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Is Skin Removed During Ptosis Repair?

asked 1 year ago by 155151anon in Los Angeles, CA
Latest answer by Robert Brueck, MD
Question viewed 767 times
Tags: upper eyelids, ptosis, removal, repair, skin

in a levator approach/resection (ptosis repairs) is any skin removed? or none at all

13 answers to Is Skin Removed During Ptosis Repair?

+1

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.
Robert Brueck, MD

Fort Myers Plastic Surgeon
+1

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... more
Houtan Chaboki, MD

Washington DC Facial Plastic Surgeon

www.potomacplasticsurgery.com

+1

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.
Theda C. Kontis, MD

Baltimore Facial Plastic Surgeon
+1

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.
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

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
Elizabeth Lee, MD

Bay Area Plastic Surgeon
+1

Skin removal may help eyelid ptosis

There is a group of patients who have a droop of the upper eyelid because of 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, peterejohnsonmd
Peter E. Johnson, MD

Chicago Plastic Surgeon
+1

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.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

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
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

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.
Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon
+1

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.... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+1

Skin Removal During Ptosis Repair

If skin excess (dermatochalasis) co-exists with a mechanical ptosis, then skin removal (upper eyelid Blepharoplasty) can be performed at the same time.  The most common form of ptosis is associated with aging, whereby the levator aponeurosis becomes stretched, attenuated, or suffers from fatty degeneration.  In these circumstances, a high percentage of patients have coincidental skin excess whihc impairs vision and/or is aesthetically bothersome.  For these patients, I... more
Stephen Prendiville, MD

Fort Myers Facial Plastic Surgeon

www.drprendiville.com

+1

Ptosis repair expectations

Skin may or may not be removed during ptosis repair.  It ultimately depends on your symptoms.  Ptosis can exist in the absence of excess skin, and it can exist unilaterally.  Thus, only the levator mechanism would be repaired.  When excess skin is present, it may be excised along the repair of the levator mechanism.  You likely already know that excision of excess skin alone will not repair ptosis over the long term. 
Jason R. Hess, MD

San Diego Plastic Surgeon
+1

Is Skin removed during Upper Lid Ptosis Repair

Regarding: "Is Skin Removed During Ptosis Repair?  in a levator approach/resection (ptosis repairs) is any skin removed? or none at all" As you already know correction of the upper eyelid lifting mechanism may be done with several methods depending on the cause of the eyelid sagging. Removal of skin would depend on the parallel existence of excess upper lid skin. While some upper lid skin may be removed in mild ptosis cases, skin removal is not the major thrust of the... more
Peter A. Aldea, MD

Memphis Plastic Surgeon

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