How to Treat Droopy Eyelids
There are two basic medical problems that can cause the appearance of a droopy eyelid. The first problems is called Ptosis, which is drooping of the area of the eyelid that our lashes sit at. This droop 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. Ptosis is corrected through surgery on either of these muscles, depending on a patient’s particular situation.
The second medical issue that causes droopy eyelids is known as dermatochalasis, or excess skin. Dermatochalasis occurs when there is extra eyelid skin or excess eyelid fat hanging over the front of the eyelid due to changes in our facial structure. The most commonly recommended treatment for this condition is a blepharoplasty.
In certain cases, patients may be experiencing droopy eyelids as the result of both of the above medical conditions and will require both treatments. In other cases, the appearance of droopy eyelids may also be the result of other medical conditions, such as low brow, or a loss of fat beneath the brow. Therefore, it’s essential to consult with a qualified physician to diagnose your specific condition to receive professional, quality results.
Treatment for Droopy Eyelids
Ptosis is treated by surgery either on the Mullers muscle or the levator muscle, depending on a patient’s consultation. Surgery on the Mullers muscle is most effective, with a 95% success rate of achieving desired results. Mullers muscle surgery is also advantageous because it is done inside the eyelid, leaving no unsightly scarring. Surgery on the levator muscle is slightly less predictable, with a 75% initial surgery success rate. However, any undesired appearances following levator muscle surgery can often be corrected with follow up procedures.
The common treatment for dermatochalasis is an upper blepharoplasty, otherwise known as cosmetic upper eyelid surgery. During this procedure, doctors will remove excess skin, and occasionally excess fat, from a patient’s upper eyelids. This lightens a patient’s upper eyelids in order to give a more visible platform to the eye.
In other specific dermatochalasis cases, Botox can be used to raise the brow and, in turn, droopy eyelids. This is because when brows sit higher, they raise the hooding skin hanging over a patient’s eyes. How well this treatment works depends on how much hooding a patient is experiencing, as well as the amount that the brows can be lifted.
What to Expect
It is not uncommon for patients to experience bruising following eyelid surgery. Bruising can be reduced by avoiding blood thinners before surgery, carefully resting for several days after surgery, and using cold compresses for the first four days after surgery.
Swelling is also very common after eyelid surgery. Swelling tends to be most noticeable in the morning due to a lack of activity in our facial muscles as we sleep. Swelling is reduced by using cold compresses, controlling ocular allergies, and monitoring salt intake.
If you are interested in seeking treatment for droopy eyelids, contact us today to schedule your consultation.