There are lots of people around us who face different eyelid issues and ptosis is one of them. “Ptosis” is the medical term for a drooping upper eyelid. Eyelid drooping can sometimes affect your vision if it’s severe. Everything you need to know about ptosis can be seen in the below sections. You can go through this and can get the complete information required. Lets us first start from the very important issue called “Ptosis”.
Ptosis is referred to as droopy eyelids of the upper eyelids of one or even both eyes. The droop can be sometimes clearly noticeable or the eyelid can descend over the pupil. Droopy Eyelids can take place in both – adults as well as children. When it takes place in adults, it is called Acquired Ptosis and when it takes place in children, this is known as Congenital Ptosis. However, the most common ptosis cause is due to the aging issue and it is called as Involutional Ptosis.
Ptosis can be inherited, present at birth, affect one or both eyelids and may occur later in life. It has been noticed that some people with droopy eye raise their eyebrows unconsciously which results in horizontal forehead lines. If you look for fixing ptosis with ptosis surgery, it cannot be performed by most cosmetic and plastic surgeons as this surgery is a highly specialized and delicate procedure. This surgery can only be performed by oculofacial/oculoplastic surgeons as these surgeons have the training in both ophthalmology and cosmetic surgery.
Types of Eyelid Ptosis
There are different kinds of ptosis that can take place in human being. They are as mentioned below:
Congenital Ptosis: Congenital Ptosis is a term which can be referred as the droopy eyelid is present since birth because of the undeveloped muscle which is responsible for lifting the eyelid. This muscle is known as levator muscle, it does not contract completely nor does it fully relax. This ptosis type can get worse a person gets because of the natural structural changes of the face which takes place with aging.
Current Techniques in Surgical Correction of Congenital Ptosis
In order to know what new techniques have been added in the Surgical correction of Congenital Ptosis, you can follow the below link:
Acquired Ptosis: This ptosis type refers to the ptosis which is not congenital and this can have lots of different causes. Acquired ptosis is related to neurologic conditions such as myasthenia gravis, stroke, 3rd nerve palsy and Horner’s syndrome. Involutional ptosis, the most common type of ptosis in adults, occurs slowly with aging. Some conditions like thinning or stretching of the tendon of the levator muscle that helps lifts the eyelids called levator aponeurosis. This situation becomes quite frustrating for the people due to the strain of keeping their eyes open as the day progresses. This type of ptosis can take place after cataract surgery, laser vision correction and other eye procedures.
Ptosis Caused by a Prosthetic Eye:Prosthetic eyes also known as artificial eyes can cause stretch and thin on the levator muscle. The shape, physical weight and lack of natural lubrication can contribute to the progression of ptosis. The ocularist can alter the shape of the prosthetic to push the eyelid upward. However, this can also result in prosthetic becoming heavy and uncomfortable. This ptosis type’s correction can help the ocularist makes the prosthesis smaller and more comfortable.
There are several cause of the ptosis. Below mentioned, you will get to know some of the main causes of ptosis:
Involutional: In most of the people, this eyelid issue can be caused by the gradual stretching of the tissue which used to support the upper eyelid. Ptosis can also occur with aging. Apart from this, long-term rigid contact lens wear may weaken the tissue of the upper eyelid. This issue can be corrected by tightening the levator muscle. One of the major functions of levator muscle is to raise the eyelid. Ptosis repair is performed via an incision in the normal crease in the upper eyelid.
Muscular: it has been found that in most of the people, ptosis is caused by a weak levator muscle. This can occur in early childhood or even adulthood as already mentioned that the main function of this muscle is to raise the upper eyelid.
In adults, it has been found that the most common cause of the eye drooping is by the weakening or the separation of the levator muscle. This process can take place as a result of aging, head injury, contact lens wear, corrective eye surgery or even complications after cataract surgery.
Other main causes that have been found are diabetes, tumor and neurological problems that directly affects the nerves and muscles of the eye like serve palsy, stroke, Homer’s syndrome, myopathy, myasthenia gravis can cause drooping of the eyelids as well.
One of the major signs of ptosis is the drooping of the upper eyelids. It depends on how severely the eyelid droops. Sometimes, vision can also be affected due to this issue and it mainly depends on how low the eyelid is relative to the pupil. Most of the time, people with ptosis tilt their heads back so that they can try to see or raise their eyebrows constantly try to lift the eyelids. Other main symptoms of ptosis are:
Tilting of the head to see better
Increased heaviness of the eyelid
Constant raising of the eyebrow in order to lift the eyelid
Headache due to forehead muscle strain and eyestrain
With the above symptoms, you can easily identify whether you are suffering from ptosis. If you are, then do not worry because every problem has a solution. You can try different ways to cure ptosis. One of the most common and the most useful way to treat ptosis is the Ptosis Surgery.
Ptosis surgery is a surgery that can be performed with the people affected by ptosis. There are different kinds of ptosis as mentioned above in the types of ptosis section and these can affect the appearance and the vision.
If you are the one who is suffering from this eyelid issue then you can also go for this surgery make your appearance and vision better. Let’s have a brief discussion on this surgery so that you can get the clear point of view on this.
How is Ptosis Surgery Performed?
In the surgery, the surgeons would perform levator advancement surgery where the muscle is moved forward even without sacrificing any of it. The procedure of this surgery is performed with the goal of positioning the eyelid to the appropriate level.
