Upper lid dropping does not always result from age-related excess of loose skin. Eyelid ptosis is caused by congenital or acquired dysfunction of the upper eyelid levator apparatus. The pathology can pertain to the levator aponeurosis or the levator muscle itself. In the case of ptosis, low position of the upper eyelid leads to the covering of the pupil, thus limiting the field of vision. This condition requires surgical correction.
The treatment of upper lid dropping aims at restoring the function of the levator apparatus or static elevation of the eyelid to normalise the field of vision. We may distinguish two main ptosis correction strategies. The first one entails the reduction of the aponeurosis of the levator palpebrae superioris muscle. The procedure is performed under local anaesthesia, in a one-day mode. This method is applied if the muscle function is preserved. If it is dysfunctional either considerably or fully, the upper eyelid is attached to the frontalis muscle with fascial slings. The procedure is performed under general anaesthesia.
To plan a proper treatment method, a detailed physical examination needs to be carried out. During a consultation visit, I
discuss with the patient their condition and the treatment options available in their specific clinical case in detail. At times, it is necessary to carry out a neurological consultation or extended diagnostics to exclude myasthenia gravis or Horner syndrome. The post-operative scarring of the eyelids and frontal region is almost unnoticeable.
Eyelids are considered a privileged area in terms of aesthetics of healed wounds. After some time, the post-operative scars of the eyelid skin are almost unnoticeable.