What Is Eyelid Ptosis and How Eyelid Surgery Can Increase Vision
Eyelid ptosis can be more than just a cosmetic concern, it can also cause functional. Eyelid ptosis is a condition where the upper eyelid descends to a lower position than normal. This might result from a variety of factors, including age, injury, or certain medical conditions.
In some cases, eyelid ptosis is a slight cosmetic issue that doesn’t significantly affect vision or appearance, in other instances, it can be quite severe, leading to significant visual impairment and a marked change in appearance.
Sydney Specialist Plastic Surgeon Michael Kernohan performs eyelid surgery and other surgical and non-surgical procedures.
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Causes of Eyelid Ptosis
Eyelid ptosis isn’t a condition that discriminates. It can affect people of all ages, from infants to the elderly. The causes of eyelid ptosis are varied and can be broadly categorised into two groups: acquired and congenital.
Acquired eyelid ptosis, which is more common, typically results from the ageing process. As you age, the muscle that lifts your eyelid, known as the levator muscle, can weaken, causing your eyelid to descend. Other causes of acquired eyelid ptosis include nerve problems, previous eye surgeries, or injury to the eye area.
Congenital eyelid ptosis, on the other hand, is present at birth. This condition occurs when the levator muscle doesn’t develop properly in the womb. While less common, it’s imperative to address this form of ptosis early to prevent developmental vision problems.
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Symptoms of Eyelid Ptosis
Eyelid ptosis, while often identified by the hallmark descending/hooding of the upper eyelid, presents a range of symptoms that can vary in intensity and impact on daily life:
- Asymmetry in Eye Appearance: One of the initial signs that many individuals notice is an asymmetry between the two eyes. While one eye might not be affected, the other may have a noticeable hood. This unevenness can be especially evident in photographs or when looking in the mirror.
- Intermittent heaviness: For some, the heaviness isn’t constant. They might start the day with relatively lifted eyelids, but as the day progresses and muscles tire, the hooding becomes more pronounced.
- Frequent Brow Lifting: To lift the heavy skin and increase the field of vision, many raise their eyebrows often.
- Head Tilting: Some might tilt their head backward to see underneath the heavy eyelid, especially when trying to focus on something above eye level.
- Squinting: Narrowing the eyes can sometimes temporarily alleviate the heaviness and increase the field of vision.
- Physical Discomfort: Beyond the visual disturbances, eyelid ptosis can manifest in physical discomfort.
- Eye Strain: The continuous effort to see clearly can strain the eye muscles, leading to a feeling of heaviness or tiredness in the eyes.
- Fatigue: The constant compensatory behaviours and muscle strain can lead to overall fatigue, especially by the end of the day.
- Headaches: The strain and the frequent eyebrow lifting can trigger tension headaches, often felt around the forehead area.
- Difficulty in Routine Tasks: The impaired vision caused by the descending eyelid can make daily tasks challenging. Reading may require constant adjustments to find the right angle, and driving, especially at night, can become hazardous due to the reduced field of vision.
- Dryness or Excessive Tearing: In some cases, the eyelid’s altered position can affect the eye’s ability to lubricate itself properly. This can lead to symptoms of dry eyes or, paradoxically, excessive tearing as the eye tries to compensate.
While the descending eyelid is the most visible symptom of eyelid ptosis, the condition’s ramifications extend beyond aesthetics. It impacts vision, daily functioning, and overall well-being. Recognising these symptoms early can pave the way for timely interventions.
Blepharoplasty – The Eyelid Surgery
Blepharoplasty, or eyelid surgery, is a procedure that focuses on alleviating heavy eyes caused by eyelid ptosis. This surgery involves the removal or tightening of excess skin and muscle in the upper eyelid, positively altering both form and function.
The first step of preparing for your eyelid surgery is a comprehensive eye examination, where your plastic surgeon will assess the severity of your ptosis and determine if you’re a suitable candidate for surgery.
Anaesthesia
This procedure is usually performed by a plastic surgeon. It is often done under local anaesthesia on an outpatient basis, meaning you’ll be able to go home the same day. Some patients require a general anaesthetia, which may involve an overnight stay in hospital and additional costs.
The procedure
During the procedure, your plastic surgeon will make a small incision in the crease of your eyelid. Through this incision, they will tighten the levator muscle, effectively raising the position of your eyelid. Once the surgery is completed, the incision will be closed with sutures, and you’ll be ready to start your recovery journey.
Blepharoplasty offers numerous potential benefits, the most obvious being an increased filled of vision. By alleviating the descending eyelid, this surgery can help reduce the visual impairment caused by eyelid ptosis, making everyday tasks easier.
Recovery from Blepharoplasty Surgery
Recovery from eyelid surgery is generally well tolerated. Immediately after the procedure, you might experience some swelling, bruising, and discomfort in the eye area. These symptoms are a part of the healing process and should subside within a week or two.
Dr Kernohan will provide specific post-operative care instructions to optimise recovery. This will likely include using cold compresses to reduce swelling, taking prescribed medications to control pain, and avoiding strenuous activities.
You’ll also have several follow-up appointments with your plastic surgeon. During these visits, Dr Kernohan will monitor your healing progress and address any concerns you might have.
