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Ptosis Treatment Houston


Before

After

In acquired ptosis the eyelid becomes droopy simply because the muscle that elevates the eyelid (levator muscle) has detached or is slipping from its usual attachment site in the eyelid on top of the eyelid plate. This attachment is usually what creates the crease, which we all see in our upper lids. Repair of this condition involves reattaching the eyelid muscle to its original position. Often when the upper eyelid falls it may obstruct the field of vision and can create problems reading, driving, eyebrow fatigue and pain. If the condition becomes severe the lid can obstruct the pupil and the individual may actually have to tilt their head back or lift the eyelid with a finger in order to see.

Under local anesthesia via intravenous sedation, the anesthetist will sedate you and maintain your comfort through out the procedure. Then an incision in the eyelid crease is made to locate the muscle and reattach it. If there is any excess fat in the upper lid (dermatochalasis), this will be removed at the same time. Then the position, height, contour and curvature can be measured and compared. Once that is done, the muscle is secured with several stitches. The incisions along the lid crease are then closed either with a running suture, which is non-absorbable and will be removed 7-10 days later, or interrupted sutures, which will dissolve over a period of time. The main goal of this surgery is to elevate the upper eyelid and place it in an aesthetically pleasing, functional position. In most instances the eyelids have a nearly symmetrical position and close naturally after complete recovery.