Ptosis Surgery

REPAIRS DROOPY EYELID,
RESHAPES THE EYE

What Causes 

Droopy

Eyelids?

Ptosis is cause by a weakness in the levator mechanism

Ptosis is a condition that occurs when the upper eyelids droop and starts to cover the pupil. This can occur on one side or both. This is usually caused by stretching or thinning of the tendon between the levator (muscle that raises the eyelid) and the eyelid. When the tendon is stretched, the muscle has to work harder to lift the eyelid. This leads to eyelid heaviness, and symptoms of forehead or eyelid tiredness. Weakness or injury to this muscle can also cause droopy eyelids.

 Common causes of ptosis include:

Congenital ptosis

Trauma

Nerve conditions

Degeneration/ old age

Pseudptosis

Depending on the severity of the ptosis, if the vision is obstructed, this may be covered by insurance of Medisave.

Ptosis Repair Surgery

Ptosis or Droopy eyelids is a condition when the upper eyelid droops (causing it to cover the pupil) and this may make someone look sleepy or cause visual obstruction

Ptosis eyelid repair or droopy eyelid repair surgery is a fine meticulous operation that involves operating on the levator mechanism to lift the upper eyelid permanently. This will lead to improved vision, reduced eye fatigue and a more refreshed appearance.  

Ptosis Repair Surgery

Ptosis or Droopy eyelids is a condition when the upper eyelid droops (causing it to cover the pupil) and this may make someone look sleepy or cause visual obstruction

 Ptosis eyelid repair or droopy eyelid repair surgery is a fine meticulous operation that involves operating on the levator mechanism to lift the upper eyelid permanently. This will lead to improved vision, reduced eye fatigue and a more refreshed appearance.  

  • Improved Vision

    Ptosis causes obstruction in the vision as the upper eyelids droops and covers the pupil. Ptosis repair tightens the levator muscle and this will help the eye to open with less effort thus improving the visual function.       


                                                    

  • Reduced Eyelid and Forehead Fatigue

    Patients with droopy eyelids often compensate by raising their brows or use their forehead muscles to forcibly open their eyes. They may complain of tiredness over the eyelids and forehead or even headaches. Ptosis correction should alleviate these symptoms.

  • More "Refreshed" Appearance

    By lifting the eyelids, the shape of the upper eyelid and the appearance would improve dramatically, allowing patients to look more awake and less sleepy.



                                                

  • Improved Vision

    Ptosis causes obstruction in the vision as the upper eyelids droops and covers the pupil. Ptosis repair tightens the levator muscle and this will help the eye to open with less effort thus improving the visual function.                                                       

  • Reduced Eyelid or Forehead Fatigue

    Patients with droopy eyelids often compensate by raising their brows or use their forehead muscles to forcibly open their eyes. They may complain of tiredness over the eyelids and forehead or even headaches. Ptosis correction should alleviate these symptoms.

  • More "Refreshed" Appearance

    By lifting the eyelids, the shape of the upper eyelid and the appearance would improve dramatically, allowing patients to look more awake and less sleepy.                                            

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 Ptosis Surgery repairs the muscle

 Absent crease or faint crease 

Monolids can occur on one side or both and can be associated with subclinical or mild ptosis giving an asymmetrical look or a sleepy look.

 Ptosis in a young eyelid

Bilateral droopy eyes commonly occurs in young patients with multiple creases or poorly formed creases. Patients are bothered by the sleepy appearance, asymmetry of the eyelids and non-aesthetic eye-shape. This can also related to symptoms of eye fatigue.

Ptosis in an older eyelid

Bilateral droopy eyes can occur in older patients with excess upper eyelid skin or heavy bulky eyelids. This is often related to symptoms of eye fatigue and headache.

Ptosis Grading

Ptosis can be further divided into mild , moderate and severe depending on the droop of the eyelid.

Precise analysis and diagnosis is the foundation for ptosis correction

Ptosis correction is a specific operation for patients who have a weak levator mechanism, and its not necessary if you have sufficient eye muscle strength. 

Because eye muscle strength differs between individuals, ptosis correction must be customised to each person and each eye. If a fair amount of muscle strength is present, non-incision method is possible. However, if the muscle strength is lacking and the eyelids cover more than half of the pupil, incision methods will be required.

An eye opening (aperture) of <7mm is likely due to ptosis and makes for a droopy eye shape. Ptosis can be further divided into mild, moderate and severe depending on the droop of the eyelid.

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 Ptosis Surgery also reshapes your eye

"Even with double eyelids, an eye without sufficient muscle strength will not have an ideal eye shape or pupil exposure"

Double eyelid surgery and 
Ptosis correction are very different procedures - each have a different goal.

Creating an ideal eye shape is aesthetically more important than just creating a double eyelid crease.

Ptosis correction strengthens the eye-opening muscles (levator muscles) and helps to change or create an ideal eye shape. This is only for patients with eyes that lack the muscle strength to open fully or have to use the forehead muscle to open their eyes, causing fatigue and headache. 

Double eyelid crease creation surgery creates fibrous connection between the skin and the levator. This procedure is ideal for patients with absent creases. However, these patients should have strong eye-opening muscles to avoid disappointment. Patients with weakened levator leading to ptosis should have concurrent ptosis correction with double eyelid crease creation.

FOR ALL TYPES OF PTOSIS

Indications. Incision ptosis correction can be used for all grades of ptosis once it has been diagnosed that the muscle strength in the levator is lacking. 


How it works. Incision ptosis correction allows the surgeon full control on changing the strength of the levator muscle. The surgeon is able to directly observe the tensile strength of the muscle and fine adjustments are made with the patient sitting up to ensure symmetry.The open technique also allows the surgeon to control the amount of skin removed to create the ideal double eyelid crease. Excess fat can also be removed. 


Misconceptions. Patients generally wish to avoid incision methods for concerns of the scars and swelling. 


#Scarring. The scars for incision ptosis correction are planned to lie along the natural eyelid crease. Whilst the scars are visible following surgery, it will fade after a few months and will not be noticeable.


#Swelling. Due to the dissection, there will be more swelling but once the swelling resolves, the results do not differ from non-incision method. The dissection is needed only because the ptosis is more severe.





FOR MILD PTOSIS

Indications. Non-incision ptosis correction is only indicated for mild ptosis and has the advantages of minimizing  operating time and a quicker recovery. However, the control of the muscle tension is inferior to incision technique.


This is ideal in patients that do not require any skin excision but requires strengthening of the eye muscle. Non-incision method is effective and consistent. It gives a natural and bright eye shape with a short downtime.


How it works.  The non-incision ptosis correction works by using the force of the suture to shorten the levator mechanism, allowing lifting of the eyelid without an incision.

Dr Terence Goh

My Philosophy

Ptosis Correction

"Double eyelid surgery and ptosis surgery has different goals. Ptosis repair surgery involves correcting the muscle weakness of the levator mechanism, and this is more complex than creating a double eyelid crease. I prefer to use the under-through technique (credit to Dr Cho) which is an conservative but yet effective method. This is a powerful technique to open the eyes and create an attractive eye shape.."

Hospitalisation

 Day Surgery

Anaesthesia

 Local Anaesthesia or
IV Sedation

Operation Time

100-150 minutes

Removal of Sutures

5 Days

Downtime

Non-incision 7-10 days
Incision 14-21 days

Follow-Up

Day 21
(No Extra Fees)
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