Condition: Brow ptosis 2017-10-12T10:14:20+00:00

Brow ptosis Overview

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The best way to figure out whether your specific condition can be treated or not is to give us a call. We can answer any questions you have and help you clarify which treatment options might be suitable for you.

There are different treatment options available for this condition and the most common ones are listed below:

Learn more about treatment options

Brow ptosis

What is a brow ptosis?

Brow ptosis is the medical term for a drooping brow. Minor differences between the two eyes and periocular areas can be obvious and a brow ptosis of only 3 – 4 mm can affect facial expression significantly.

Sometimes brow ptosis is present along with other problems, such as eyelid ptosis or dermatochalasis, making the asymmetry more obvious and requiring full assessment and treatment by an oculoplastic surgeon. Jane Olver does not do brow ptosis surgery.

What causes brow ptosis?

Brow ptosis is usually a result of the ageing changes that affect the forehead muscles and soft tissue, but may also occur as a result of other conditions such as facial palsy, or after trauma, surgery etc.

Treatment

The only permanent way to treat brow ptosis is by means of an operation called a brow lift; there are several techniques. Most brow ptosis is rectified by an incision over the brow (so the scar is usually hidden by the eyebrow hairs). This is called a direct brow lift. At the end of the operation the wound is closed with stitches which are removed approximately 2 weeks later.

Sometimes botulinum toxin A (Botox® or Dysport®) can be used to help raise the eyebrows. Whilst only a temporary treatment, it is useful in cases of mild eyebrow ptosis and for patients who do not wish to have an operation.

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Video: Ptosis explained

Examination

A full ophthalmic examination is performed to check visual function, eyelids and the ocular surface. Then a full face examination is carried out. This may include measurements, observation of the general appearance of the face and skin and diagnosis of any other associated problems.

Before and after the procedure, it is commonplace to take photographs of the face. Sometimes a visual field test is ordered to see if the ptosis is interfering with the field of vision.

What our patients say

“Dr Jane Olver was fantastic! She was so caring and sweet and it was clear that she knew what she was doing – very professional! I am absolutely over the moon with my results now!”
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“If you have a similar problem, Jane Olver is your woman – I wish I had found her at the start. I will be forever grateful for her care and expertise.”
Nancy W.
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David T.
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Julia S.
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Sven K.
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Mariah P.
“From the moment I met her to the moment I left, I was treated with great courtesy and kindness, and everything was explained to me in layman’s terms so I could fully understand my condition. I was immensely impressed.”
Paul
“Many thanks to Mr Khan. His prompt diagnosis and explanation was very reassuring indeed.”
Heather M.
“Just keep up the good work Dr Khan. My wife, who accompanied me, and I were both very impressed by the care and consideration shown by the whole team when I had surgery. I just hope they haven’t lost the knack by the time I get my other eye fixed. joking apart the care of this team has made it a wonderful experience for me.”
David S.
“Dearest Brian, Merry Christmas and a Happy New Year! Competent, sensitive doctors like you are the prize of the medical profession! I am so grateful that my experience was so positive. Love you Olga from Estonia”
Olga
“Dear Mr. Leatherbarrow and the Staff at Clinica London, Just a little not to say thank you very much for the great work you did to my eyes and the treatment I received. I am delighted with the results. Kind regards, Alexia M.”
Alexia M.
“Dear Professor Michel Michaelides , Thank you very much for your letter of the 4th September 2012. Ths means so very much to myself and Victor, during this terrible stressful time. Ever sind my first consultation with you, the caring dedication and understanding I have received from you has been priceless. Thank you with all my heart. Wishing you a healthy and happy future. Yours sincerely Doreen S.”
Doreen S.
“Dear Dr. Michaelides, I just wanted to express mine and my parents gratitude for arranging to see us all today and taking the time to answer all our questions. We left with a much greater understanding of the issues involved with genetic testing, the potential pattern of inheritance I have, and a renewed optimism over advances that could be happening in the field. It was also very helpful and reassuring to see Dr Amar again and be introduced to Jonathan the genetic counsellor – please do pass on our thanks to them as well. Yours sincerely Rachael S.”
Rachael S.
“Dear Professor Michaelides ,
Well done and thank you! You saw me last November for my annual RP assessment. You recommended to see the Glaucoma unit which I duly attended last week. (There was a delay because I had a cataract op in February)I do indeed have glaucoma as well as RP. Thankfully glaucoma is likely to be treatable with drops, so now at last the deterioration in my sight may be least partially arrested. I hope you will recommend to the retinal team that all RP suffers are tested for Glaucoma at fitting intervals. Yours sincerely, Edmund S.”
Edmund S.
“Dear Professor Michaelides ,
On behalf of my mother as well as myself, I would like to thank you for the consultation we had with you last Friday regarding my Usher Type 2/ RP condition. The knowledge and advice you shared with us was much appreciated. Today I received copy of the letter which you sent to my GP as record of the consultation. You might recall I mentioned that I have and indoor cycling frame which is great for an ex-road cyclist. If you should have any other patients who have to give up cycling on the road, I can recommend the “e-motion rollers” which is an American product and allows cyclists to ride their actual bike without modifications – suitable only for road bikes with high tyre pressure. Kind regards, Chris B.”
Chris B.
“Thank you for this, it’s nice to know you got the information you needed and were treated with respect. The team at Clinica London are good and the key thing, as you say, is seeing someone with the speciality in retinal degeneration. David “
David
“Dear Michel, My wife and I wish to thank you for your kindness and attention with regard to my poor eyesight. Your caring attitude and honest approach to help relieve my problem and find the best solution is overwhelming. And it is with this in mind we would like to express our sincere thanks for everything you have done for me. Kind regards, Maurice K”
Maurice K.
“Mr. Reddy was extremely kind and his special ‘duck’ noises certainly helped catch Talia’s attention and helped his examination run smoothly. Mr. Reddy informed us that Talia’s squint was severe and that glasses would not help her. He explained that she would need surgery. We have recently seen Mr. Reddy and the Orthoptist for a follow up and everyone involved is really pleased with the results of the surgery, most of all it seems is Talia.”
Rebecca and Daniel Corney
“What I loved most was her willingness to take my knowledge of my disease and experience into consideration. I am very impressed and feel lucky to be in her care.”
Fiona M.
“Dr Crawley is always in such a good mood and always does her utmost to help. Best doctor I have ever seen!”
Matthew K.
“Dr Crawley has a wonderful manner, is clearly knowledgeable and is an asset to the hospital.”
Lisa A.
“Thank you for forwarding the medical report. Please convey my thanks to Jane, I was deeply impressed by the politeness and empathy shown to me. I found the surgery very peaceful and beautifully decorated and I hope to see Jane again soon.”
Jeffrey W.
“Dear Jane,
I just wanted to say thank you for seeing me at such short notice. I felt much better after speaking to you and being reassured. I am much calmer and actually got some sleep last night.
I would also like to thank Ingrid, who was so lovely and very professional.
Best wishes, Catherine M.”
Catherine M.
“Thank you for forwarding the medical report. Please convey my thanks to Jane, I was deeply impressed by the politeness and empathy shown to me. I found the surgery very peaceful and beautifully decorated and I hope to see Jane again soon. Jeffrey W.”
Jeffrey W.
“I highly recommend Jane Olver. The whole experience was calm,and highly professional..”
Lorraine M.

