Correction of Ptosis

Surgery for drooping eyelids can result in better cosmetic and life quality outcomes.

What is ptosis?

Ptosis is the medical name for the drooping of the upper eyelid, which can happen in one or both eyes.

A droopy upper lid can interfere with vision by affecting the top part of your visual field. You might also have difficulty keeping your eyelids open, eye strain or eyebrow ache (from the increased effort needed to raise your eyelids), and fatigue, especially when reading. For some patients, ptosis poses a cosmetic problem.

Ptosis can either be present at birth (congenital), or appears later in life (acquired), following long-term contact lens wear, trauma, after cataract surgery or other eye operations. There are less common causes of a droopy eyelid, such as problems with the nerves or muscles.

What are the causes?

Congenital ptosis

Congenital ptosis affects a child from birth and is commonly due to a defect in the levator muscle which raises the eyelids. It can affect one or both lids. Although this can be purely a cosmetic problem, it can also prevent normal visual development, so surgery to correct the lid position is sometimes necessary.

Marcus Gunn ‘jaw-winking’ ptosis

In this condition, the droopy eyelid rises when the jaw is opened due to an abnormal connection of the nerves. This condition is usually noticed only in small children and affects one eyelid. Surgery may be needed on both the affected eyelid and the unaffected one to prevent further drooping.

Acquired ptosis

Acquired ptosis affects patients later in life and can be due to a defect in the muscles or nerves of the eyelid which can occur with simple ageing or injury. 

A weakness in the eyelid muscles can occur in some rare muscle conditions such as myasthenia gravis or myotonic dystrophy. 

Paralysis of the nerves supplying the eyelid can also cause it to droop as in a third nerve palsy (a type of stroke). The eyelid can also droop if weighed down by a large cyst or swelling.

What does ptosis surgery involve?

Ptosis surgery usually involves shortening the muscles or tendons that raise the lid. The muscle or tendon is reattached to your eyelid using sutures, which are buried under the skin. The sutures might be visible on the skin of your eyelids, but are removed around one week after surgery.

Occasionally, brow lift surgery is used, where the lid is suspended from the brow in order to raise it. This is done using either tendon from your thigh taken via an incision just above the knee, or using an artificial material. The number of stitches in your leg can vary but this is usually removed after ten to fourteen days. 

Surgery is performed on both sides at the same time in order to achieve a better cosmetic result. 

Other Treatments

Learn More

Refractive Lens Exchange

Replacing the natural lens of your eye, and inserting a tailor made lens that can help you see from near and far distances without the use of spectacles.

Cataract Extraction

Removing the cloudy lens, and replacing it with a premium lens for a better visual outcome.

Phakic Lens Implantation

Inserting a small lens beneath the surface of the eye for those having high myopia and wanting to get rid of their glasses or contact lenses.

Intracorneal Ring Segments (ICRS) Implantation

Inserting an ophthalmic medical device for reducing or eliminating myopia and astigmatism in patients with keratoconus.

Ready to correct your vision?