Ptosis refers to a drooping of the eyelids. This can be due to a number of causes, but most commonly it is due to age related changes of the eyelid.
It can become a problem because of the appearance; a change in head posture – having to tip up the head to see; and because of loss of the superior visual field. The last of these can be demonstrated by means of a visual field test.
A number of measurements of the eyelids and their movement are taken to exclude other conditions that can cause ptosis such as a Horner’s syndrome, cranial nerve palsy or myasthenia gravis.
Prior to surgery, it is important to discuss regular medication with your surgeon. Blood thinning medications, including aspirin, warfarin, clopidogrel, rivaroxaban, apixaban, edoxaban and dabigatran all increase the bleeding during and after surgery. It is important to know why these are being taken and if it is safe to stop them. Your GP may be able to advise you on this matter in conjunction with your surgeon.
The surgery can be performed in a number of ways. For larger degrees of lifting, the incision is made on the front of the eyelid through the skin crease so that it will not be visible. If only 2-3 mm of eyelid lift is required, then the procedure can be performed through an incision on the underside of the eyelid.
If there is also excess skin on the upper lid, this can also be reduced by combining the ptosis repair with a blepharoplasty.
Postoperative instructions for blepharoplasty surgery
Day 1-2 – keep the eyes dry. It will be possible to bathe or shower whilst keeping the eyes from getting wet. A small amount of splashing is unlikely to cause a problem
Day 2-4 – review will be arranged at this stage
Day 3-7 – The eyes can be gently washed with soap and water. It is important to dab but not to rub the eyes. The crusts will come away when ready.
Day 7-10 – Review will usually be arranged at around this stage and sutures may be removed if necessary.
Day 14 – Makeup can be used again