Ptosis of left eye, is surgery the best treatment? Or Botox?

Question

My ophthalmologist said the ptosis of my L eye is worsening and referred me to a plastic surgeon, he is going to perform an eyebrow lift under local anaesthetic in2 days time. What are the aesthetic results like and how long before I look 'normal' ?

Anna Avaliani, MD · Answer

I would like to wish you a speedy recovery and uneventful surgery.  Your questions should be answered by the surgeon who will operate on you. You should like him/her and feel comfortable with them.  Good luck. Best. Dr.Avaliani

Monika Soni, MD · Answer

Thank you for your question. It is difficult to give you advice without examining you in person. However, Botox will not directly correct ptosis and is unlikely to provide you with a sufficient brow lift compared to the results of a surgical procedure. I recommend discussing your concerns with your surgeon before treatment. Best of Luck!

Paul Pietro, MD · Answer

Hello valkgately,Thank you for your question. At the risk of being short an in person evaluation would be paramount to making this decision and the questions/concerns you ask should be discussed with your surgeon prior to agreeing to having the procedure done.

Adam Goodwin, MBBS, FRCS(Plast) · Answer

So if you had brow ptosis, a lower brow than on the other side then a brow lift under local anaesthetic would be a good treatment. If you have eyelid ptosis which I suspect is more likely then this is a failure of the eyelid opening muscle to function and a brow lift will not really correct this. It will likely leave you with on lazy eyelid and the same eyebrow looking overactive. There is specific surgery for eyelid ptosis depending on the cause the duration and the severity. Ask your surgeon whether the operation is designed to fix a lazy eyelid muscle or a heavy brow. Hope that helps, Adam Goodwin

Faiyaaz Kalimullah, MD, FAAD · Answer

Thank you for your question.  It's impossible to make exact recommendations without assessing you in-person.  That said, Botox will not directly correct ptosis (in fact, ptosis can be complication of poorly-injected Botox), and is unlikely to provide you with sufficient brow lift to compare to the results of a surgical procedure.  I would recommend discussing your concerns with your plastic surgeon prior to your treatment.  Best of luck!

Ptosis of left eye, is surgery the best treatment? Or Botox?

Answers (5)

More Botox Questions

Who can do a really good Botox brow lift in either the San Diego area or Portland, OR area?

Can Botox lift the bottom cheeks around the lips? (Photo)

What would be the minimum number of Botox units could I get in the forehead region just to see how I might react? (photo)

Eyelid drooping, Ptosis from Botox could it be permanent damage or some other problem after 12 weeks? (Photos)

Can I have a CT with contrast on the same day as Botox treatment?

Is it accepted practice to use 'single patient use' Botox vials for multiple patients?

WE SEND PRETTY
EMAILS