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Am I a good candidate for internal ptosis repair? 26 y/o (photos)

kaylakiyomiApr 24, 2024
Hello, 26-year-old female with mild ptosis that fluctuates throughout the day and is worse when I'm tired. I've seen an opthamologist and was prescribed upneeq to use as needed. I'm considering ptosis surgery as I don't want to rely on eyedrops for the rest of my life. Tested negative for Myasthenia Gravis. Concerns are mostly aesthetic though when my eyes are really tired, I can feel the droops and it bothers me. First pic of the droop, second is without.

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Cameron Nabavi, MD, FACS
Oculoplastic Surgeon, Board Certified in Ophthalmology
Answered on Aug 7, 2024
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Kenneth D. Steinsapir, MD

However, it is far too early to consider revisional surgery. Your best hope to make this right is to find the right surgeon for the revision. The crease is too high. The shape of the upper eyelid is not right. It also appears that the lateral canthus is disinserted. This issues need to be...

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Lauren D. Mileo, MD

It looks like your left upper eyelid hangs lower over your eye than your right. This is called "ptosis." Your case is mild and is like congenital (you were born with a weaker muscle on that left side) and is just getting worse overtime. There are surgical (ptosis repair) and nonsurgical (upneeq...

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Kenneth D. Steinsapir, MD

I am skeptical that you had "maximal" advancement of the anterior levator. Meaning you likely have a real probability that revisional surgery would be beneficial. It appears that more could have been done to control the eyelid platform which appears to still contain redundant skin and muscle...

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