Which procedure would be best to correct my sclera show? (photos)

Question

Hello! Age 28 female. All my life, I have been told I look tired. I suspect I have: - Ptosis - Scleral show - Weak eyebrow muscle on left eye As the day goes my eyebrows/eyelids start to feel very heavy, which makes it a bit hard to stay energized because I work from. What would be the best procedure(s)? Ptosis surgery? Upper blepharoplasty or eyebrow lift? Is there anything that can be done to reduce scleral show, or is best to steer away?

Ryan Endress, MD · Answer

Hello! This is a great and complex series of questions. In short, it’s difficult to determine from pictures alone. The droopiness of the upper lid is, as you clearly understand, an interplay between the position of the brows and associated frontalis activation, as well as the upper lid itself. You may have some lavator dehisence as well, and these things would need teased out by a comprehensive exam. It is likely a combination of the 2, and you could get a great result with an upper lid incision to address the lavator and perform an internal brow pexy through the same approach. The scleral show is an independent lower lid issue that, depending on the laxity of your lower lid, would need either a standard or lateral strip type canthoplasty to adjust the vector and alleviate the scleral show.

Which procedure would be best to correct my sclera show? (photos)

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Which procedure would be best to correct my sclera show? (photos)

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Our mission is to create a world where every investment in modern beauty is Worth It.