Is This Ptosis? And is It Fixable Without Surgery?

I can't really figure out if the problem with my eyelid is caused by my lazy eye (although I had surgery to correct that when I was younger) or some type of ptosis. I feel like I look drowsy and spaced out all the time because of my droopy eyelid. I attached a picture because I'm not sure if this is ptosis at all. I don't want to get a surgery unless it will make my eyelids look the same size. I would also like to know if there are any alternatives to an eyelid surgery.

Doctor Answers 14

Is This Ptosis? And is It Fixable Without Surgery?

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Maybe medial lid mild ptosis. See plastic eye specialists. There are possible medication drops that could help this. Or you may need a very minor levator repair. From MIAMI Dr. Darryl J. Blinski 3054 598 0091

Eyelid Ptosis

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Ptosis ("toe-sis") is a drooping of the eyelid due to a weakness of the eyelid muscle. As has been pointed out, it is difficult to make a full assessment of you from this one single photograph. Your eyebrows and forehead are not in the photograph and that would have helped a bit.  That said, your eyelid crease is changed on one side and this is almost certainly due to a change in the eyelid muscles. There are no vaiable non-surgical options to make your droopy eyelid look better.  You need an in-person consultation with a board-certified, fellowship-trained Oculofacial Plastic Surgeon with specific expertise in extensive experience in ptosis repair and eyelid surgery. Please avoid any doctors that do eyelid surgery part time, they cannot help you. Once you are examined, only then will you and your doctor know how to proceed. Best of luck.

Damon B. Chandler, MD

Harvard-Penn Trained Oculofacial Plastic Surgeon

Asymmetry

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It is difficult to advise you based on the photograph because there is no view of your eyebrows, which can make a big difference in terms of recommendations for intervention. Based on the provided image, it appears that more of your left upper eyelid is visible than your right side, which can be due to eyebrow ptosis on one side or to more skin of the upper eyelid on one side. I would suggest seeing an oculoplastic surgeon to discuss what intervention, if any, would be appropriate.

Mahsa Sohrab, MD
New Haven Oculoplastic Surgeon

Ptosis Surgery

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While some asymmetry of the face and eyes is normal if you have ptosis of one eyelid surgery can be effective in improving this. Ptosis repair involves tightening of the levator muscle to eliminate eyelid drooping. If excess upper eyelid skin is hooding the eye and needs to be eliminated, an incision is made in the crease at the top of the lid and excess fat and skin are removed. The incisions are closed and sutured on the underside of the skin. I suggest making an appointment with a board certified plastic surgeon who is experienced in ptosis repair.

Tarsal levator advancement is an excellent option for ptosis surgery

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Thank you for your photographs.  It certainly would be possible to perform an open approach in order to repair her eyelid and make it more symmetric compared to the opposite side.  This would involve advancing some of the natural tissue that elevates the eyelid into a better spot. It is important to chose a board certified plastic surgeon or oculoplastic surgeon who has extensive experience in repair of eyelid ptosis.  Best of luck, Dr. Pacella

Ptosis

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Yes, you do have ptosis on the left side. It is easily correctable and should be successful at restoring symmetry to your eyes. There really aren't any non surgical options.

Yes you do have ptosis

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You need to be seen by a plastic surgeon with experience in treating eyelid problems. From your picture ( important to note physical examination is required) you have ptosis in your left eye and because your brain is attempting to lift your eyelid as much as possible, you have overcompensation of your right eyelid, causing widening of the vertical dimension. There is no medical treatment for this, you will need surgery.

Good luck

Is this eyelid ptosis, or a "droopy" eyelid?

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You may very well have eyelid ptosis on one side, but it is difficult to tell from this picture.  An examination would be needed to determine.  Often, one eyelid may actually have ptosis, but taping up the opposite lid during the exam may be necessary to unmask it. Best to see a plastic surgeon who has oculoplastic training or an oculoplastic eye doctor. Good luck.

Not Ptosis.

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It appears that you have some component of eyelid retraction.  Your issue to complicated to discuss via a blog.  I would recommend you see a couple of board certified plastic surgeons and board certified oculoplastic surgeons.  There are couple of excellent plastic surgeons in the Marietta and Paces Ferry area you should see. There are a couple of excellent oculoplastic surgeons in the Northside Hospital area.  This where you should start.

Dr. ES

Asymmetric upper lids and ptosis

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The photo you provided does show asymmetric upper lid creases, but there does not seem to be significant drooping of the lid (ptosis). However, often a high upper lid crease is a sign of a weakness of the upper lid ligaments (levator aponeurosis) and this may not have been captured by your photograph.  I suggest you see an ophthalmologist for a complete evaluation.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.