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.
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.
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:
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, 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.
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.
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 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.
While blepharoplasty is a common surgical solution, there are several non-surgical alternatives:
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 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.
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.
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.
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.
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
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
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.
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.