in a levator approach/resection (ptosis repairs) is any skin removed? or none at all
Is Skin Removed During Ptosis Repair?
Doctor Answers (13)
Skin removal with ptosis repair
The doctor may remove skin with ptosis repair especially if it is excessive. If the excess skin is contributing to your impaired visual field then yes it should be done.
Upper eyelid skin may be removed with ptosis repair
Hi 155151anon in Los Angeles, CA,
Upper eyelid skin may or may not be removed with ptosis repair. Ptosis, or droopy upper eyelids, has several causes. More commonly, ptosis naturally occurs with aging and may affect visual field. Patients in this group generally benefit from upper eyelid skin excision or blepharoplasty, in conjunction with lifting the eyelid with ptosis repair. Patients who are young with ptosis don't have skin excess, so they may not have upper blepharoplasty with their ptosis repair. Only after a comprehensive evaluation can an plastic surgery specialist help determine appropriate options for you. Best of luck.
Skin is removed during repair of a droopy lid (ptosis)
Ptosis of the eyelid can arise from a number of reasons, and requires surgery to correct the problem. It generally results from a pulling away of the muscle attachments in the upper lid. Often upper eyelid ptosis repair includes the removal of excess upper lid tissue. It is generally covered by insurance because of the potential for visual problems from the drooping lid.
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Skin removal with blepharoptosis repair.
Although skin removal is commonly performed in combination with a blepharoptosis repair, it is not an essential or required step of the proecedure and is more commonly treated with blepharochalasis, dermatochalasis or entropion.
Skin excision may be done at the same time as a ptosis repair
Ptosis repair involves tightening or shortening the small muscle and tendon that open the upper lid. Removal of excess upper lid skin may be done at the same time for cosmetic improvement, but is not an integral part of the ptosis repair
Skin removal may help eyelid ptosis
There is a group of patients who have a droop of the upper eyelid because of the heavy skin excess weighting down the upper lids. Skin removal will help improve the lid position for those individuals. Of course, if the skin is not in excess, a lid hollow can be created if skin and fat are removed. In all cases, the eyelid muscle, the levator, must have the correct length and function for a proper repair.
Best of luck,
Skin removal and ptosis repair
If a patient has excess s kin in the upper lip and wants it improved, then upper lid skin is removed during ptosis repair.
Skin Removed During Ptosis Repair
As you can read from all the previous posters, it depends upon the individual situation. PLEASE see at least 3 boarded surgeon in person in your area. From MIAMI the "real" Dr. Darryl J. Blinski 305 598 0091
Skin removal with ptosis repair
Whether or not skin is removed with ptosis repair depends on the anatomy of your eyelid and what you will be happy with post-op. Often there is skin removed, but the younger the patient, the less need for this and too much skin removal may make for an unnaturally high fold.
Generally for a cosmetic ptosis surgery it is helpful to remove a small amount of skin.
Every situation is different. However, there is often a small degree of skin laxity on the eyelid platform and a degree of eyelash ptosis. To correct these situations, it is helpful to make the lowest eyelid incision below the desired eyelid crease height and remove an appropriate amount of eyelid skin. Fixation of the pretarsal skin to the levator aponeurosis is critical to tighten the eyelid platform skin and support the upper eyelid lashes so they don't drop. This type of work can be done with both the anterior levator resection ptosis surgery and the posterior conjunctival Muellerectomy ptosis repair.