About Ptosis Repair
Congenital or Acquired Ptosis (droopy upper eyelids), which can occur at birth or later in life, is generally due to hereditary tendencies, aging changes, or trauma.
The main reason for having corrective surgery for droopy upper eyelids is to improve vision in the upper-lateral field of gaze; however, there is a beneficial cosmetic side effect. Corrective surgery is also necessary in children who have ptosis in both eyes for proper visual development. Surgery is done in adults to improve the visual field. Ptosis is a frequent cause of “fender benders” in the elderly because of a decreased amount of reaction time when their side vision is reduced.
There are two basic surgical procedures to correct ptosis. The strength of the levator muscle in the eyelid determines which operation is performed.
Ptosis Repair Reviews
"I recently had surgery on my eyes performed by Dr.Cole.He did an upper bleph and lowered my upper lid.He also raised my lower lid so that I retain more tears since I suffer from dry eye.Me eyes were so saggy and sad looking,now they are open and beautiful!! I was also told by a former nurse at Northside Hospital that he is the "best" at what he does.Thank you Dr.Cole and staff for a wonderful experience.I am now 2 months post surgery and my eyes look amazing!"- L.B. / Yelp / Aug 09, 2019
"Dr. Cole and his staff were absolutely amazing. I felt well cared and truly valued. My eyes look and feel great! I'm so happy!"- E.C. / Healthgrades / Nov 19, 2019
"Results speak for themselves. EXCELLENT! I had recent blepharoplasty and brow lift together. Not only can I see better, but the surgery looks great too. I will have full face lift in the near future and Dr. Cole will do it. So glad I found this doc..."- L. / Healthgrades / Jan 21, 2016
" I needed revision of eyelids due to eyelid skin obscuring my vision. I chose Dr Cole because of his board certifications and skills initially, and also found that he's a warm and caring person. His office staff is very friendly and professional as well. I chose to have brow lift and laser resurfacing done together with the eyelid surgery, and I couldn't be more pleased with the results! I can see so much better plus I look fresher and younger too! Dr. Cole is the best!I"- B. / Healthgrades / Feb 04, 2017
"Both the cosmetic work and the non-cosmetic work have been excellent. Many people have complemented my eyes and it's great to not look so tired all the time. The tear duct surgery has been a bit frustrating, but Dr. Cole always has always been optimistic and my eyes are doing so well now!"- L.N. / Healthgrades / Jun 26, 2019
Tightening / Resection
If the opening muscle has some strength and can elevate the eyelid, then the levator muscle can be tightened or resected. This elevates the lid to the desired level.
If a patient has poor strength of the eyelid muscle, tightening the muscle does not work well. This procedure uses the strength of the eyebrow muscle (frontalis muscle) to correct the droopy eyelid. A tiny silicone rod/band is passed inside the eyelid up into the eyebrow muscle where it is secured. This elevates the lid and allows the patient to use their eyebrow muscle to control the lid height. This is analogous to suspenders holding up baggy pants.
Nationwide, approximately 25% of those having a ptosis repair need a secondary adjustment so that the best possible symmetrical results may be obtained; the percentage is 10% in Dr. Cole’s practice.