What is ptosis repair?
Ptosis repair is a surgical procedure to correct a drooping upper eyelid, a condition known as ptosis. This droop can affect one or both eyelids and may be present from birth or develop with age, trauma, after previous surgery or secondary to other conditions. In more severe cases, ptosis can obstruct vision and cause eye strain or fatigue and forehead headache.
The goal of ptosis surgery is to lift the eyelid to a more natural and symmetrical position, improving both vision and appearance. At Genesis Clinic, our expert oculoplastic surgeons are highly experienced in diagnosing and treating all types of eyelid ptosis.
FAQs
What type of anaesthesia is needed?
Ptosis repair is often performed under local anaesthesia., This allows patients to open and close their eyes during surgery, which helps ensure optimal eyelid height and symmetry. Sedation or general anaesthesia can be provided if needed.
What does the surgery involve?
The technique used depends on the severity and cause of the ptosis. In most cases, the muscle responsible for lifting the eyelid (levator muscle) is shortened or reattached to enhance its lifting function. An anterior approach via a skin incision or a posterior approach via a conjunctival incision can be used. For more severe cases or in patients with very weak levator muscles, a sling procedure or a frontalis flap may be used to use the forehead muscle to lift the upper eyelid.
Surgery is highly customised based on individual eyelid anatomy and function. Incisions are usually made within the natural eyelid crease, resulting in minimal visible scarring.
What is the recovery period?
Most patients go home the same day. Swelling and mild bruising around the eyes are common in the first few days but settle within 1–2 weeks. You may be advised to use antibiotic ointment and lubricating drops to protect the eye while healing. Vision may be slightly blurred in the first few days due to swelling, but this resolves quickly.
Patients typically return to work or social activities within 7–10 days.
Can it be combined with other procedures?
Yes. Ptosis repair is frequently combined with upper blepharoplasty (eyelid lift) or brow lift surgery if coexisting issues are identified. This ensures the best functional and cosmetic results. Our surgeons will provide a thorough assessment and develop a personalised surgical plan.
Should I take any precautions before the surgery?
It is advisable to withhold aspirin and anti-inflammatory medications for 2 weeks before the surgery if this is deemed safe by your prescribing doctor. Other blood thinning medications and specific herbal supplements should be stopped ideally too for specific time periods and this will be discussed with you during your consultation.
How long do the results last?
In many cases, ptosis repair results are long-lasting andrecurrence can rarely happen over time, especially in congenital or complex cases. If needed, a revision can be performed safely in the future.
What are the risks of ptosis repair?
Like all surgeries, ptosis repair carries some potential risks:
Asymmetry: Minor differences in eyelid height are possible and usually settle during healing. Rarely, a revision may be required.
Under- or overcorrection: Adjustments can be made if needed.
Dry eye or incomplete eyelid closure: Temporary and managed with lubricating eye drops or ointments.
Scarring or infection: Rare, especially when performed by experienced surgeons.
Blurred vision or double vision: Usually temporary and due to swelling.
