Do I have ptosis? (Photo)

Question

I was told I had mild eyebrow ptosis and that my eyelids feel heavy and I raise my eyebrows to see due to the extra skin. I was told I could benefit from a upper bleph and potentially eyelid ptosis surgery but I could also get a brow lift but that due to my hairline this is harder and I know this is more invasive I'm not sure if I have eye lid ptosis or what to do to help it to feel like my eye lids aren't being pushed down?

Gary M. Horndeski, MD · Answer

Your photograph is extremely limited.  However, your eyebrows do look too low.  I recommend a brow lift with possibly a blepharoplasty but most likely not since you do not have ptosis.

Best Wishes,

Gary Horndeski, M.D.

Pawel Szychta, MD, PhD, DSc · Answer

Given your symptoms of heavy eyelids and mild eyebrow ptosis, there are a few surgical options to consider:1. Upper Blepharoplasty (Eyelid Surgery). Removes excess skin and fat from the upper eyelids. Reduces eyelid heaviness and improves the visual field if excess skin is obstructing vision. Effective if the primary issue is excess skin on the eyelids.
2. Eyelid Ptosis Surgery. Tightens or repositions the muscles that lift the eyelid (levator muscles). Elevates drooping eyelids caused by muscle weakness, improving eyelid function. Suitable if the eyelid margin itself is low due to muscle issues.
3. Brow Lift. Elevates the eyebrows to a more youthful position. Reduces forehead wrinkles and can alleviate upper eyelid hooding caused by sagging brows. More invasive and may affect the hairline position; alternative techniques might be needed if you have a high hairline.
It's important to determine whether your heavy eyelids are due to excess skin, true eyelid ptosis, brow sagging, or a combination of these factors. Discuss your concerns with a board-certified ophthalmologist or plastic surgeon who can evaluate your specific condition and recommend the most appropriate treatment. The right procedure should address the root cause of your symptoms to relieve the feeling of heaviness and improve your field of vision.

William Portuese, MD · Answer

To make a decision about ptosis repair, cosmetic blepharoplasty, and a brow lift, you need to post a full set of eyelid, facial and forehead photographs to make a determination about how best to proceed

Do I have ptosis? (Photo)

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