Eyelid drooping started in 2003-2004 because of medicine (acetaminophen) allergy. I feel it has gotten even worst after surgery. I could sometime feel eyelid heaviness on my eyeball. I have few specific questions while I am researching my options: 1) What are my treatment options, keeping in mind that I have already had 2 surgeries? What is the success rate of each suggested treatment? 2) Why do I feel heaviness on my eyeball after those 2 surgeries? 3) Does Ptosis get worst with age?
July 1, 2016
Answer: Ptosis I am assuming you had an oculoplastic surgeon do these surgeries since they are the ones who are specialists in this. You have now had both an internal and external approach to fix this. The question now is how much scarring is there in the lid, and do the muscles work well enough to try and do another repair. You need to see an oculoplastic surgeon to evaluate the eyelid muscles and determine whether it is worth trying again. There are many excellent oculoplastic surgeons in CA so you should be able to get a good answer.
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July 1, 2016
Answer: Ptosis I am assuming you had an oculoplastic surgeon do these surgeries since they are the ones who are specialists in this. You have now had both an internal and external approach to fix this. The question now is how much scarring is there in the lid, and do the muscles work well enough to try and do another repair. You need to see an oculoplastic surgeon to evaluate the eyelid muscles and determine whether it is worth trying again. There are many excellent oculoplastic surgeons in CA so you should be able to get a good answer.
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July 1, 2016
Answer: Possible third ptosis surgery Treatment options: surgery - anterior approach; success rate depends on the surgeon; heaviness is secondary to the drooping lid; ptosis could become worse with age. From the first set of pictures, the levator function appears to be good. Examination and accurate measurements are important to the success of your third procedure. The contour of the left lid in both photographs shows the peak of the lid displaced laterally. This suggests that the medial side of the muscle is severely attenuated and that the axis of the muscle is angled toward the temporal side of the lid. Several factors make your ptosis challenging - scar tissue from previous surgery, shortening of the superior fornix and tarsus because of the F-S procedure, axis of the levator is shifted toward the lateral lid, potential intrinsic neural or muscular damage from hypotensive/ anaphylactic reactions (your eyes appear to be aligned and I'm presuming no diplopia). Your surgeon might consider releasing the lateral horn of the levator, and moving the insertion medially to get good lift and contour. This will avoid an S-shaped contour. Ptosis surgery can be successful even after multiple attempts by previous surgeons - even 5 or 6. After many years of practice and working with the aftermath of other surgeons' ventures in the lid, an experienced Oculoplastic surgeon will know exactly how to help your eyelid. Best wishes for the third, hopefully last, treatment!
Helpful 1 person found this helpful
July 1, 2016
Answer: Possible third ptosis surgery Treatment options: surgery - anterior approach; success rate depends on the surgeon; heaviness is secondary to the drooping lid; ptosis could become worse with age. From the first set of pictures, the levator function appears to be good. Examination and accurate measurements are important to the success of your third procedure. The contour of the left lid in both photographs shows the peak of the lid displaced laterally. This suggests that the medial side of the muscle is severely attenuated and that the axis of the muscle is angled toward the temporal side of the lid. Several factors make your ptosis challenging - scar tissue from previous surgery, shortening of the superior fornix and tarsus because of the F-S procedure, axis of the levator is shifted toward the lateral lid, potential intrinsic neural or muscular damage from hypotensive/ anaphylactic reactions (your eyes appear to be aligned and I'm presuming no diplopia). Your surgeon might consider releasing the lateral horn of the levator, and moving the insertion medially to get good lift and contour. This will avoid an S-shaped contour. Ptosis surgery can be successful even after multiple attempts by previous surgeons - even 5 or 6. After many years of practice and working with the aftermath of other surgeons' ventures in the lid, an experienced Oculoplastic surgeon will know exactly how to help your eyelid. Best wishes for the third, hopefully last, treatment!
Helpful 1 person found this helpful
