Ptosis Correction – Symmetrical Eyelids
It goes without saying that the having upper eyelid ptosis correction applies on eyelids which are exceedingly delicate structures. They are quite thin without any fat, and they have fragile skin with a little bit of muscle underneath, a protective tarsal plate and a couple of small muscles within them to help to lift the eyelid and form the skin crease, and a mucosal lining to move smoothly over the eye globe.
Many patients of varying ages either children, young adults, middle-aged or old develop ptosis, either as a predisposition (hereditary) or with ageing. There are rarer causes such as a tumour growing under the lid or on the eye, inflammation and swelling, a weakness of the muscle called a myopathy, and nerve damage such as third nerve damage or a Horner’s syndrome. However, the most common cause is either predisposition wherein it is either called congenital ptosis or age-related involutional ptosis. These are the most common two causes of ptosis: drooping eyelids which make you look sleepy in adult patients.
If you want to have symmetrical wide awake eyelids by having upper eyelid ptosis correction which is surgery done under local anaesthetic depending on the severity and which eyelid is affected, I will advise you as your oculoplastic surgeon after I have assessed you.
You either have unilateral, i.e. one eyelid or bilateral meaning having upper eyelid ptosis correction for both. If I do two eyelid surgeries, I will do both at the same time as this gives the best chance of matching them. It also means you do not have to go around with an eye pad on one side, the other eyelid drooping. When the eye pad comes off, one eye is high, and one eye is still low until you are ready to have the surgery done in the second eye. It is much better if you have bilateral sleepy looking eyes that you should have symmetrical eyelid surgery with having upper eyelid ptosis correction to make you have wide awake looking eyelids and eyes.
We do the eyelid ptosis correction surgery at Clinica London, in our treatment operating room under local anaesthetic, which means eye drops and a small amount of anaesthesia infiltrated into the eyelid where the crease is going to be made into the skin. Throughout the surgery, you are fully awake and a part of the operation, but feeling nothing because of the local anaesthetic. However, you can move the eyelid up and down on request, and that significantly helps the success of the surgery to help you get symmetrical wide awake eyelids with your ptosis correction surgery.
I usually mark the skin crease with you sitting up looking straight ahead and make sure that they both match on each side and then you can be lying back down flat on the operating couch which is very comfortable, and you can have a local anaesthetic infiltrated followed by the surgery which you will not feel.
If you had bilateral surgery, you do not need bilateral eye pads for more than a maximum of one hour if at all. If you should require pads immediately after surgery, we will pad you in our recovery area after you have had a small lunch just to keep the swelling down while the local anaesthetic wears off. Then, we’ll let you go home either in your dark glasses or Cartella shields, to be reviewed for the eyelid height and curve one to two weeks after surgery.
Ptosis – After Surgery
During that first week, you will be putting in eye drops and eye ointment to keep the front of the eye moist because of the eyelids being corrected higher and looking symmetrically wide awake as you look ahead. They will feel a little stiff, to begin with, because of the surgery and then require a lot more lubricants in the early postoperative phase.
Typically, patients have lubricants up to eight times a day immediately after surgery. We make sure that the eyelids will close entirely on the table after having upper eyelid ptosis correction and we check the corneas afterwards and in the clinic to make sure that the corneas are well lubricated. The cornea is the transparent part of the eye at the front underneath the eyelid through which you can see the world.
If you are considering Ptosis treatment you can see our prices for treatment and consultation.