Posterior or Anterior ptosis surgery? (Photo)

The reason for this is simple. Leaving the lower eyelid where it is and fixing the ptosis will exacerbate dry eye. It makes much more sense to first fix the lower eyelid retraction before repairing the ptosis. Do not have a Muellerectomy, It will not correct your upper eyelid ptosis. Many of these Post Upper Blepharoplasty Syndrome eyelids have a full levator disinsertion.. That effectively means that the levator tendon is not in the correct place for a ptosis correction. Generally surgeons also have challenges performing anterior levator resection ptosis surgery in these eyelids as well. The reason is the the levator tendon is not found in the usual location. They tend to be retracted into the anterior orbit as a result of scaring caused by the original blepharoplasty (which can also be the basis for the upper eyelid ptosis). There is no substitute for a detailed in person assessment to determine what anatomic resources are left in your eyelid. Your eyes can be your best feature.