Would I qualify for Ptosis repair?

Question

I asked an earlier question about a blethroplasty, but I was advised I may not be a candidate. I was told to look into ptosis repair, which is not something I understand. I want to see if I can open my eyes a bit to contradict my heavier brow bone. Would love a few more opinions so I can talk intelligently at my consult next month. Ptosis repair vs canthroplasty vs blethroplasty.

Edward Buckingham, MD · Answer

Hello and thank you for your question. You may have a slight ptosis, left more than right. This should generally be addressed before an upper eyelid blepharoplasty. I would recommend an in person consultation with an occuloplastic surgeon to better advise you on your options.

Matthew Bridges, MD, FACS · Answer

I don't know if I'm missing something but you have beautiful eyes.  I can't imagine that you could make them better.  Make sure you understand the complications if someone offers surgery.    It's pretty easy to create asymmetry.

Kenneth D. Steinsapir, MD · Answer

You manifest minimal left upper eyelid ptosis. However both eyebrows show compensatory eyebrow elevation. This suggests that you have a weakness in the levator aponeurosis, the upper eyelid tendon that raises the upper eyelids. There is no substitute for a detailed in person examination. In my hands, my general approach is to perform an anchor blepharoplasty with preservation of the upper eyelid fold and a repair of the partially disinserted anterior levator aponeurosis. I caution you that you do not need a canthoplasty. You do not need a forehead lift. Aggressive upper blepharoplasty can skeletonize your upper eyelids and prematurely make you look older rather than better. If you are using an eyelash growth serum, I recommend stopping this immediately as the kill upper eyelid folds.

Lauren D. Mileo, MD · Answer

Ptosis is when the muscle that keeps your upper eyelid lifted is weakened, and therefore the upper eyelid is hanging over the eye and affecting your vision. Where your upper eyelid is sitting relative to your eye is appropriate on both sides. If we tried to lift your upper eyelid higher, although it would make your eyes looks "bigger," it would change the shape of your eyes and carries the risk of you not being able to close your eyes. I would suggest looking into botox around the eyes/eyebrow to give a subtle open appearance without changing the way you look or affecting your eyes/vision.

Would I qualify for Ptosis repair?

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