Is it normal for your eye with ptosis to have good and bad days? Sometimes my eye seems ok? (Photos)

Question

I'm trying to determine if I'm a candidate for surgery. I'm worried! Some days are worse then others! I want this fixed!

Kenneth D. Steinsapir, MD · Answer

You have bilateral upper eyelid ptosis. The left upper eyelid is slightly heavier than the right upper eyelid. You also have bilateral eyebrow compensation that is stronger on the left side. That is your brain's effort to compensate for the heavy upper eyelid. It is hard to tell with your mascara, but it is common to also have upper eyelid lash ptosis in this situation. I would recommend what I call a structured blepharoplasty. You need a surgery to strengthen the tendon that opens the eye. That is called upper eyelid ptosis. The ptosis surgery you need is called an anterior levator ptosis surgery. The degree of correction you need requires very precise ptosis surgery which is almost impossible to find. I offer it because it is one of the principle focuses of my practice. You also need a specialize technique called anchor blepharoplasty. That provides a hard, mobile, upper eyelid crease to support the upper eyelid lashes. Almost no skin and no fat should be removed from the eyelids. You may also benefit from support for the outer corner of the eyes. That would be assessed during a personal consultation. Most eyelid surgeons think it is precisely their job to remove upper eyelid skin and fat in the eyelid. That will skeletonize the upper eyelid, and rather than make you better, it will make you look older--don't do that. The surgery is done under light iv sedation. Individuals who travel to have this surgery stay in the area about 1 week before traveling home. Finally, if you are using an eyelash growth serum or eyebrow growth serum, stop doing that. The products that actually grow eyebrows or eyelashes contain prostagladins that kill fat in the eyelid and eyebrow. They actually prematurely age your appearance--ouch. Your eyes can be your best feature.

Is it normal for your eye with ptosis to have good and bad days? Sometimes my eye seems ok? (Photos)

Answers (1)

Recommended reading

Everything you need to know about Eyelid Surgery

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

Is it normal for your eye with ptosis to have good and bad days? Sometimes my eye seems ok? (Photos)

Answers (1)

Browse related questions

Recommended reading

Everything you need to know about Eyelid Surgery

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