Ptosis Treatment With and Without Surgery: Which is Best?

January 15, 2019 2:17 pm Leave your thoughts

We take care of ourselves, eat healthy, exercise and feel great, but our drooping eyelids are conveying a completely different story. Patients suffering from Ptosis have eyes that look tired, sad, or sick. Fortunately, there are ways to combat Ptosis and achieve a more rested, youthful look! The simple act of bringing the eyelids back to a natural position will restore the face’s symmetry and provide a refreshed appearance. Ready to let your inner light shine?


Ptosis is the medical term for drooping of the upper eyelid(s). It’s a condition that may affect one or both eyes. Ptosis is most common in adults; however, Ptosis can also affect children. Congenital Ptosis is Ptosis that has been present since birth.

Ptosis occurs when the edge of your eyelid (where the lashes are located) hangs too low on your eye. This area should be about half way between the top of your pupil and the white of your eye. If the lid edge is low, you may have Ptosis.


Ptosis is true drooping of the eyelid due to the action of eyelid muscles. This drooping eyelid is caused by a physical problem with one, or both, of the two muscles that are responsible for lifting the eyelid – Muller’s muscle and the Levator muscle. In very rare cases, Ptosis can be caused by a neurological problem.


True ptosis can only be treated with surgery. This is an outpatient surgery on the muscles (Muller’s muscle and/or the Levator muscle) that lift the eyelid. Don’t let the word “surgery” frighten you. Drs. Cohen and Swartz use twilight anesthesia so that you will be fast asleep and completely comfortable during the surgery.

All eyelid surgery procedures are performed by Drs. Cohen and Swartz, with the patient’s consulting doctor leading the procedure and the other assisting. The doctors operate at conveniently located surgical centers with the help of board certified anesthesiologists.

Most patients resume the majority of normal activities one week after Ptosis surgery. Full recovery usually takes four to six weeks and depends on your body’s natural healing pace and how closely you adhere to the doctor’s post-surgery instructions.

However, if a patient isn’t experiences true Ptosis, a non-surgical procedure could yield desired results. In cases where the patient has a droopy brow causing their eyelid(s) to be pushed down, which could result in a similar look at ptosis, Botox or fillers may be helpful.


Botox can be used to raise the brow and, in turn, raise droopy eyelids. Once Botox is administered, your brows are free to rise slightly to a more aesthetically-pleasing position, lifting your eyelid skin up with them. When brows sit higher, they naturally raise the sagging skin hanging over a patient’s eyes.


When eyebrows are low it often gives the impression of droopy upper eyelids. In those cases, a non-surgical brow lift may alleviate some drooping. Often brows become droopy because of a loss of fat underneath the brow. In those cases, a dermal filler such as Restylane or Juvederm is an excellent treatment for lifting the brows, therefor.


Drs. Cohen and Swartz are oculoplastic surgeons. Oculoplastic surgeons are cosmetic surgeons who are also board-certified ophthalmologists (eye doctors) and specially trained to evaluate and improve your appearance while caring for the health of your eyes.

During your consultation, Drs. Cohen and Swartz take the time to listen to your concerns, determine what factors are causing the eyelid ptosis, and work with you to decide on a treatment plan that best fits your unique needs and facial anatomy.

If you receive dermal fillers or Botoxto improve your eyelid drooping, you may choose to have the treatment performed during the same appointment as your consultation. This treatment is usually only 15-30 minutes in length.

If surgery to correct your Ptosis is the best course of action, you’ll have the option to schedule the procedure at the end of your consultation. However, there is never any pressure to schedule a treatment with us.


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