“Dear Both,

Many thanks for taking care of my ptosis surgery today.
I am now back home and resting but wanted to send a quick note to thank you for taking such good care of me.

Many thanks, Charmaine”

Charmaine

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We are accredited with the major private health and professional specialty bodies who have bestowed upon us the qualifications to carry out aesthetic and medical treatments at the highest levels of quality.

Frequently Asked Questions

Direct brow lift surgery is usually performed as a day procedure, so overnight stay is not required.

In nearly all adult brow lift surgery, the operation is performed under a local anaesthetic, although an injection to make you feel relaxed is often used. If you are having an endoscopic brow and forehead lift, this is a larger operation and is best done under general anaesthetic and you may prefer, therefore, to have an overnight stay afterwards. If you have a bilateral brow ptosis, we will discuss with you whether a direct brow lift or an endoscopic brow and forehead lift is best.

Most patients say that they feel little or no pain during surgery.

Although you will be aware of some sensations such as pressure, these should not be uncomfortable. For a direct brow lift a local anaesthetic is injected into the brow and lower forehead to numb the area. For a endoscopic brow lift a tumescent local anaesthetic is injected across the whole forehead.

These injections can sting a little, but a medicine to make you drowsy is given beforehand. After the operation you may feel a slight ache or tension in the area for a few days. Mild painkillers such as paracetamol or ibuprofen will settle this.

A dressing will be placed over the brow at the end of the operation and is kept on overnight.

When this is removed there may be some bruising and swelling. To reduce this, ice packs can be applied to the brow. Cover the brow with clean gauze first and then apply the ice pack for 30 minutes at a time. Repeat this every hour whilst you are awake. Sleep with a few pillows to reduce bruising.

This depends on the nature of your work.

There may be bruising after the operation and you may experience a degree of discomfort. Avoid strenuous activity and heavy lifting for 2 weeks after the operation. You should not drive or operate machinery for 48 hours after a general anaesthetic and 24 hours after intravenous sedation.

Normally, you will be reviewed 1-2 weeks after the operation, and perhaps on one further occasion after that.

As the wound supports some tension, the stitches are best left in for at least 10 days, and are sometimes removed in two stages – half first, and the rest during a further appointment.

A final appointment is scheduled for 3 months after surgery.

As with any operation there is a small risk of complication.

Serious complications such as infection or significant bleeding are extremely rare. Whilst good symmetry between the two brows is normally achievable, sometimes it is not possible.

Occasionally more than one operation is necessary to achieve the best result.