Eye ptosis that comes and goes - what are my options? (Photo)

Question

My left eye seems to have ptosis which comes and goes or change in severity, though I would say more often than not it looks droopy like in the first picture. Why might this be and what are my options for treatment in such a case?

Gurkan Kayabasoglu, MD · Answer

Hello. This is due to the excess skin of the upper eyelid and these excesses that weigh on the eyes reveal the ptosis problem. I recommend upper eyelid surgery with ptosis correction. Please check our Instagram account and RealSelf photos. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile. You can also book an online consultation and discuss your problems with me. Best regards.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question and posting your photos. The ptosis might fluctuate based on fatigue. Surgical intervention is not warranted until the degree of ptosis stabilizes. Consider using eyedrops “Drop N’ Lift” to temporarily elevate the droopy eyelid. See an experienced oculoplastic surgeon for comprehensive evaluation and discussion of treatment options. 
Good luck,

Kenneth D. Steinsapir, MD · Answer

What changes is your eyebrow compensation for the ptosis. Lifting the eyebrows unveils the long eyelid platform. You have central levator disinsertion. That is important because most eyelid surgeons you see will want to offer you a conjunctival Mueller's muscle resection ptosis surgery. In my opinion, this surgery will not work in this circumstance where your central levator does not properly attache to the upper eyelid tarsus. You may get a small elevation but without the tendon being in the proper location, the Muellerectomy is not going to work. You need an anterior levator resection ptosis surgery. It is probable that you will need bilateral upper eyelid surgery but this will be determined at the time of your detailed consultation.

Eye ptosis that comes and goes - what are my options? (Photo)

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