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Do I have Ptosis ? Lasik first or Ptosis surgery first? (photos)

KC292Sep 13, 2023
I did a non-incisional double eyelid surgery 7 years ago but the double eyelids have now disappeared. I am now wondering whether I have ptosis as I am in early 40s now. If yes, is it mild or moderate as I am considering a surgery to improve the look. I am also looking at lasik as I have quite high degree of above 800 . Should I go for the ptosis surgery first or lasik first?

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Dr. Thomas Trevisani, MD
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Answered on Oct 5, 2023
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Ajaya Kashyap, MD

Thank you for your query. I would not advise any eyelid surgery along with LASIK. A good idea would be to get your ptosis surgery first and then wait till your eye closes completely at rest, as there may be a slight over correction of ptosis initially, which resolves in several weeks. Please...

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Thomas Trevisani, MD

The final surgical procedure provided you have all the pertinent information - is completely up to you. Improvement of the left eye alone - is prob preferable since you do not have issues with the right eye

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Christopher Chui, MBBS, MRCS Ed, MMed

If anything you only have mild ptosis, I don't think it would be considered medical. Your eyelid margin needs to be less than 2mm from the midpoint of your pupil to be considered medical.Having said that, you would probably benefit from ptosis correction if you were to have an upper blepharoplasty.

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Kenneth D. Steinsapir, MD

The ptosis is more obvious on the right side. In addition, the eyelid platform show is different on both sides. This can be due to asymmetrically make crease positions or differences in ptosis correction. These differences can be improved. Generally it is best to allow the eyelids to heal a full...

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