What Causes Droopy Upper Eyelids?

Droopy upper eyelids, or ptosis, may be congenital, the result of an injury or acquired over time as muscles thin and stretch through the normal aging process. This drooping occurs when the muscles that lift the eyelid are not strong enough to do so properly and may require surgical repair. Individuals who suffer from ptosis commonly complain that they always look “tired” and because of the constant effort to raise the eyelids, may experience fatigue and tension headaches. You can review a complete breakdown of clinical causes, symptoms, and diagnostic evaluations for this condition on the Cleveland Clinic website.

Can Ptosis Repair Improve My Vision?

In some cases, surgical repair of the tendon that holds the eyelid up in a normal anatomic position increases the field of vision by removing obstruction caused by the drooping eyelids. Patients notice an improvement in their ability to see peripherally, feel less fatigue and appear more alert.

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Ideal Candidates for Ptosis Repair

During your consultation, you will undergo an extensive evaluation to make sure that you are a suitable candidate for surgery. There are certain medical conditions that manifest themselves with droopy eyelids. Prior to proceeding with surgery if these conditions would have to be managed. It is important to note that drooping upper eyelids often affect elderly individuals, so in general age is not a reason not to have surgery if you need it.

Things to Consider

Preparing for Droopy Upper Eyelids Repair

Rest assured that the surgeon will do everything possible to make sure that your surgery is as comfortable and as easy for you as possible.

If you are having anesthesia, do not have anything to eat or drink starting at midnight the night before your surgery unless you are instructed otherwise by either your surgeon or your primary care physician. The exception to this role is that you can take her morning medicines with a sip of water. If you have diabetes or high blood pressure, your surgeon or treating physician will tell you if any modification to your usual morning dose as is necessary.

Potential Risks of Ptosis Repair

The risks associated with ptosis surgery are very uncommon. While it is impossible for any surgeon to guarantee that you will never have a complication, rest assured that you are in expert hands and your risk of complications is very small.

The possible eyelid surgery risks include:

Dry, irritated eyes
Difficulty closing your eyes
Infection and bleeding
Unusual bruising or swelling
Asymmetric eyelid height
Risks associated with surgery (anesthesia reaction)

Operation Duration

30 - 60 Minutes

Anesthesia Use

Local Anesthesia

Recovery Duration

7-10 Days

Insurance Covered

Depends on Condition

Recovery From Droopy Upper Eyelids Surgery

This surgery is usually performed on an outpatient basis, so you will go home the same day.

There is minimal pain after the procedure, although some discomfort is normal.
Temporary blurred vision is normal and should subside within the first 24 hours.
Ice packs are recommended for the first two days while bending and heavy lifting should be minimized.
Swelling and bruising around to eyes lasts for seven to ten days.

Most patients can return to work after one week. Your physician will also provide detailed post surgical instructions.

Droopy Upper Eyelids (Ptosis Repair)