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Left eye closes significantly when I smile, is this ptosis? & what would help? (Photo)

A
Annlee27Jun 18, 2023

My left eye closes significantly when I smile. However, it only does this when smiling and looks fine when my face is normal. What would help fix this?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Kenneth D. Steinsapir, MD
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Dr. Kenneth D. Steinsapir, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
4.8 | 80 Reviews
Answered on Jun 19, 2023
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What options or procedures can I look into to correct or minimize my ptosis? (Photo)

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Kenneth D. Steinsapir, MD

You are holding your eyebrows very high. This suggests that you are under corrected for the upper eyelid ptosis. A forehand lift would further exaggerate the position of the eyebrows. It is not an option for you. There is a drop on the market called Upneeq. I am not an Upneeq fan. I think it is...

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The discussion that follows refers to your anatomic left and anatomic right assuming you have not flipped the images. Excess skin is not why you have a duplicated crease. Please understand that the effort to be made symmetric (perfect) is very challenging in anyone's hands. The closer the two...

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A.J. Amadi, MD

The internal ptosis repair method involves shortening the conjunctiva and muller's muscle. If you still have enough redundant tissue, it may be possible to repeat the procedure, but if there is not enough tissue and it is attempted, it could lead to scarring of the eyelid to the eyeball and...

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Kenneth D. Steinsapir, MD

Double vision after ptosis surgery is quite unusual. Double vision is complex and does warrant a careful assessment to determine what is needed to address the issue. Generally I would recommend that you get assessed by a highly experienced pediatric ophthalmologist. Although you are an adult,...

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Kenneth D. Steinsapir, MD

Your surgeon makes more money having you self-pay than using your health insurance. If the surgeon participates with your health insurance, this is a type of health insurance fraud. They are making you pay for something that is covered by your health insurance. You should contact your health...

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Kenneth D. Steinsapir, MD

In addition, it is possible to lower an upper eyelid creases. Many eyelid surgeons are not familiar with these techniques. On the left it does not appear that you are ptotic but you are raising the left brow suggesting some latent ptosis. I suspect that when the right upper eyelid is adequately...

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