Alternatives to Blepharoplasty to Alleviate Eyelid Ptosis
While blepharoplasty is a common surgical solution, there are several non-surgical alternatives:
Wrinkle Treatments
Wrinkle treatments can target specific areas to temporarily address concerns such as descending eyelids. By focusing on the muscles that elevate the eyelid, these treatments may create a subtle, temporary lift.
The effects typically last for a few months, and follow-up sessions are required to maintain the outcome. Consulting a qualified healthcare professional is essential to determine if this treatment aligns with your goals and individual needs.
Volumising Treatments
Volumising treatments use specific substances to add volume and support to areas like the upper eyelid, potentially giving the eyes a lifted appearance. The effects are typically visible shortly after the procedure.
While the results are temporary, they can be maintained with repeat treatments. Some individuals may experience mild swelling or bruising at the injection site, which usually subsides within a few days. It’s important to discuss your suitability and expectations with a qualified healthcare professional.
Ptosis Crutches
These small attachments added to eyeglasses help support the eyelid and prevent it from descending. They are non-surgical and can be easily removed, but are only effective when wearing glasses and might be uncomfortable for some individuals.
Laser Treatments
Lasers can be employed to tighten and refresh the skin around the eyes, which not only lifts the eyelids but also addresses fine lines and wrinkles. While the treatment is non-invasive, multiple sessions might be required, and there’s potential for redness or swelling.
Thermage
Using radiofrequency energy, Thermage tightens the skin around the eyes, offering a non-invasive option with long-lasting results. Keep in mind that the treatment can be painful, and there might be temporary redness or swelling.
Ultherapy
This treatment uses ultrasound energy to lift and tighten the skin around the eyes. It’s non-invasive and stimulates collagen production, but can be uncomfortable and might require multiple sessions
Acupuncture
By stimulating certain points around the eyes, acupuncture can potentially lift descending eyelids. It’s a old/traditional method that can also promote overall well-being. Results vary, and multiple sessions are required
Topical Treatments
Creams and serums with ingredients like peptides and retinoids can offer a slight lift and firmness to the eyelid skin. These treatments can be incorporated into a daily skincare routine, but results are generally subtle and temporary.
Understanding Eyelid Ptosis and Your Surgical Options
Eyelid ptosis is more than just a cosmetic issue. It is a condition that can significantly impact your vision and appearance. But with a better understanding of this condition and the surgical options available, you can take the necessary steps to overcome eyelid ptosis.
While eyelid surgery can offer significant potential benefits, it’s essential to discuss this option thoroughly with your plastic surgeon. Dr Kernohan can provide personalised advice based on your unique situation, helping you make the right decision for your particular case.
FAQs about Eyelid Ptosis
What are the potential risks associated with blepharoplasty?
- Like any surgical procedure, blepharoplasty comes with its set of risks, including infection, bleeding, scarring, dry eyes, difficulty closing the eyes, and, in rare cases, loss of vision. It’s essential to discuss these risks with Dr Kernohan and understand the precautions taken to reduce the liklihood of them occuring.
How long does the effect of blepharoplasty last?
- The results of blepharoplasty are generally long-lasting. While the surgery can’t halt the natural ageing process, most patients find that the results of the procedure last for many years.
- Regular skincare and sun protection can help maintain the results longer.
Are there non-surgical alternatives to treat eyelid ptosis?
- While surgery is the most definitive treatment for eyelid ptosis, there are non-surgical options that may provide temporary relief or changes. These can include wrinkle treatments, special ptosis crutches fitted to glasses, or volumising treatments. However, the effectiveness of these treatments varies, and they may not be suitable for all patients. Treatments will need to be repeated to maintain results.
How can I determine if my heavy eyelids are a result of eyelid ptosis or another condition?
- A comprehensive eye examination by an ophthalmologist can determine the cause of heavy eyelids. While eyelid ptosis is a common cause, other conditions like dermatochalasis (excess upper eyelid skin) or brow ptosis (descending of the eyebrows) can also lead to a similar appearance.
Will insurance cover the cost of blepharoplasty?
- If the descending eyelid is affecting your vision, and this can be documented through specific tests, insurance may cover the procedure as a medically necessary surgery. But if the surgery is sought primarily for cosmetic reasons, it’s unlikely to be covered. It’s essential to check with your insurance provider and discuss this with your plastic surgeon during the initial consultation.
Further Reading about Eyelid Surgery with Dr Kernohan
- Read Dr Kernohan’s Upper Eyelid Surgery NSW Page
- Read Dr Kernohan’s Lower Eyelid Surgery Sydney Page
- Read Dr Kernohan’s Blog about Recovery after Eyelid Surgery – Healing after Blepharoplasty
- Read Dr Kernohan’s Blog about What are Heavy Eyelids?
- Read Dr Kernohan’s Blog about What Are Hooded Eyes?
- Read Dr Kernohan’s Blog about Will Medicare Cover Eyelid Surgery?
- Read Dr Kernohan’s Blog about Eyelid Surgery in Your 30s, 40s, 50s and 60s
- Read Dr Kernohan’s Blog about Eyelid Surgery Scar Treatment Healing and Fading
Medical References about Eyelid Surgery
- Upper Eyelid Blepharoplasty
- How To alleviate Eyelid ptosis and Circles – Cleveland Clinic
- Blepharoplasty – Mayo Clinic
- Eyelid Reduction Surgery – ASPS
