Mid-60s, can my ptosis be treated with just eyelid surgery? (Photo)

Question

Hi, I am in my mid-60’s and am considering eyelid surgery for loose skin. I have had consultations with both a ocular plastic surgeon, who recommended treating the ptosis I have in one eye in his treatment plan, and also with a plastic surgeon (who specializes in facial surgery) who didn’t mention addressing the ptosis. Both physicians are highly recommended so my question is can my eyes be made symmetrical with only doing the eyelid surgery? I would appreciate any help or advise given. Thanks!

Jose Perez-Gurri, MD, FACS · Answer

Blepharoptosis (droopy upper eyelid) is very different than blepharochalasis (excess upper lid skin). A droopy eyelid involves more than excess upper eyelid skin. In most cases the edge of the upper lid will cover a bit or more of the pupil. Most cases involve the levator muscle of the upper lid that is responsible for opening the eye. Correction of an actual eyelid droop will need to address  the muscle. Although the photos submitted are not that clear, it looks like you could probably benefit from just aesthetic upper lid surgery. Of course an exam is imperative to fully determine the operative plan. Good luck, Doc PG

William Portuese, MD · Answer

Unfortunately, the photograph presented is inadequate and out of focus. Ptosis repairs can be done as a standalone procedure or in combination with cosmetic eyelid surgery.

Mid-60s, can my ptosis be treated with just eyelid surgery? (Photo)

Answers (2)