Is there anything that can be done for slightly droopy eyelid?

Question

I'd love to hear my options for what I could look into to fix my one eyelid that is droopy. Pictures attached. Note: that same eye that is droopy also had an astigmatism and is very farsighted and has had lasik on just that eye. IDK if that affects or explains why the asymmetry is there, but thought I'd put it.

Mehryar (Ray) Taban, MD, FACS · Answer

It does appear you have right upper eyelid ptosis and may benefit from right upper eyelid ptosis surgery. It can be done under local anesthesia with scarless technique. See an oculoplastic surgeon for evaluation.

Jason Emer, MD · Answer

To give the eyebrows a nice lift, we use injectable fillers to improve the eyebrow, upper eye, forehead and temple. A filler is placed on the bone and in the fat pads of these areas to contour and lift without it looking overdone. We use cannulas to limit pain and swelling. I suggest getting a formal consultation with a facial sculpting expert.

Kenneth D. Steinsapir, MD · Answer

Don't get bamboozled. Ptosis surgery is a highly specialized practice. You need an oculoplastic surgeon who focused on aesthetic reconstructive eyelid surgery. Plastic surgeons who focus on liposuction and breast surgery or facial plastic surgeons generally to not offer the highly expert skill needed to address upper eyelid surgery. This is not like cosmetic blepharoplasty. This is fussy surgery that has to be done right. In my opinion, you have obvious bilateral upper eyelid ptosis that is worse on the right side. On the right side you appear to have a significant central disinsertion of the right upper eyelid levator aponeurosis. The crease is very high and incompletely formed. There is eyelash ptosis on the right side, and profound compensatory eyebrow elevation. However you also have left upper eyelid ptosis and also a left eyebrow compensation. The "test" alluded to by one of the posters is called a neosynephrine test. These drops are instilled in the eyes and stimulate the Mueller's muscle. This is an accessory muscle on the back side of the eyelid that is sympathetically innervated. It simulates the effect of a very popular ptosis surgery called a Muellerectomy or Mueller's muscle conjunctival resection ptosis surgery. It is so popular because the anatomy is very simple and the surgery is very quick. The problem is that surgery is not what you need. You most likely have a disinserted central levator aponeurosis. The Muellerectomy relies on the tendon being in the right place to be effective to fold the tendon and strengthen its function. The Muellerectomy will not work to restore the eyelid position. Does that stop eyelid surgeons from trying. I have had to fix patients who have had 2, 3, 4, and 5 Muellectomies. You also need to have your eyelid crease reformed at a lower position. When the  crease is reformed (anchor blepharoplasty), the eyelid ptosis is fixed, and the eyelash ptosis is addressed (with the anchor blepharoplasty), the eyebrows will relax to a more natural location helping restore an outie eyelid. Surgery is very comfortably perform under light intravenous sedation. You also need a detailed personal assessment. Your astigmatism has nothing to do with your ptosis. Your eyes can be your best feature.

Michael A. Persky, MD · Answer

Hi ND,Your right upper eyelid has ptosis which can be repaired with a surgical procedure.  Feel free to contact us with any further questions or concerns.  Good luck and be well.Dr. PerskyEncino, CA

Gregory Lakin, MD · Answer

It looks like you have unilateral or one-sided ptosis (droopy eyelid). You should have a test done in the office to determine whether not you have a slight droopy eyelid of the other eyelid that may need to be repaired as well.  I recommend you meet with a board-certified plastic surgeon experienced in oculoplastic surgery to discuss your goals, examine you or do a virtual consultation, and show you before/after photographs to give you a better idea of the type of results you can expect to get. Good luck!

Is there anything that can be done for slightly droopy eyelid?

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Answer: Eyelid Ptosis, Is there anything that can be done for slightly droopy eyelid? (Photo)

Answer: Eyelid Ptosis, Is there anything that can be done for slightly droopy eyelid? (Photo)

Answer: Is there anything that can be done for slightly droopy eyelid?

Answer: Is there anything that can be done for slightly droopy eyelid?

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Is there anything that can be done for slightly droopy eyelid?

Answers (6)

Answer: Eyelid Ptosis, Is there anything that can be done for slightly droopy eyelid? (Photo)

Answer: Eyelid Ptosis, Is there anything that can be done for slightly droopy eyelid? (Photo)

Answer: Is there anything that can be done for slightly droopy eyelid?

Answer: Is there anything that can be done for slightly droopy eyelid?

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Everything you need to know about Eyelid Surgery

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