Do I have slight ptosis and maybe loose skin? Or what ? What can be done to make look better? (photo)

Doctor Answers 3

Asymmetric Eyelids

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thank you for your question.  Given the angle of the photo it is hard to tell if you have ptosis or not.  The best way to evaluate that in a photo would be a straight ahead view.  I would recommend an evaluation by an oculoplastic surgeon, if you think you have ptosis.  Good Luck.

New York Oculoplastic Surgeon
4.7 out of 5 stars 28 reviews

You have levator dehiscence ptosis.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Often with this anatomy, anterior orbital fat retractions into the orbit with the levator.  Additionally, you have a compensatory eyebrow elevation.  By correcting the ptosis and repositioning the levator, anterior orbital fat comes forward and the eyebrow tends to relax and these two factor help provide the appearance of an upper eyelid fold.  Finding a surgeon who really understands this anatomy is challenging.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews


{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Tough to tell in this photo if you have ptosis. .  You need to take a picture of you looking straight ahead into the camera - not from the side.  It looks like you have a deep sulcus - not much fat there - so that you have an extra fold of skin.  If you do a surgery this can be removed.  You would still have a deep sulcus, which you have  always had.  If you don't like the deep, hollow in the upper lid you could add some filler there. 

John J. Martin, Jr., MD
Coral Gables Oculoplastic Surgeon
5.0 out of 5 stars 31 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.