ABOUT PTOSIS REPAIR (DROOPING UPPER EYELID)
When one or both of the upper eyelids droop, it is called Ptosis (pronounced “TOE-sis”). In severe cases, the eyelid may droop enough that it falls in front of the line of vision. People with the condition may tilt their head backwards or raise their eyebrow in order to see better.
If you have ptosis, surgery can be performed to repair it. Treatment can help you look more alert and improve your vision if your eyelid is in the way.
Some patients opt to have upper eyelid blepharoplasty, lower eyelid blepharoplasty, and/or a brow lift at the same time as ptosis surgery to correct signs of aging around the eyes or brows and forehead.
In the hands of our experienced surgeon, Dr. Kashyap, you can enjoy natural-looking results and improved wellness.
Why Choose Us?
Ptosis repair (sometimes called blepharoptosis) is a particularly delicate and intricate procedure that requires the experience and skill of an oculofacial plastic surgeon.
Dr. Kashyap has had extensive training in ptosis repair and has performed hundreds of these procedures to not only improve patients’ appearances but maintain vital eye health. She approaches surgery with both precision and artistry in mind, always staying abreast of the most advanced techniques.
Our doctor is a fellowship-trained Oculofacial Plastic specialist who completed her residency and fellowship in Ophthalmic Plastic, Reconstructive & Orbital Surgery at The New York Eye and Ear Infirmary, Dr. Kashyap is also a Clinical Instructor at the Infirmary and a Board-Certified Diplomate of the American Board of Ophthalmology.
Dr. Kashyap cares for patients from Manhattan, Brooklyn, Queens, the Bronx, Staten Island, Long Island, and Upstate New York.
CAUSES OF PTOSIS
Ptosis is usually caused by a loosening of the muscle that raises the eyelid and the rigid support structure of the eyelid.
In some cases, however, it is caused by trauma, long-term contact lens use, or previous eye surgeries. Muscle or neurological disorders can also cause ptosis, including myasthenia gravis, oculomotor nerve palsy, and Horner’s syndrome.
CANDIDATES FOR PTOSIS SURGERY
Men and women considering surgery will first meet with Dr. Kashyap for a consultation. This visit is the perfect opportunity for a thorough eye examination and to carefully evaluate your candidacy for this procedure. Most people in good general health are qualified for ptosis surgery.
If you have a dry eye condition, however, Dr. Kashyap will recommend treatment before your surgery, as the procedure can worsen those symptoms.
If you have had prior eyelid surgeries, you may be at risk for a dry eye condition or eyelid closure problems after surgery. If this is a risk for you, Dr. Kashyap provide you with additional details about treatment options.
PTOSIS REPAIR PROCEDURE
You will remain sitting up during your surgery, which can usually be performed under a local anesthetic and sedation. You will be almost asleep and will feel no pain. Most patients are so relaxed they remember little about the procedure.
There are several techniques that can be used to repair ptosis. Dr. Kashyap will determine the best method for you based on her examination of your eyes. The surgery will last one to two hours.
Permanent internal sutures are placed into the loose tendon of the upper eyelid muscle (levator palpebrae) to tighten its connection with the eyelid’s support structure (called the tarsus).
Dr. Kashyap takes care to adjust the height so the eyelids look natural.
Mullerectomy is another technique that is an internal approach with an incision on the underside of the eyelid, where there is also no visible scar. The permanent internal sutures are then placed (similar to the levator advancement method), but mullerectomy spares more skin if needed.
After your surgery, you will spend some time in recovery, but you should be able to go home right away. You will need someone to drive you home, however, as you will feel groggy, and your vision will be blurry for a period of time.
RECOVERING FROM PTOSIS REPAIR
Most patients only experience mild discomfort after ptosis repair and can resume normal daily activities within a week of surgery. Tylenol is recommended to ease the discomfort, which should subside within a few days.
Expect minor swelling and bruising that gradually subsides over one to two weeks after surgery. Cold compresses can help you through the healing period, and we may prescribe antibiotic ointment and eye drops. Arnica and Bromelain are recommended to take prior as well as after surgery to minimize the bruising and swelling of the face.
During a follow-up visit, seven to 10 days after treatment, temporary sutures are removed. Please avoid heavy lifting and strenuous exercise for two weeks.
Dr. Kashyap will let you know when it is safe for you to resume wearing eye makeup and contact lenses, usually within one to two weeks.
If you experience dry eye after surgery, we can recommend artificial tears to keep your eyes lubricated.