Ptosis Surgery

Ptosis surgery raises a drooping upper eyelid to improve vision and appearance. Several techniques are available depending on the cause and severity of the ptosis.

When Surgery Is Done

• Ptosis blocking vision
• Cosmetic concerns
• After underlying cause treated/stable
• Not for actively changing conditions

Types of Surgery

Levator Advancement/Resection

• For good levator muscle function
• Strengthens/shortens the lifting muscle
• Through eyelid crease incision
• Most common approach

Müller's Muscle Resection

• For mild ptosis
• Through inside of eyelid (conjunctival approach)
• No visible scar
• Often with levator surgery

Frontalis Sling

• For poor levator function
• Connects eyelid to forehead muscle
• Uses silicone, fascia, or other material
• For severe ptosis or CPEO

What to Expect

Before Surgery

• Measurements taken
• Photos for planning
• Stop blood thinners if directed
• Usually local anesthesia with sedation

During Surgery

• You may be asked to open eyes during procedure
• Helps surgeon adjust lid height
• Takes 30-60 minutes per eye

After Surgery

• Bruising and swelling expected
• Ice packs helpful
• Antibiotic ointment
• Follow-up in 1-2 weeks
• Final result in 2-3 months

Possible Complications

• Under- or over-correction (may need revision)
• Asymmetry
• Dry eye (temporary or permanent)
• Difficulty closing eye
• Infection (rare)
• Bleeding (rare)

Results

• Most patients satisfied with outcome
• About 10-15% may need adjustment
• Improvement in vision and appearance
• May recur in some conditions