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How can you find the best treatment for ptosis?

Patients have to shop around to find the best treatment for ptosis. Here we are talking about the best surgical procedure. In Britain, Depending on where you live, you should have access to an oculoplastic specialist, and I can highly recommend that you look at the British Oculoplastic Surgery Society website.

They have a map and list of all oculoplastic practitioners throughout the different regions of Great Britain who have been trained and are experienced in doing eyelid surgery, particularly ptosis upper eyelid surgery. 

The best treatment for ptosis is local anaesthetic day case surgery. If you are under general anaesthetic for your surgery, it is a lot more difficult for the oculoplastic surgeon to gauge the final height of the eyelid at the end of the operation. They also have to consider the height of the skin crease and the shape of the eyelid, not its height. The shape of the eyelid is called the curve or the contour, and this has to be matched to that of the other side.

Therefore doing the surgery under a local anaesthetic is so beneficial because it means that the surgeon can sit you up at the beginning of the operation before you have had the local anaesthetic and they can mark on the skin where to do the skin crease to get the optimum matching skin crease height. They can look at the eyelid in the straight ahead looking position and downgaze at the beginning of the operation. Then, after local anaesthetic has been given and the surgery is underway they can also check the height of the eyelids and its contour in the straight ahead looking position and in downgaze to give you the best possible surgical result.

Why do I recommend an oculoplastic surgeon for ptosis surgery?

  1. Oculoplastic surgeons are ophthalmologists, and we are trained uniquely in upper eyelid surgery. We also do lower eyelid surgery, but in the upper eyelid, we frequently have had to operate on ptosis. That can be ptosis that is congenital or of a nerve damage origin or a problem with the muscle itself that lifts the eyelid or ageing ptosis. Increasingly we are doing more cosmetic or aesthetic ptosis correction, mainly when there can be an asymmetry between the upper eyelids and also for a group of patients who are gradually getting more sleepy looking upper eyelids. 
  2. An oculoplastic surgeon has a lot of experience doing the surgery and also an excellent understanding of the eye.They understand the potential risks of getting a dry eye after eyelid surgery.They understand the need to treat any concurrent blepharitis or meibomian gland dysfunction, and they understand how delicate the eyelid and the interface between the front surface of the eye in the eyelid is.
  3. The oculoplastic surgeon can manage complications of eyelid surgery.  Fortunately, there are very few complications of upper eyelid ptosis surgery, but they include the lid being too high or too low, a small wound infection, a small clot of blood and dry eyes.  All of this the oculoplastic surgeon can recognise and deal with.

Therefore when shopping around for the best treatment for ptosis, do not look at the price, but look at the experience and subspecialty of the surgeon who you are planning to go to see. 

Ask yourself the following questions when considering ptosis surgery: 

  • Has your surgeon trained in eyelid surgery? 
  • How much eyelid surgery have they done?
  • Do they regularly do upper eyelid surgery, both blepharoplasty and ptosis correction
  • Do they provide you with proper after-care? 
  • Are they trained to recognise how to avoid complications?
  • Are they trained to deal with any adverse effects that can happen in a timely and efficient way? 

The best ptosis surgeons and the best treatment for ptosis are, in my opinion, by an oculoplastic specialist who is an ophthalmologist who has spent several years training in eyelid surgery and continues to practice this surgery regularly.

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