Blepharoplasty Combined with Ptosis Repair
There are two 'main' surgeries that might possibly be performed on the upper eyelid.
- Ptosis is the medical term for drooping of the upper eyelid; it might possibly affect one or both eyes.
![Photograph showing a patient with ptosis (drooping eyelid) before blepharoplasty (eyelid surgery).](/../topics/135-Ptosis and Blepharoplasty/Image/ptosis-photograph1[1].jpg)
- Pseudoptosis is different from ptosis and refers to the situation when excess skin might possibly encroach on the eyelid; it might possibly affect one or both eyelids and is repaired by blepharoplastY
![Image depicting a skin condition with visible inflammation and redness. Text embedded within the image reads 'XSS Skin'.](/../topics/135-Ptosis and Blepharoplasty/Image/xss-skin.jpg)
Thus the patient has two eyelid conditions that should be evaluated.
When you raise the skin (photograph on the right), once can see the patient has ptosis.
Repair of Ptosis |
Removal of Excess Skin |
- Ptosis (Ptosis is may also be called Blepharoptosis. It refers to an eyelid which is droopy. This might possibly cause a loss of vision, especially while reading, headaches, and eyebrow strain.
- Surgery involves elevating the eyelid itself, either by a skin incision or from the back of the eyelid
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- Pseudoptosis refers to the situation when excess skin causes a hooding, or blinders effect, limiting the peripheral visual field.
- Surgery is called a Blepharoplasty
- Surgery involves removing excess skin and fat from the eyelid
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![A photograph showing ptosis and blepharoplasty surgical procedure, with before and after images displayed. Width: 294 pixels. Height: 123 pixels.](/../topics/135-Ptosis and Blepharoplasty/Image/img10.jpg) |
![Before image of ptosis and blepharoplasty surgery, showing eyelids drooping significantly](/../topics/135-Ptosis and Blepharoplasty/Image/preop2.jpg) |
Repair the one or both of the eyelid muscles that has weakened resulting in a ptotic eyelid.
- Ptosis can be corrected via several different techniques.
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- Repair of a droopy eyelid can be performed via an eyelid crease incision or from the inside of the eyelid (no skin incision), or if severe, via alternate suspension techniques
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- Repair of ptosis & blepharoplasty are often performed at the same time.
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Your droopy upper eyelids and droopy brows might possibly give you the appearance of being sleepy, tired and aging prematurely
- In adds to, this sagging, might possibly lead to brow/eyelid strain
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- Eyelid surgery to improve the appearance of the eyelids is often called 'eyelift' or 'blepharoplasty'.
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- This surgery can be performed on both the UPPER and on the LOWER eyelids.
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![A photograph showing ptosis and blepharoplasty surgical procedure, with before and after images displayed. Width: 294 pixels. Height: 123 pixels.](/../topics/135-Ptosis and Blepharoplasty/Image/img10.jpg) |
![A close-up image of eyelids before and after blepharoplasty surgery, showing improved symmetry and reduction of ptosis.](/../topics/135-Ptosis and Blepharoplasty/Image/img6.jpg) |
![A person's eyelids before and after ptosis and blepharoplasty surgery, showing improvement in eyelid positioning and appearance.](/../topics/135-Ptosis and Blepharoplasty/Image/img12.jpg) |
![A close-up image showing a patient's eyes before and after ptosis and blepharoplasty surgery. The left eye exhibits drooping eyelids (ptosis), while the right eye appears rejuvenated and lifted after the surgery.](/../topics/135-Ptosis and Blepharoplasty/Image/img7.jpg) |
- In the pre-operative photograph above, take note that there appears to be little, if any excess upper eyelid skin.
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- Rather, the patient's superior visual field is limited by the position of the eyelid since it partially obstructs the pupil.
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- The normal position of the upper eyelid is midway between superior limbus and the upper pupillary margin.
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- When the edge of the upper eyelid falls, it might possibly block the upper field of your vision
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- Removal of upper eyelid excess skin and fat (often cosmetic in nature and not covered by insurance).
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- This is often called Pseudoptosis and is repaired by Blepharoplasty
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- Repair of ptosis & blepharoplasty might possibly be performed at the same time.
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