There are three separate factors that can cause or worsen or give illusion of upper eyelid droopiness. 1) Upper eyelid PTOSIS, caused by weakening of the levator muscle responsible for lifting the upper eyelid, resulting in drop in the upper eyelid. 2) Upper eyelid DERMATOCHALASIS, caused by loosening and stretching of the upper eyelid skin, resulting and worsening in heaviness of the upper eyelid. 3) EYEBROW droopiness, causing crowding of the upper eyelid and contributing to its heaviness and illusion of droopy eyelid. Each of these three factors may be present, and each require different surgical procedure, which can be combined together if present. Consult an oculoplastic surgeon for evaluation of upper eyelid droopiness.
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