Droopy Eyelids, ptosis: Causes and Solutions

Droopy Eyelids

Droopy eyelids, medically known as ptosis, can affect one or both eyes and may be present at birth or develop later in life. This condition can range from mild, where it is barely noticeable, to severe, where it can obstruct vision and affect daily activities.

In more severe cases, known as severe ptosis, the drooping can significantly impair vision and may require surgical intervention.

Understanding Droopy Eyelids

Droopy eyelids, medically known as ptosis, are a common condition that many people experience, especially as they age. This condition is characterised by the sagging or drooping of the upper eyelid, which can affect one or both eyes.

While some individuals are born with droopy eyelids, a condition known as congenital ptosis, others may develop it later in life due to various factors. Whether it’s a natural part of ageing or a result of other underlying issues, droopy eyelids can impact both appearance and vision.

What is ptosis?

Ptosis is the medical term for the drooping of the upper eyelid (s).

Ptosis can affect anyone. It is more common in older people due to the skin's natural ageing process that occurs. The levator muscle is crucial for elevating the eyelid, but it can become stretched over time and this results in drooping eyelids. When the upper eyelid sags in more severe cases it can affect our vision and eyesight. You may also experience dry or watery eyes, and people may remark that you look sleepy.

There are different types of ptosis:

Aponeurotic ptosis: This is the most prevalent type of ptosis, and it commonly appears in people in their 50s and 60s. There are instances when it can occur in a younger age group and can be the result of an eye injury, surgery, or wearing contact lenses for an extended period.
Neurogenic ptosis occurs when the neural pathways in the eyelid muscles are disrupted. It is frequently caused by disorders like Horner syndrome or third cranial nerve palsy.
Myogenic ptosis is when the levator muscle, which is responsible for moving the eyelid, stops operating properly. The muscle loses its ability to lift the eyelid. In addition to the eyelids, this type of ptosis can often affect other aspects of a person's facial expression.
Mechanical ptosis occurs when the eyelid becomes too heavy to control. It can be caused by extra weight from fat or excess skin.
Pseudoptosis is a dysfunction with the levator muscle. it is the most common cause of ptosis. When a droopy eyelid develops due to other circumstances, it is referred to as pseudoptosis. Blepharospasm, which produces uncontrollable blinking or eye spasms, can lead to pseudoptosis.

Causes of Droopy Eyelids

There are several reasons why droopy eyelids occur, and understanding these can help you find the right surgical treatment:

Ageing: As we grow older, the skin around our eyelids loses its elasticity and becomes thinner, leading to sagging or drooping of the eyelid.
Muscle Weakness: The levator muscle, which is responsible for lifting the eyelid, can weaken over time, resulting in a drooping eyelid.
Nerve Damage: Damage to the nerves that control the eyelid muscles can cause the eyelid to droop.
Congenital Ptosis: Some individuals are born with a drooping eyelid due to a weak levator muscle or issues with the nerve that controls the eyelid.
Injury: Trauma to the head or face can lead to a drooping eyelid.
Neurological Disorders: Conditions such as myasthenia gravis can affect the muscles and nerves, leading to droopy eyelids.

Surgical and nonsurgical treatments for droopy eyelids in Harley street, London

Most ptosis surgeries are day case procedures done under a local anaesthetic, which means that the patient can return home the same day.

Although surgery may be required to treat sagging eyelids, there are nonsurgical options available. One of the primary goals of these treatments is to remove excess skin, which can significantly improve the appearance and function of the eyelids. Ptosis nonsurgical treatments include:

Thermage FLX a radio frequency treatment can reduce the drooping lid. The treatment lasts approximately 18 months.

Ptosis surgical procedures for drooping eyelids at Kensington Medical in Harley street, London:

Blepharoplasty: Upper eyelid blepharoplasty is a popular cosmetic surgery procedure that tightens and elevates the eyelids. For more information about an upper and lower eyelid reduction click here.
Frontalis sling procedure: A frontalis sling technique is a typical surgical option if the problem is with the levator muscle’s function. The frontalis muscle is used to regulate the top eyelid, whereas the forehead muscle is used to control the lower eyelid.
Levator resection: Levator excision is another technique for impaired levator function. This is accomplished by contracting the levator muscle.

Most ptosis surgeries are day case procedures done under a local anaesthetic, which means that the patient can return home the same day.

Eyelid exercises

Droopy eyelid workouts may help if you notice that your eyes are becoming lax and tired, or your eyelids are becoming heavy.

