Ptosis worse after ptosis repair! Muller without phenylephrine test? (Photo)
September 5, 2021
Asked By:Fierce920723 in București, București, România
I had mullerectomy done 3 months ago. I have congenital ptosis since the age of 3, currently I am 26, the eye with ptosis has high amblyopia (I can see only 25%), convergent strabismus and hyperopic astigmatism. Also, the eye is more fallen when I am tired or when I drink alcohol (lol). The problem is the surgeon did not perform the phenylephrine test to see if I am a suitable candidate for this technique. He said that this test has not been done for some time and is irrelevant in 2021.
3 photos
Answers (1)
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October 1, 2021
Answer: Failed ptosis repair
Joseph Walrath, MDOculoplastic Surgeon, Board Certified in Ophthalmology
For significant improvement, hooded eyelids require surgery if there is enough skin. For nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin. I recommend getting a formal...
Before embarking on any additional surgeries, you may wish to consult with a board certified cosmetic dermatologist about the recently FDA approved topical prescription eye drops specifically for treating eyelid ptosis. Hope this helps and best of luck.
In these photos it looks like you have a ptosis of both upper eyelids, worse on the right. You should see an oculoplastic surgeon who can evaluate the eyelid muscles to determine what surgery would be best to elevate the lids.