Ptosis surgery is an operation to tighten the muscle that lifts your upper eyelid.
As you get older, the levator muscle that lifts your upper eyelid stretches and weakens, causing your eyelid to sag.
If you have a sagging eyelid that is interfering with your vision, ptosis surgery can be an effective treatment to improve your vision.
Ptosis surgery can also be performed to make you look younger if one of your eyelids has begun to sag or there is a difference in the height of your eyelids.
Preparation prior to surgery:
Assessment of the medical history (any allergies, serious medical condition and all
medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.
Types of anesthesia use:
Local Anesthetic (while you are awake)
It depends on your preferences as well as your surgeon’s. Ptosis surgery can be performed on anoutpatient basis, in the hospital, or in an ambulatory surgical suite.
Ptosis surgery may take 1-2 hour.
During the procedure:
The operation is usually performed under a local anaesthetic that is injected in your eyelid and given as local-anaesthetic eye drops. The operation usually takes 45 to 90 minutes, depending on whether the operation involves both of your upper eyelids.
Your surgeon will usually make a cut on the natural skin crease of your eyelid. They will place stitches in the levator muscle to strengthen its attachment to your eyelid and to adjust the height of your eyelid.
You should be able to go home after a few hours.
Do not get your eyelid wet, do strenuous exercise or bend down until the stitches are removed.
Do not wear eye make-up or drink alcohol for a few weeks, and keep your face out of the sun.
Do not swim for 4 weeks.
Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice.
The results of ptosis surgery last for a long time. Your face will still continue to age but should always appear younger than if you had not had surgery.
Risks and Complications:
- infection of the surgical site (wound)
Specific complications of this operation :
- bleeding into your eye socket
- cornea abrasion
- cosmetic problems