Several options... Ptosis can be aponeurotic (weakening of muscle attachment to eyelid- most common), myogenic (congenital, myasthenia gravis, opmd), neurogenic (oculomotor nerve injury or horner's syndrome), or mechanical (from mass on eyelid). Surgical correction depends on what type of ptosis you have. Options include: levator advancement, levator resection, mullerectomy, &fasanella-servat procedure (out-dated).
Droopy eyelid. There are several causes of a droopy eyelid. Your best bet would be to have your eyes evaluated by a board certified facial plastic surgeon.
Surgery. Surgery can be performed on the upper eyelid levator tendon (the "pulley" that raises the eyelid) tightening it. This surgery is done from the outside / anterior approach through the eyelid. Repair can also be do on the back side of the eyelid by inverting the eyelid and tightening the lid tendon / muellers muscle.
As people age, do most have some semblance of a droopy eyelid? Besides ptosis surgery what can be the most minimally invasive treatment option?
Different options. Depends what the cause is for the droopy lids, a plastic or oculoplastic surgeon can help you determine the cause. In some cases fillers or Botox can be used to temporarily improve it, but the improvemenrs are very limited. The best way to correct droopy lids is surgery, the results are longer lasting and may improve the appearance of your upper face.
Yes. Upper eyelid aging changes can resemble eyelid ptosis. These changes may interfere with vision and/or be aesthetically concerning. Upper eyelid surgery (blepharoplasty) can be very helpful.
You bet! In fact, the ptosis often causes the lazy eye- less input into the eye, so the eye gets ignored by the brain and relies on the other eye (amblyopia).
Is it possible that I have a "lazy eye" and a droopy eyelid (ptosis) at the same time, on the same eye?
Yes. Yes, but if it is new onset one should be concerned that it is a cranial nerve 3 palsy which could be fatal (aneurysm). Immediate evaluation is indicated.
Ptosis - muller muscle dissection what are the risks associted with belphoraplasty to correct droopy eyelid. I had dissection of muller muscle but it yielded no improvment in the symmerty of the eye nor with the droopiness. What causes failure of this k
There. There are several ways to elevate a droopy eyelid. Whenever there are several independent methods, it often because one method is not the best way for everyone. In the case of eyelid ptosis repair, there are several methods that provide increasing levels of correction. It's like having bigger hammers. Surgeons like using the smallest hammer that will get the job done, because this usually means a simpler operation with a quicker recovery and less risk of causing new problems. If your previous surgery did not work, it may be because it was too small a hammer. Levator advancement is the next largest and facial/frontalis slings are used for more severe sagging. It is important to review your before and after pictures with your doctor and figure out why the operation is not working for you. Most the eyelid surgeries take time to settle down. As long as the eye is protected, waiting will allow the scar tissue in your eyelid to soften, and improve the reliability of future attempts. If taking the next step with your current surgeon is not possible, seek a surgeon who is experienced with ptosis repair.
This. This is one of the least invasive techniques for blepharoptosis repair. You may require levator resection/advancement or even frontalis suspension for more advanced cases.