Whick procedure would help target my smaller, drooping eye? Recently diagnosed with ptosis (photos)

Question

I have been diagnosed with ptosis by mmy opthamologist and was prescribed daily eye drops. I havent tried them yet bcause theyre pricey and it may be better to have this permanently fixed. What should I be looking into? Any suggestions?

Selcuk Inanli, MD · Answer

Hello! Thank you for your question. As far as I can see from your photos your one eye is more slanted than the other one. Also you have extra skin both above and under your eye. For improve the symmetry between your eye and get rid of the extra skin I recommend you cat eye procedure (for the rounded eye), upper and lower eyelid blepharoplasty. If you can provide photos with better lighting, from the side of your face and 1 meter away I would be able to make a proper evaluation.Best Regards!

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. Your ptosis appears to be mild and the eye drops you were prescribed are likely to improve your eye’s appearance. However, blepharoplasty can produce the more long-term results you’re looking for. During this procedure, the ptosis can be corrected by tightening the weakened muscle causing the effect and providing a subtle lift to improve symmetry and refresh the eyes. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to review your ophthalmologist’s diagnosis and determine if surgical intervention is the right choice for you.

C. Blake Perry, MD · Answer

You have mild upper lid ptosis. Judging from your pictures, you may not need surgery. The drops you were given were to help elevate the eyelids. If you like the way the drops work, then surgery could be a potential solution. This can be done from the inside of the lid without any scars.

Jason Emer, MD · Answer

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Derek Fletcher, MD · Answer

Upper eyelid ptosis can be congenital (born with it) or acquired. It is very important to know which type of ptosis you have because it will determine which surgical procedure is most appropriate to correct your eyelid position.

Whick procedure would help target my smaller, drooping eye? Recently diagnosed with ptosis (photos)

Answers (5)

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