Do I have Ptosis?

Question

Will ptosis surgery be the right option for me? Will it also help reduce the big high crease of my eyes and make it smaller ?

Pasha Mostofi, MD, DMD · Answer

Based on your photo, you do appear to have some mild upper eyelid drooping (ptosis), especially with a higher-than-average eyelid crease. This combination is actually pretty common. A ptosis repair could help lift the eyelids to a more open and balanced position, and in many cases it can also soften or lower the appearance of a very high crease. However, ptosis surgery alone may not fully “make the eyes smaller.” What it really does is improve eyelid position and shape so the eyes look more refreshed and symmetrical.
In some patients, combining ptosis repair with a conservative upper eyelid blepharoplasty or crease adjustment gives the most natural result, especially if the goal is to reduce the hollow or deep-set appearance of the upper lids. The key is being careful not to overcorrect, since that can make the eyes look too round or overly open.
An in-person exam is important because your surgeon will measure eyelid strength, symmetry, brow position, and how much skin is contributing to the look of heaviness or crease height. Overall though, you do look like someone who could benefit from a subtle ptosis correction with attention to crease shape for a softer, more natural appearance.

C. Blake Perry, MD · Answer

Yes, from your photos it appears you have some degree of ptosis. There are numerous causes of ptosis and it is best to see an eyelid expert to determine the exact cause. Most commonly ptosis is caused by the slipping of the muscle off the platform of the eyelid. Surgery can be performed to fix this but an in person consultation is mandatory prior to surgical planning. Best to see an eyelid expert.

Carl Truesdale, MD · Answer

Thank you for you question. I would best recommend ptosis repair as your upper eyelids are sitting lower than ideal. During this procedure, the eyelid muscle that is responsible for lifting (the levator) is tightened so the lids sit higher, are open more and even, and the very high crease softens and appears smaller. I would also recommend a lateral canthopexy, where I support and tighten the outer corner of the eye to correct the negative canthal tilt and create a more lifted, balanced shape. Together, these procedures are the most important steps to improve symmetry and help your eyes look more open and refreshed. A brow lift can be considered as an additional procedure to further open the eye area, but the ptosis repair and canthopexy would address the primary concerns.

Guray Yesiladali, MD, FEBOPRAS · Answer

Based on the photo, this may appear consistent with ptosis.
However, surgical planning should not be made from photos alone. Factors such as eyelid muscle function, tissue elasticity and crease position need to be evaluated during examination.
If ptosis is confirmed, ptosis surgery can improve eyelid position and may also help create a more balanced eyelid crease.
I wish you a clear diagnosis and a result that makes your eyes look more open, natural and balanced.
&mdash; Güray Yeşiladalı, MD

Do I have Ptosis?

Answers (4)

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