eyelid ptosis plastic surgery Eyelid Ptosis (drooping of upper eyelid) Plastic Surgery

Upper eyelids need to protect the eye yet get out of the way for vision. Explore plastic surgery for the eyelid for both reconstructive and cosmetic (blepharoplasty) problems.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

Upper eyelid ptosis and plastic surgery correction of the drooping eyelid
Surgical Craftsmanship
Upper eyelid drooping simple congenital ptosis with levator muscle shortening
Your Special Needs
droopy eyelid and frontalis muscle surgery in Richmond Virginia

Individualized Education

upper eyelid ptosis plastic surgery
Tender Care
simple congenital ptosis upper eyelid for lazy or droopy eyelid
Personalized Service
ptotic upper eyelid ptosis
Become Comfortable
Plastic Surgery Dr. Bermant Plastic Surgeon

Bermant Plastic Surgery
About Dr. Bermant

 

Bermant plastic surgery cosmetic surgeon
Find us

 

Bermant Plastic Surgery http://www.plasticsurgery4u.com
Multimedia Lecture

 

Bermant plastic surgery cosmetic surgeon
Kid's view

 

Bermant plastic cosmetic and reconstructive surgery

Other Bulletin Boards

Facelift / Neck lift (rhytidectomy)

Eyelid surgery in Richmond Virginia

Ptosis of the eyelid (drooping of the upper eyelid)

Blepharoplasty (Cosmetic surgery of the eyes)

Ectropion (Drooping of the lower eyelid)

Recurrent ectropion after multiple cancer resections and then skin cancer excision with Mohs' chemosurgery and full thickness skin grafts.

Reconstruction of the lower eyelid

Facelift surgery (rhytidectomy)

Bermant Plastic Cosmetic and Reconstructive Surgery
PlasticWeb

Bermant Plastic Cosmetic and Reconstructive Surgery
PlasticArt
  Bermant Plastic Cosmetic and Reconstructive Surgery
Home

Eyelid Ptosis (Drooping of upper eyelid)

The upper eyelid drapes over the eye to protect and help keep the surface moist. Closed, the eye may be protected but you cannot see very much through the eyelid. To see you must lift the upper lid out of the way. The levator muscle performs most of the work to get the upper eyelid out of the way for vision. Ptosis of the eyelid means that it droops too low and cannot get out of the way enough for the eye to see. Elevation may be just enough for gaze towards the lower visual fields (towards the feet). Looking straight ahead, the lid may obstruct vision. In this first case (congenital simple ptosis), the upper lid covers half of the pupil. This patient compensated by lifting her eyebrow (frontalis muscle) to help with vision when looking up. As the day progressed and she tired, the lid got more and more in the way. Her problem has been there since birth.

Simple Congenital Ptosis Upper Eyelid - Gaze Ahead
eyelid ptosis (drooping eyelid) plastic surgery postop eyelid ptosis (drooping eyelid) plastic surgery

Before surgery

After surgery

Before surgery see how the patient's left eyelid covers half of her pupil (Ptosis). The fold in the upper lid is much higher than the normal eyelid. The levator muscle was shortened through an incision along the inner surface of the lid. After surgery the lid no longer obstructs vision on direct ahead gaze.

Simple Ptosis Upper Eyelid Gaze Down
eyelid ptosis (drooping eyelid) plastic surgery

Before Surgery

Before surgery this patient had enough function of her levator eyelid muscle to have no obstruction her vision when looking down.

Simple Ptosis Upper Eyelid - Gaze Up
eyelid ptosis (drooping eyelid) plastic surgery post eyelid ptosis (drooping eyelid) plastic surgery

Before surgery

After surgery 

Before surgery when looking up, the pupil was completely covered even though she tried to compensate by lifting her left eyebrow. After surgery the readjusted levator muscle permits vision when looking up.