In order to achieve the desired height, cosmetic and symmetry appearance of the eyelid, the surgeon has their patients open and close their eyes. The surgeon will sit the patients up during the surgery and have them open and close their eyes with an intention that the muscle and the position of the eyelid are also observed with gravity and can also be adjusted. The patient feels much comfortable while the muscle is being adjusted.
The procedure of this surgery is performed under local anesthesia with intravenous (IV) sedation and this surgery takes not more than two hours to be performed.
Who Should Perform Ptosis Surgery?
If you are looking for a surgeon who performs this surgery then it is very important for you to note that you should always look for a cosmetic and reconstructive facial surgeon who is specialized in the eyelids orbit and tear drain system. The surgeon you select for this surgery, his or her membership in the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) indicates that he/she is not only a board certified ophthalmologist who knows the anatomy and the structure of the eyelids and the orbit but also should have fixed extensive training in ophthalmic plastic reconstructive and cosmetic surgery.
How to Prepare For Ptosis Surgery
If you are going for this surgery then you have to be completely prepared for this. Before this surgery, it is quite important to minimize the risks for complications during surgery like infection and bleeding. You should avoid blood thinners such as Vitamin E, aspirin, Ginkoba and aspirin. Also, it is vital for you to make sure you review all your medications including supplements and vitamins with your surgeon before starting the procedure for the surgery.
If you are the one who is ready for this surgery then it is important for you to note that if you have any chronic eye problems like allergic conjunctivitis or dry eye then you should manage these conditions with using some effective eye drops and other medications as prescribed by the doctor. Also, you should discuss every eye condition with your surgeon prior to surgery.
After you proceed for the surgery, you may face some eye issue like your eyelid will be swollen and your vision will be blurry and as a result, you will face swollen eyelids issue. So it is quite important to lift up your head and make use of cold compresses as much as possible after the surgery to reduce the swelling. If you find that the swelling is excess then it could stretch the sutures and can cause the eyelid to droop again.
Sometimes, the operated eyelid will be stiffer than the normal after surgery. Your eyelid muscle tends to open when you go to sleep and your facial muscles relax. Generally, the weaker the lifting muscle was before surgery the more stiffness will be produced by surgery. However, it is important to use lubricating ointment and drops to prevent dryness as prescribed by your surgeons. Some of the people need to use this lubricant for a few days only but some of the patients need to use such lubricants for some weeks after the surgery.
Some people face serious drying of the eye after this eyelid surgery. This issue may occur in people who already have eye disease or dry eyes. Also, this issue takes place in people who face some difficulty in protecting their eyes such as those people with poor movement of their eyes and weak facial muscles. Regarding this issue, you should consult your doctor, he will suggest you the best way to lubricate your eye properly. You can look here the ptosis before and after photos.
Risks Associated With Ptosis Surgery
There are several risks associated with ptosis surgery. The ptosis surgery risks include:
Asymmetric eyelid height
Dry spots requiring lubricants
Need for adjustment or additional surgery
Unusual bruising or swelling after surgery
Overcorrection or under correction
Stiffness of the eyelid in downgaze
Need to have the eyelid lowered if intolerant of having the eyelid opened
Merits and demerits are the two sides of the coins. If you find something that is good for you, you will also find that there are some minus points of such thing as well. Same happens with the Ptosis Surgery.
Side effects of this surgery are limited to bruising and swelling around the eye and cheek area. Sometimes dry eyes can also take place after any eyelid procedure. This surgical treatment results in more exposure of the eye and so it is always recommended to have artificial tears to keep the eyes lubricated after the surgery. Other side effects are:
Swelling of the upper eyelid for seven to 10 days after the procedure
Inability to close the eyelids completely (could be temporary or permanent)
Won’t remove bags under the eyes
Risk of infection at the incision site
Requires wearing an eye patch for 24 to 48 hours
Ptosis Surgery Cost:
As we know that ptosis is a varied procedure and so the cost of this surgery also varies. There are some factors which contribute to the cost of ptosis surgery. They are as follows:
Type and extent of surgery
For further details, you can visit the doctors for this surgery section below to know the complete information of the doctor and can find the address and the phone numbers of them so that you can contact them directly and can know whatever you want to know from them.
You can get rid of ptosis naturally or can decrease this eye issue with some exercises. Exercises are one of the most common and helpful things that can help you in various ways. And in the case of eyes as well, it plays an important role. In order to get rid of ptosis naturally with exercises, you can try these exercises and can overcome your eye problem.
After going through the above blog, you must have noticed how ptosis can take place, what are its causes and symptoms. Also, you have seen that how ptosis can be cured with surgical treatment. Ptosis surgery, a surgery that has the ability to overcome your eyelid issue. After reading the above blog, your doubt might have been cleared regarding the complete information related to ptosis surgery like what this surgery is all about, how this surgery is performed, who should perform ptosis surgery, how to get prepared for this surgery, what happens after the surgery, what are the risks associated with this surgery, its side effects, cost of this surgery and lot more. You have also seen the suggested doctors here, with this, you can get some information related to those doctors who are specialized in this field. Hope you get everything here in this blog and the information provided to you is quite informative for you.
All About Ptosis Surgery – Procedure, Risks, Side Effects, Costs & More
Ptosis surgery can help you get rid of different types of ptosis and you know everything about ptosis surgery here including its procedure, side effects, risks, costs, before-after effects, doctors who can perform this surgery and more.