This condition describes the inability to adequately open or elevate the upper eyelid. It is also known as “ptosis.” It can affect either one or both eyes. It is caused by weakness in the muscle that opens the upper lid or, more commonly, detachment of the muscle from the lid. Patients often present with a sleepy or tired appearance, especially when both eyes are involved. It is not uncommon for patients who present for correction of upper lid hooding to have a concomitant droopy eyelid. Dr. Alghoul uses specialized techniques to re-attach the muscle to the lid and reposition the crease.
What Causes Ptosis?
Ptosis can have many potential causes. Sometimes, it is caused by a problem with the muscle that lifts the eyelid; when the muscle underneath the eyelid is weakened or damaged, it cannot raise the eyelid properly. Droopy eyelids can also occur if the nerves controlling the muscle are damaged. In other cases, a droopy eyelid can occur as a result of the natural aging process, injury or medical condition such as stroke. Some adults with droopy eyelids also have saggy, excess skin on the eyelids.
As we age, the skin on the upper eyelids loses its elasticity and becomes loose. This causes the upper eyelids to become puffy and the eyes to appear hooded. Eyelid hooding can be caused by the natural aging process, genetics and lifestyle factors such as lack of sleep. Often times, people with droopy eyelids and/or hooded eyes look tired, exhausted and older than what they really are.
How to Treat Droopy Eyelids
The best solution for droopy, saggy upper eyelids is eyelid surgery. Dr. Alghoul offers droopy eyelid correction to improve the appearance and functionality of the upper eyelids. The procedure involves reattaching the muscle to the lid and repositioning the eyelid crease. This allows the patient to open their eye(s) with ease, restoring their ability to see and brightening the eye for a refreshed, brighter appearance.
Very often, droopy eyelid correction is performed in conjunction with upper eyelid surgery. Eyelid surgery removes excess fat and skin on the upper eyelids and unveils the crease and the eye shadow space for more vibrant eyes. Eyelid surgery can also be performed on the lower eyelids, reducing the appearance of under-eye circles and creating a more relaxed, youthful look.
What is the difference between a droopy eyelid and upper eyelid hooding?
A droopy eyelid is unable to fully elevate to a normal height because of a problem in the function of the lid itself. Upper lid hooding is simply related to overhanging excess skin. These two conditions can co-exist. It is not unusual for upper blepharoplasty and ptosis repair to be performed together at the same time.
What to Expect
Droopy eyelid or “ptosis” repair is an outpatient procedure performed under local anesthesia and sedation. Upper lid swelling occurs immediately after surgery, but as the swelling resolves over a two-week period the upper lids gradually start to take their new position. You may engage in light activity on the following day of surgery. Return to normal activity, including exercise, may take one to two weeks.
Is the procedure covered by insurance?
Correction of droopy eyelids may be covered by your insurance. A visual field test and a letter dictated by your doctor are usually required. Our staff will help you through this precertification process.
Contact Dr. Alghoul
If you’d like to schedule a consultation with Dr. Alghoul to discuss your droopy eyelid treatment options, please call (312) 695-3654 or contact us via email.