Simple Ptosis Upper Eyelid After Surgery
postop eyelid ptosis (drooping eyelid) plastic surgery Eyelid ptosis before surgery

Looking Up

Looking Down

Notice how the patient can look up after surgery without resorting to using her eyebrow muscle (frontalis muscle).Myogenic ptosis (the muscle only partially connects the the upper eyelid).movie of eyelid ptosisThis movie of another patient is 140K and may take some time to load. This is a patient with right upper eyelid ptosis. Notice how the right lid moves, just not enough to uncover the eye. The eyebrow muscle (frontalis muscle) tries to compensate to open the eyelid without success. After closing her eyes, the eyebrow relaxes and returns to a resting position.

Posted at the request of Dr. Engle:

Research is underway to identify the genetic defect causing simple congenital ptosis. If more than one member of your family was born with ptosis and your family is interested in participating in this study (with no associated financial cost to you), please contact Dr. Elizabeth Engle by E-mail. Please note, Dr. Engle's lab is studying simple ptosis not associated with the blepharophimosis syndrome: engle@rascal.med.harvard.edu

Elizabeth C. Engle, MD
Assistant Professor of Neurology, Harvard Medical School
Neurology and Genetics, The Children's Hospital
Enders 512, 300 Longwood Avenue, Boston, MA 02115

eyelid ptosis plastic surgerydrooping eyelid

 

Other topics of interest:

Ptosis of the eyelid (dropping of the upper eyelid).
Upper eyelid ptosis and drooping eyelid.
Ptosis classification 
Muscle function and dysfunction in drooping eyelid problems.
Upper eyelid ptosis with frontalis muscle compensation.
Measuring eyelid function in eyelid ptosis.
Testing levator muscle for drooping eyelid
Congenital eyelid ptosis reconstructive surgery options. 
Recurrent congenital eyelid ptosis in a 26 year old black male.
Frontalis muscle compensation in drooping eyelid
Ptosis associated with paralyzed eyebrow muscle.
brow ptosis creating droopy eyelid
Ptosis associated with Blepharophimosis (congenital eyelid deformity).
eyelid ptosis
Blepharoplasty (Cosmetic surgery of the eyes)
eyelid

 

Patient Bulletin Boards

Blepharoplasty

Ptosis (drooping of upper eyelid)

Site
Map

Search
This Site

How to
Learn More

Dr. Bermant

Bermant Plastic Surgery Encyclopedia.

Prices

Body Shaping
Without Surgery

Guide to
Richmond

How To Choose Your
Plastic Surgeon

Bookmark and Share This Resource.

 
Our Encyclopedia
Our Facebook Page
Like This Page

Bookmark Facebook Google Yahoo Bookmarks BlinkList Technorati Reddit Mixx MySpace Diigo Delicious

Integrated Discussion Board
If you like what you see and have learned here, come join our A Body Beautiful Plastic Surgery Forum: a meeting place for

  • those with concerns,
  • those willing to share experiences,
  • and doctors with a passion for certain problems to demonstrate their solutions.

Follow us on Twitter, , Linked in, and Facebook.

Send E-mail to Dr. Bermant

Michael Bermant, MD
Retired Plastic Surgeon

Social Networking

Retirement and Closure of Practice as of 8/31/2011.

ASPS - American Society of Plastic Surgeons

Life Member of the American Society
of Plastic Surgeons, Inc.

Shop at The Surgery Store for your skin care, comfort, and recovery needs.

Hear Dr. Bermant's Multimedia Lectures in your community

Find this site useful? Tell a friend!

Search for a Book from Barnes and Noble

© 1996-2012 Michael Bermant, MD

Legal Information - Privacy Policy - Using Before After Photos

This page last updated on: April 21, 2012

ASAPS - American Society for Aesthetic Plastic Surgery

Life Member of the American Society
for Aesthetic Plastic Surgery, Inc.
Board Certified American Board PS Board Certified American Board
of Plastic Surgery