Drooping Eyelid Causes
Eyelid drooping can be caused by excess skin or hooding of the eyelid, ptosis (levator muscle problem), or heaviness of the eyebrow. No matter the cause, drooping eyelids can make you feel less attractive and even impede your vision. The condition affects both men and women.
Drooping Eyelid Repair
The repair procedure depends on the amount of skin excess, the lid muscle condition, and the position of the brow.
The eyelid folds. It often pushes the eyelids down and drapes over the eyelashes and eyelid margin. Hooding of the eyelids may be a hereditary feature or occur with aging. Blepharoplasty removes some of the eyelid fold and restores a more youthful appearance.
Advancement and reattachment of the eyelid muscle (levator) are effective when the muscle function is good. When the muscle is no longer functioning properly, resection or removal of a portion of the levator muscle may be necessary.
When the levator muscle function is absent or very poor, a sling procedure is the best treatment to achieve a desirable lid level.
A skilled oculoplastic surgeon can perform an “eye lift” to restore the lid level, contour, symmetry, appropriate crease and fold, and good lash position by bringing both precision and keen aesthetics to the procedure.
Whereas another surgeon might improve functional objectives, Dr. Kaltreider restores function and aesthetics. You’ll see better and look better thanks to this outpatient eyelid procedure, performed in her Charlottesville office.
Did you know that the eyebrows may contribute to drooping eyelids? Learn about brow ptosis and direct brow lifts.
What to expect.
During surgery, you will have either oral or intravenous sedation. After the local anesthetic is in place, you will not feel pain or unpleasant sensations. You may be aware of pressure, some movement, and a gentle tugging. You will not be able to “see” the surgery as it takes place. After the procedure is complete, you will be able to open your eyes and will likely sense a greater field of vision. Your eyelids will feel tight, but you will be able to open and close them.
It is wise to allow at least a week or two of healing time before getting back to an active lifestyle. Detailed instructions are provided prior to surgery. For the first two days, cold compresses while you are awake will help dissipate the swelling and bruising. Antibiotic ointment applied to the incisions helps dissolve some sutures, prevents infection, and soothes inflammation. (Note: The ointment may temporarily blur your vision by getting into the tear film.) Most patients have a tight feeling in the eyelids for a few weeks. The tightness is normal and usually resolves by eight weeks.
Total healing time following surgical repair of drooping eyelids varies from individual to individual. Still, generally, you are very presentable by the beginning of the second week, sometimes as early as three days after surgery. Follow-up is essential—early to remove sutures and later to evaluate after swelling has disappeared, and lid crease incisions have faded. Dr. Kaltreider will evaluate the stability of the lid position, symmetry, contour, and lid crease at the later visit to ensure you are happy with your eyelid and that all parameters are optimal for the health of your eye and eyelids.