Congenital Ptosis
Ptosis is a condition where the levator muscle responsible for lifting the eyelid is weak or absent from birth, causing one or both eyelids to droop.
When ptosis is present, the affected eye(s) may appear smaller and give the impression of sleepiness. Compensatory efforts may involve excessive use of the forehead muscles to lift the eyelid(s), leading to wrinkles on the forehead. Additionally, individuals may tilt their chin upwards when looking straight ahead.
Especially when ptosis affects only one eye, the asymmetry in eye size becomes more noticeable.
Candidates of Congenital Ptosis
Surgical Procedure
Surgery involves controlling or tightening the levator aponeurosis, the muscle membrane responsible for lifting the eyelid, by either trimming or tying it with threads to shorten its length.
Age-related Ptosis
As one ages, the elasticity of the skin diminishes, causing the eyelids to sag and accumulate fat underneath, leading to age-related ptosis.
Age-related ptosis correction surgery involves procedures to correct the upper eyelid, known as “upper blepharoplasty,” and the lower eyelid, known as “lower blepharoplasty.”
When elderly individuals undergo double eyelid surgery, it is essential to completely eliminate eyelid drooping and ensure that the result does not appear overly done. The position of the eyebrows and the degree of eyelid drooping are assessed to determine whether to excise the skin above and below the eyebrows or create a natural double eyelid through a standard upper blepharoplasty.
Examine the Upper Eyelid in Detail
