Ptosis Repair: Before and After Droopy Eyelid Repair This patient has myogenic ptosis and had several operations prior to visiting me. Bilateral fascia lata frontalis sling allows her to open her lids with the frontalis while permitting complete closure at night. Ptosis repair and lateral brow lift improved the vision and appearance. Ptosis repair of the right upper lid for better vision and symmetry. Ptosis repair of the left upper lid improves vision and symmetry. When unilateral surgery is performed, it is up to the patient to decide whether to remove skin on the other side. If blepharoplasty is not desired on the non-ptotic side, then little or no skin is removed from the ptotic side. This patient would have benefited from bilateral cosmetic blepharoplasty in addition to the levator repair on the left side. Bilateral ptosis repair improved vision and symmetry. Bilateral ptosis repair has improved the vision for this patient. Bilateral ptosis repair and brow lift improved the drooping eyelids. Bilateral ptosis repair improved the drooping of the eyelids and the appearance. Bilateral ptosis repair 5 days after surgery – improved vision and symmetry. Ptosis repair on the left improved the vision and the symmetry. Bilateral ptosis repair improved the vision and appearance. This patient would benefit from lateral brow lift on both sides. Some of the skin laxity remains in the lid fold to allow brow lift at a later date, and to avoid pulling the lateral brows onto the eyelids.