Beverly Hills Cosmetic Eyelid Surgery – Dr. Guy Massry

Ptosis Repair

PTOSIS RECONSTRUCTIVE SURGERY

Ptosis (pronounced "toe-sis") is a condition in which the upper eyelid droops. This should not be confused with extra skin, fat or muscle to the eyelid, which are typically addressed with blepharoplasty surgery. In Ptosis, the upper eyelid margin (where the eyelashes are) falls to - or covers - the pupil when the eye is open. This leads to visual obstruction. When Ptosis can be shown to reduce vision (peripheral vision), its correction is covered by most insurance plans. Proving visual deficit requires photo documentation and specialized testing (visual field testing), which can be performed in the office. If the degree of Ptosis is not as severe (does not affect vision), it is considered elective surgery and can be corrected as a cosmetic procedure.

Ptosis can be caused by congenital or acquired defects in the muscle (or its tendon), which lifts the eyelid. It is also associated with growths, which weigh the eyelid down, or neurological disease. The most common reason Ptosis occurs is simply weakening of the muscle (or its tendon), which occurs with age.

Ptosis correction is a minor surgical procedure, involving tightening of the muscle that lifts the eyelid. This can be performed through the eyelid skin or from the inside of the eyelid. The surgical approach taken depends on specific findings and testing performed during the preoperative evaluation. Incisions for Ptosis repair are typically on the inside of the eyelid and are not visible, once stitches are removed and the full course of healing has taken place.