Am I a candidate for ptosis surgery?

Question

I am 23, and have had a droopy right eyelid my entire life. What method would be best for me? A doctor once warned against the Muller method because it would not correct my eyelash ptosis

David K. Isaacs, MD, FACS · Answer

Assuming the photos are not flipped (mirror image), you appear to be raising your left brow, which could mean that you also have left upper eyelid ptosis but are compensating for it by raising the brow.

Also, your right lower eyelid sits lower than your left, and the right eye appears possibly more protruded than the left.

Patients sometimes think they have ptosis on one side but their exam reveals the ptosis on the other side as well, or something entirely different.

A proper exam by an experienced Oculoplastic surgeon is important.

Treatment recommendations can be made once the problem(s) is/are defined.

Eyelid Asymmetry is something people see me for nationally and internationally.

Kenneth D. Steinsapir, MD · Answer

The right upper eyelid ptosis is stronger and you have frank lash ptosis on the right side. On the left however, you have a compensatory eyebrow elevation, a very reliable sign of upper eyelid ptosis. Who ever advised you against a Meullerectomy is absolutely correct. If only the right side is repaired, after surgery the left upper eyelid would drop like a stone (Called Herring's law ptosis). What you need is aesthetic ptosis surgery. Your surgery has to be accurate within about a quarter millimeter. Most ptosis surgeons you will meet are not aesthetic surgeons. They are reconstructive surgeons. They will quote you an accuracy of plus or minus 1 mm (that is two millimeters on each side). That is not nearly accurate enough. Also you need a crease reconstruction to support the eyelid platform and eyelashes. Your eyes can be your best feature.

Am I a candidate for ptosis surgery?

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Am I a candidate for ptosis surgery?

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Everything you need to know about Ptosis Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.