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Eyelid Ptosis

What is Eyelid Ptosis?

Ptosis is the term for droopy, sagging eyelids. There are several causes of eyelid ptosis including age, injury, muscle or nerve disorders, and congenital defects. Droopy or baggy eyelids not only can falsely portray an aged or tired appearance but often it can affect vision. Patients often complain of a brow or forehead ache and fatigue at the end of the day as they continually lift their brows to see.  Eyebrow ptosis can also occur with aging and be visually significant.  It can cause the skin below the brow to overhang over the eyelids/lashes and block vision, especially if the forehead falls below the brow bone. Since there are many causes of ptosis, it is crucial to undergo evaluation by a qualified physician who can properly evaluate and treat a patient with ptosis. Surgery is usually necessary to correct ptosis and is performed on an outpatient basis.

Patient Experiences

After a couple visits to my Optometrist, I was diagnosed with Ptosis when I went to visit Dr. Amatto at TOC. My eyelids were drooping over my eyeballs a bit too much that it was affecting my vision especially at night. Every light in my sight (street lights, car lights, break lights, etc....) were streaking down and blocking part of my vision.

I scheduled the surgery, very nervous mind you, but I can honestly say that I didn't feel a thing during the surgery. It went by so smoothly and fast. I was VERY impressed! I was very happy with the staff and especially Dr. Amatto, very friendly and helped me from being so nervous. I stayed at home for the next 4 days icing and taking it easy. It has now been almost 4 months and I do see quite an improvement. My eyes do open a lot more than they did before, the long streaks from lights have improved immensely, and it's so nice to see my Hazel eyes again!

W.B. - Realself

Is my ptosis repair covered by Insurance?

Ptosis repair is often considered medically necessary. During the consultation, Dr. Amato will provide the required evaluation, photographs, and documentation required to submit to your insurance who will determine if eyelid surgery is considered medically necessary.

How is ptosis repair performed?

There are several types of ptosis repair depending on the cause of ptosis, age, and severity, and Dr. Amato will discuss with you what is the optimal approach for you. In adults, ptosis repair is a minimally invasive procedure typically performed in the office or out-patient surgery suite under light sedation and local anesthesia. In many circumstances, there is no visible scar, or a thin scar within the natural eyelid crease. In children, ptosis can be due to a poorly developed muscle, resulting in severe ptosis and risk to visual development.

They may need a more extensive ptosis repair involving a sling to the forehead if their muscle isn’t developed, and outpatient surgery is typically under general anesthesia. In surgery, the muscle that lifts the eyelid is shortened, and sometimes redundant skin is removed if necessary. Ptosis surgery generally is under an hour. Recovery includes ice packs, antibiotic eye ointment on the stitches and minimal pain medication. The eyes may feel dry at first as the eye is more open afterwards, so lubricating drops are encouraged. Eyelid swelling and bruising are typical for the first few weeks after surgery and light activity is recommended. Sometimes, the final eyelid position may still not result in perfect symmetry due to many factors, and this can be corrected once the swelling and healing are complete.

Ready to book your procedure?

If you are ready to take the next steps, or simply want more information about a procedure, please contact our team! Dr. Amato looks forward to speaking soon.

Why choose an oculoplastic surgeon?

Dr. Amato has extensive training specifically in eyelid surgery has performed thousands of ptosis surgeries throughout her career. It is important to seek consultation with a board certified ASOPRS trained specialist in ptosis repair to ensure the appropriate surgery for you and the best outcome.