Oculoplastic surgery corrects drooping of the eyelids and brows so that you appear brighter and more youthful. You should not have to struggle to open your eyelids by using the frontalis (forehead) muscle. Restoring normal eyelid anatomy as well as brow position helps superior peripheral vision, and also provides better peripheral vision and a more youthful appearance. Some individuals with drooping of the brows below the superior orbital rim need a brow lift procedure in addition to eyelid surgery.
What causes the eyelids to droop in the first place?
Years of eye-rubbing or contact lens wear may gradually disrupt the eyelid anatomy and cause drooping of the eyelid as well as crepe-like eyelid skin. Some patients have hereditary features of eyelid hooding that may or may not cause symptoms, but eventually with age factors may lead to problems. Restoring normal eyelid anatomy sometimes involves adjusting the levator position in addition to removal of skin. If the brows have descended below the bone of the orbital rim, surgical lifting of the brow might be necessary. Below is a list of other problems and factors causing the eyelids to droop.
- excessive tissue related to aging
- heavy brows and brow fat pads
- congenital ptosis
- eyelid trauma
- cranial nerve III palsy (levator innervation) causing ptosis
- cranial nerve VII palsy (frontalis innervation) causing brow droop
- Horner’s Syndrome (innervation to accessory muscle of the lid
- muscle diseases (Myasthenia Gravis, Chronic Progressive External Ophthalmoplegia, and others)
- ocular surgery, complication of blepharoplasty
- mechanical ptosis
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Many years of surgical and local anesthetic experience helps to provide patients with relaxed and pain-free surgical experience, especially in the delicate, sensitive peri-ocular area. Many healthy patients prefer to have this type of surgery – blepharoplasty, brow lift, and/or ptosis repair – in a quiet and comfortable office setting. If health problems prohibit office surgery, then patients enjoy the Monticello Community Surgery Center for their outpatient care.