Uneven Eyelids or Ptosis because lack of sleep? (photos)

Question

I noticed when I dont get enough sleep one of my eyelids crease higher than the other, it folds higher. I noticed the folding line changed and theres two lines now. This doesnt happens when I get enough sleep, but if I sleep less than 4/5 hours the eyelid starts to get higher and bigger than the other and it goes back to normal in a few days. Is it ptosis? Do I need surgery or is there a way to fix it without it? That eye usually gets tired easily so I'm worried it will get worse

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. Consider it relatively good news that your eyelids respond to your sleep, rather than an aging process on their own that needs rejuvenation, tightening, excess skin/wrinkle removal and/or lower eyelid drooping correction. Please feel comfortable taking your time for a consultation with a board certified facial plastic surgeon. It is important to address your concerns. 
Best wishes,

Kenneth D. Steinsapir, MD · Answer

This is not a medical emergency.  When you feel ready to heal with this see a fellowship trained oculoplastic surgeon to be assessed for this to determine the basis for your ptosis and how best to address it surgically.

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