I am very conscious about my upper eye lids. When I was around 17 I had an issue with bad dry skin and I used some topical creams as I’ve got order the skin just appears to sag and when I look up I sometimes feel the fold flap. I am 37 and wondered what is the best thing to do?
October 7, 2020
Answer: This is bilateral upper eyelid ptosis with a compensatory eyebrow elevation. The right upper eyelid is heavier that the left and you have a stronger compensatory eyebrow elevation. You have a thin eyelid due to central disinsertion of the levator aponeurosis. This condition is likely unrelated to your dry skin in the past unless you were a chronically manipulated your eyelids. Simply blepharoplasty and forehead surgery are not right for you. You need an anterior levator resection ptosis surgery. Likely you need bilateral surgery. There are two commonly performed ptosis procedures: mueller's muscle conjunctival resection ptosis surgery and anterior lavator resection ptosis surgery. The Mullerectomy is very popular with surgeons, it is quick, easy and predictable but it is not right for you. It is very ineffective for central levator disinsertion. If you have this type of surgery, you will be under corrected. A detailed personal assessment is needed to determine what surgery is best for you. That information is not gathered during a Zoom consultation.
Helpful 1 person found this helpful
October 7, 2020
Answer: This is bilateral upper eyelid ptosis with a compensatory eyebrow elevation. The right upper eyelid is heavier that the left and you have a stronger compensatory eyebrow elevation. You have a thin eyelid due to central disinsertion of the levator aponeurosis. This condition is likely unrelated to your dry skin in the past unless you were a chronically manipulated your eyelids. Simply blepharoplasty and forehead surgery are not right for you. You need an anterior levator resection ptosis surgery. Likely you need bilateral surgery. There are two commonly performed ptosis procedures: mueller's muscle conjunctival resection ptosis surgery and anterior lavator resection ptosis surgery. The Mullerectomy is very popular with surgeons, it is quick, easy and predictable but it is not right for you. It is very ineffective for central levator disinsertion. If you have this type of surgery, you will be under corrected. A detailed personal assessment is needed to determine what surgery is best for you. That information is not gathered during a Zoom consultation.
Helpful 1 person found this helpful
October 5, 2020
Answer: Eyelid Ptosis The most important feature that your photos demonstrate is your upper eyelid ptosis (droop) which is worse on the right than the left. The droop eyelid is causing you to subconsciously elevate your eyebrows, again the right one more than the left. Addressing the eyelid ptosis is the most important part of your surgical plan, because it will allow your brows to settle to the normal anatomic position. It is possible that you may also require an upper blepharoplasty. Seek a consultation with an Oculofacial Plastic Surgeon (Oculoplastics). Although some astute general plastic surgeons appreciate and occasionally treat eyelid ptosis, they usually do not have expertise in ptosis surgery and you may end up having surgery that does not address your problem. Good luck.
Helpful 1 person found this helpful
October 5, 2020
Answer: Eyelid Ptosis The most important feature that your photos demonstrate is your upper eyelid ptosis (droop) which is worse on the right than the left. The droop eyelid is causing you to subconsciously elevate your eyebrows, again the right one more than the left. Addressing the eyelid ptosis is the most important part of your surgical plan, because it will allow your brows to settle to the normal anatomic position. It is possible that you may also require an upper blepharoplasty. Seek a consultation with an Oculofacial Plastic Surgeon (Oculoplastics). Although some astute general plastic surgeons appreciate and occasionally treat eyelid ptosis, they usually do not have expertise in ptosis surgery and you may end up having surgery that does not address your problem. Good luck.
Helpful 1 person found this helpful