Ptosis is drooping of the upper eyelids, where the eyelid margin lays low and may cross the patient’s line of sight. Ptosis is caused by aging, muscle or nerve abnormality, trauma, or tumor. The majority of the time, it is due to aging, where the tendon of the levator muscle is attenuated or dehisced. Ptosis can be repaired surgically to lift the eyelid above the line of sight and improve peripheral vision. An incision may be made externally on the eyelid crease or internally on the back side of the eyelid. Whether the approach is externally or internally depends on several factors, including the severity of ptosis and muscle function. If the procedure is performed via an external incision, it takes place in the operating room under intravenous sedation. Half way through the surgery, the surgeon will have the patient awake and look in different directions in the upright position to adjust the lid height and contour. If the procedure is performed via an internal incision, it may be done with local injection only or with sedation.

What to expect after surgery
The skin of the eyelid is the thinnest of the body, which means the incision is unlikely to leave any visible scarring. Furthermore, the incision is placed in the eyelid crease and hidden by the eyelid fold.

It is generally recommended that patients plan on staying home for 2-3 days after the procedure and apply ice to the eyelids to reduce bruising and swelling. It typically takes about 1-2 weeks for the bruising and swelling to disappear completely, although the bruising can be effectively covered with makeup or sunglasses after the first week. Minimal restrictions are placed regarding exercise, bending and heavy lifting for one week to prevent bleeding or more swelling than necessary. Sutures are removed 7-10 days after the eyelid lift surgery, once the wounds are completely healed. Final results can be evident by 2-3 months when the last of the internal swelling resolves.