeon or a plastic surgeon who is comfortable with ptosis surgery for evaluation.

Shannon O'Brien, MD
Portland Plastic Surgeon
5.0 out of 5 stars 3 reviews

1200 NW Naito Parkway
Portland, OR 97209

Eyelid ptosis

Yes, you do have bilateral upper eyelid ptosis, right greater than left. There are various causes for it, but likely congenital in your case. See an oculoplastic specialist for evaluation.

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
5.0 out of 5 stars 21 reviews

9735 Wilshire Blvd
Beverly Hills, CA 90212

? eyelid ptosis

You appear to have ptosis.  I would suggest a work up.

Notably, your brow is lower on the left side as is the lid.  You need ton establish if this is a mechanical ptosis (due to brow or some other factor), or perhaps congenital, or even a nerve problem.  Also, it may be the way the pic was taken.

good luck.


Scott E. Kasden, MD
Dallas Plastic Surgeon
4.5 out of 5 stars 64 reviews

2813 W Southlake Blvd
Southlake, TX 76092

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.