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Treatment Options for Congenital Ptosis (25 Yrs Old)

asked 1 year ago by surge337 in Michigan
Latest answer by Peter E. Johnson, MD
Question viewed 258 times
Tags: age 25-34, upper eyelids, ptosis

I saw 2 oculo surgeons on ptosis-left eye. I use my brows to open my eyes. 1st surgeon suggests a sling only on the left eye and said the right side will likely droop later/need 2nd surgery. The 2nd surgeon gave options: super maximal levator advance on left eye only/may need 2nd surgery later. 2nd option: a sling on both eyes which would consist of breaking my good eye. Im considering the 2nd option as it sounds more promising but very nervous/wanted to know is this common/ok? Please help! =/

2 answers to Treatment Options for Congenital Ptosis (25 Yrs Old)

+2

Congenital lid ptosis correction will require compromise

Congenital ptosis is a complicated repair that requires experience and compromise, and is ordinarily outside of the practice of cosmetic surgery, though it sounds like you have selected two good physicians. The type of repair will depend very much on the amount of muscle function in the lid. The primary opening is produced by the levator muscle, and a 'normal' result can be had with 8mm of levator function. The second factor is the amount of droop of the lid, 1-2mm mild, 3mm... more
Peter E. Johnson, MD

Chicago Plastic Surgeon
+2

These are very difficult situations.

Surge WIthout an examination, it is impossible to help you decide the best option for you.  This is a circumstance where there will never be a single right choice.  A lot depends on how much levator function you actually have.  Generally in congenital ptosis the levator function is poor.  This means that tightening the tendon in the eyelid does not give the effect that this surgery would when the levator muscle works well. On the other hand there are down sides... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

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