I prefer an incision technique on the skin in order better access the muscle that opens the eyelid directly (anterior approach). The eyelid crease can be recreated more precisely this way. The posterior approach is done from the undersurface of the eyelid but in my opinion is not as precise.
Ptosis can be tricky to fix so having already had two surgeries, I think you could consider having another procedure with a different surgeon. Unfortunately some types of ptosis can’t be significantly improved so you take this risk, but at least you’ve given it a shot. As to which proce...
In the hands of an experienced ptosis surgeon, symmetry ( within 1mm ) is achievable 90% of time. These ar the nationally published standards.Training and surgical experience in ptosis repair is most common in the specialty of Oculoplastic surgery. Whether the surgery is performed through an ...