Ptosis surgery concerns. How llkely is it that the surgery won't work or last? (Photo)

In addition to right upper eyelid ptosis and no crease on the right, you also have significant compensatory brow elevation that is far greater on the right side. The left upper eyelid also appears ptotic. The success of surgery will depend on the amount levator function. That is a measure of how much eyelid excursion there is in a given eyelid after pressing and holding the the eyebrow against the eyebrow bone. It is challenging to make a working eyelid crease without about 12 mm of excursion. It is hard to make an anterior levator ptosis surgery repair with less than 10 mm of levator function. Generally Muellerectomy ptosis surgeries are ineffective in this setting. Frontalis ptosis surgery with a sling is generally not a cosmetically acceptable repair. There is no substitute for a detailed in person assessment. If you are seeing a surgeon who only met you via Zoom, that is not an actual physical assessment. Don’t be fooled.