Although no scientific studies have been conducted to assess how well this might work, researchers do know that using any muscle more often can counteract the effects of muscle weakness and deterioration, often resulting in greater muscular strength and a lifted appearance in the target area.

Warmup: Even without a workout, cleansing, warming, and gently massaging your eyelids has been shown to improve circulation and nerve responses. It also makes muscles softer and more flexible, which prepares eyelids for an intended workout.
Basic muscle stimulation: Direct stimulation, such as through focused eye movement or the use of a stimulating device, may help to minimise ptosis.
Resistance workout: Eyelid droop can be improved by forcing your eyelids to work out every hour. Raising your brows, inserting a finger below, and holding them up while trying to close them can work eyelid muscles. This provides resistance in the same way that weightlifting does. Eyelid muscles are also worked with quick, forced blinks and eye rolls.

Can a blepharoplasty help with upper eyelid droop?

A blepharoplasty is the most popular long-lasting procedure to reduce eyelid droop.

At Kensington Medical our expert Blepharoplasty surgeons have decades of experience. During your consultation they will discuss what you are hoping to achieve, they will show you many eyelid reductions before and after photos and will explain in detail what happens during and after the procedure. Our aftercare is extremely thorough and we are on hand 24/7. It is a good idea to discuss dates if you have a special holiday or event coming up. This ensures you take into account the correct recovery times so you are looking refreshed and confident.

To find out more about blepharoplasty view our eyelid lift videos.

To find out if you are suitable for an upper blepharoplasty call 0204 551 4892 to arrange a consultation with one of our specialist registered plastics surgeons or fill in the contact form.

Our expert upper blepharoplasty surgeons:

Mr David Gateley Consultant Plastic Surgeon GMC 2939470 MA FRCS, FRCS (Plast)

Mr Amir Sadri Consultant Plastic Surgeon GMC 6163656 FRCS (Plast)

Mr Paul Tulley Consultant Plastic Surgeon GMC: 4035952 | BSc MB BS MD FRCS(Plas)

Recovery from Blepharoplasty

Recovering from blepharoplasty, or eyelid surgery, can takes a few weeks, during which patients may experience swelling, bruising, and some discomfort. To achieve a smooth recovery, try the following tips:

Cold Compresses: Applying cold compresses to the eyes can help reduce swelling and bruising.
Elevate Your Head: Keeping your head elevated, especially while sleeping, can minimise swelling. Opt for two or three pillows.
Avoid Strenuous Activities: Refrain from heavy lifting such as weights, bending, or any strenuous activities such as runnnig and aerobic activities that could strain your eyes.
Don't touch or rub: Avoid rubbing or touching your eyes to prevent irritation and infection.
Follow Post-Operative Instructions: Follow to your plastic surgeon’s guidelines for post-operative care to ensure optimal healing.

Common Misconceptions

There are several myths surrounding droopy eyelids and eyelid surgery. What is true or false:

False: Droopy eyelids are only a cosmetic issue.True: While droopy eyelids can affect your appearance, they can also lead to vision problems and other functional issues.
False: Eyelid surgery is only for older people.True: Although more common among older individuals, eyelid surgery can be beneficial for people of all ages.
False: Eyelid exercises can cure droopy eyelids.True: While exercises may help strengthen the muscles around the eyes, they are not a cure for droopy eyelids.

When to Seek Treatment for a Droopy Eyelid

If you are experiencing any of the following symptoms, it might be time to speak to a plastic surgoen about treatment for a droopy eyelid:

Vision Problems: If your droopy eyelid is obstructing your vision, medical treatment is necessary.
Appearance Concerns: If the appearance of your droopy eyelid is affecting your confidence, exploring treatment options can help.
Discomfort: If your droopy eyelid is causing discomfort or pain, speaking to a medical professional can help.

Finding the Right Plastic Surgeon Specialist

Choosing the right specialist for treating a droopy eyelid is crucial. Here are some tips to help you find the best professional:

Board-Certified Surgeons: Look for a board-certified FRCS plastic surgeon or oculoplastic surgeon with experience in eyelid surgery.
Check Credentials and Reviews: Verify the plastic surgeon’s credentials and read patient reviews to gauge their expertise and patient satisfaction.
Consultation: Consider booking a consultation to discuss your options.
Draw up a list of questions before the consultation : Ask as many questions as you have. This is your opportunity to understand the procedure and see if the plastic surgoen is a right fit for you.

By following our guidelines, you should make an informed decision to finding the best plastic surgoen to address your droopy eyelid concerns.

To find out if you are suitable for a droopy eyelids treatment get in touch .

How to get rid of droopy eyelids and what we can do about them