Instead, a tiny silicone sling is used to connect the eyelid to the muscle above the eyebrows called the frontalis muscle. SEE RELATED: Causes of ptosis Frontalis suspension surgeryĪ third option for ptosis surgery may be recommended when the eyelid’s muscle function is severely weakened.ĭuring frontalis suspension, the levator muscle is not targeted. Like the external approach, the internal approach can also be performed under sedation, but the surgeon may opt for general anesthesia instead. Mueller’s muscle is often chosen when the amount of drooping is more moderate and doesn’t require quite as much correction. Which muscle is selected depends on the patient’s individual case of ptosis. Instead of operating through the top-side eyelid skin, the surgeon shortens the muscle from the underside of the eyelid.ĭuring internal ptosis surgery, the surgeon will target the levator muscle or Mueller’s muscle, which is attached to the levator. Internal levator resection surgery can be similar to external surgery but with a different way of accessing the eyelid muscles. The external approach is often performed under sedation instead of general anesthesia, similar to what you might expect during a root canal or wisdom teeth removal. After they make an incision in the front of the eyelid skin, they shorten the levator muscle by reattaching it to the tarsus - the connective tissue inside the eyelid.Īfter post-operative recovery, the patient should be able to lift the affected eyelids to a much more normal height. “External” refers to the way a surgeon approaches the levator muscle. This form of blepharoplasty can also be called levator advancement. External ptosis surgeryĮxternal levator resection is the most common type of ptosis surgery. The third type targets an area around the eyebrows instead of the eyelids. For this reason, they’re also known as levator resection procedures. Two of the three methods of eyelid correction are classified as a blepharoplasty, and they involve strengthening the levator muscle responsible for keeping the upper eyelid open. When severe childhood ptosis or congenital ptosis is present, surgery is often recommended before eyelid drooping starts to affect their eyesight. An oculoplastic surgeon will base the decision on which type of ptosis you have, how severe it is and how your eyelid muscles are being affected. In general, ptosis is corrected using one of three surgical procedures. Surgery is usually reserved for patients whose vision is affected by droopy eyelids or those who choose to get it for cosmetic purposes. Most people who have mild ptosis symptoms do not require surgery. When someone has ptosis, ptosis surgery is often the only method of gaining a more normal level of eyelid lift.
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