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What is your opinion, is this ptosis or not? Have you ever encountered this situation? Is this ptosis or not? (Photo)

CristinacucJan 28, 2016
My 12 months baby has, from time to time, her left eyelid was bigger than the right one. We made the RNS at 11 months. We managed to make 2 (two) clean impulses. The second response was stronger then first. We visited the Ophthalmology, during a ptosis episode. She told us that the girl has just one extra fold to the eyelid and that what she has is not ptosis. Lately, I observed that the ptosis episodes are more frequent and last longer than before. What is your opinion, is this ptosis or not?

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Kenneth D. Steinsapir, MD profile photo
Dr. Kenneth D. Steinsapir, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
4.8 | 78 Reviews
Answered on Feb 1, 2016
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Michael Elam, MD (retired)

Dear ndelong97, You appear to have hooded eyelids which are typically genetic in nature. I would perform an upper lid blepharoplasty to even out the hooding and give you a more rested appearance and botox to the brows to help correct the symmetry. I would not suggest the botox injections done...

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Kenneth E. Morgenstern, MD

It is not uncommon for age-related ptosis to worsen later in the day but it would be best to evaluate for myasthenia gravis as the others have suggested since this can be a serious neurological condition. Discuss it with your surgeon.

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John Dean, MD

I agree with you that your results are not ideal.  Once you have completely healed (in about 3 months), if you aren't happy with your result, I would suggest you get an opinion from another physician. A "Flowers" procedure may be required to match the sulcus position of the oposite eye.

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