I have unilateral, congenital ptosis of the right lid. I had two surgeries on the levator muscle at 3 and 25. Each surgery was initially successful, but the lid dropped back down. I am 31, and my surgeon wishes to perform a frontalis suspension. I am undecided about the effectiveness of a third surgery. I am not optimistic about the results after having two "failed" surgeries and am worried about possible complications due to this being my third surgery. I can currently close my lid completely.
March 14, 2013
Answer: Congenital ptosis surgery
Hi Michelle,
Unfortunately, there is no real "cure" for congenital ptosis. The main muscle that lifts the eyelid doesnt function normally and there is no way to make it function better. That being said, if you have already had multiple levator muscle surgeries, a frontalis sling procedure would probably give you best chance of a longer-term lift in the eyelid position. The procedure is far from ideal - the curvature of the eyelid is sometimes suboptimal after this procedure and the eye may not close completely. Only you can decide if it worth going through another surgery. Best wishes.
Helpful
March 14, 2013
Answer: Congenital ptosis surgery
Hi Michelle,
Unfortunately, there is no real "cure" for congenital ptosis. The main muscle that lifts the eyelid doesnt function normally and there is no way to make it function better. That being said, if you have already had multiple levator muscle surgeries, a frontalis sling procedure would probably give you best chance of a longer-term lift in the eyelid position. The procedure is far from ideal - the curvature of the eyelid is sometimes suboptimal after this procedure and the eye may not close completely. Only you can decide if it worth going through another surgery. Best wishes.
Helpful
March 13, 2013
Answer: Third ptosis surgery?
Only you can answer whether you should have a third procedure. Does the drooping bother you sufficiently to warrant this? If you are bothered by the ptosis than the sling is a viable answer. However, if the lid is brought up, you may have more difficulty achieving full closure and greater dry eye symptoms.
Helpful
March 13, 2013
Answer: Third ptosis surgery?
Only you can answer whether you should have a third procedure. Does the drooping bother you sufficiently to warrant this? If you are bothered by the ptosis than the sling is a viable answer. However, if the lid is brought up, you may have more difficulty achieving full closure and greater dry eye symptoms.
Helpful