I am 37 years old - if I get blepharoplasty of upper eyelids to treat ptosis, how long should results last? (photo)
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Doctor Answers 9
It appears that you need ptosis repair and not simple blepharoplasty. This is a procedure that is complex and requires experience in dissecting and re-attaching the levator muscle. The surgeon can't hit and miss... a superb result depends upon fine tuning of the lid margin, lid level, lid contour, crease fixation, preseptal contour. In addition if there is any diversion of the levator axis in the lateral direction, the surgeon must consider re-direction of the levator axis to get a good contour. This might involve release of the lateral horn of the levator muscle. The point is that you need an oculoplastic surgeon who is experienced beyond the occasional encounter with the levator muscle. See the link below to find an oculoplastic surgeon in your area. Best wishes!
Hi there. Greetings from the UK! I had a look at your photos and you do have bilateral upper lid aponeurotic ptosis where the tendon (aponeurosis) appears to have stretched itself and detached of it attachment to the tarsal plate (main cartilage like structure within the eyelid). It's common in contact lens wearers. I agree with Dr Taban in that you need a ptosis correction and not necessarily a blepharoplasty at all. Slightly more complicated than a blepharoplasty; most ptosis operations are permanent but are largely dependent on the health of the aponeurosis itself which one cannot comment on until actually examining it during the surgery. I'd recommend that you see an oculoplastic surgeon as they perform loads of these operations routinely. The worst thing to do would be to have it operated on badly by someone who doesn't do enough and does the wrong operations as later revisional surgery can be quite unpredictable due to the scarring etc. The best chance for permanent success is at the first procedure. Good luck! David
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Ptosis repair for the upper eyelids is a very common procedure that's performed by a specialist. Once the procedure has been completed, the results are in essence permanent. There are, however a small percentage of patients that over time the ligaments that hold the muscle together begin to stretch again. Should this be the case you can have repeat procedures done at some point down the line. At this point your results look outstanding and I would not perseverate too much on how long it would last. I would simply enjoy the results.
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