Pierre Guibor, MD

While amblyopia may be associated with ptosis of the upper lid, it is unlikely. Patching will probably note affect the lid height. If there is a question of amblyopia, it is important to treat early. We use the Pediatric Guibor 4-0 Supramid double trapezoidal sling unilaterally in these pediatric cases, if there is any question regarding visual loss. Otherwise, we prefer to wait until 5 years of age and a levator resection works best to correct the blepharoptosis.

You need to see a local oculoplastic surgeon to really evaluate your eye lid function. It is possible that you may want to consider a straight forward unilateral blepharoplasty right upper lid. The levator may need a bit of recession of the right upper lid, if you think your left upper lid is a bit low. At any rate, do minimal surgery right upper lid under local. Good luck 

Difficult to say if your post op results are normal or not normal. However, you should return to your surgeon for best solution to problem.

You really need photos to determine best approach to problem. Good luck. Ask your surgeon to suggest an oculoplastic surgeon in your area of the world who might be able to examine you.

You need gaze views on up and down gaze for best answer to evaluate levator function. Of course, the surgeon who you select should make the call and best approach to your condition.

It will be important to match the lid crease height equally, which may require some skill. Anchoring of upper lid crease with 5-0 or 6-0 clear nylon will be important.


The brow is another item of concern, however, very difficult to correct without scars. Again, your surgeon can best evaluate condition and may suggest coronal brow lift, instead of direct brow lifting.

Small incision anchor sutures are not long lasting, in my experience.


Good luck