Surgical Correction for Drooping Eyelids (Ptosis)
Ptosis is a medical condition in which the upper eyelid droops. If the droop is severe, it can cover the pupil, restricting or blocking the normal field of vision. Eyelid surgery (blepharoptosis repair) is performed to elevate the lid, restore the visual field, and improve facial symmetry.
At Utsav Eye Clinic, we utilize advanced techniques and the best bio-compatible materials to ensure excellent functional and cosmetic results.
Surgical Techniques for Ptosis
The choice of procedure depends on the strength of the eyelid's primary lifting muscle, the levator muscle:
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1.
Levator Resection (Shortening):
If the levator muscle still has moderate strength, the surgeon makes a small incision in the eyelid crease (to hide the scar), shortens the muscle to tighten it, and secures it with dissolvable sutures. This raises the lid naturally.
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2.
Frontalis Sling (Brow Suspension):
If the levator muscle is extremely weak (as in severe congenital ptosis), a sling procedure is performed. The eyelid is connected to the forehead (frontalis) muscle using a microscopic sling. When the patient raises their eyebrows, the eyelid lifts. At Utsav Eye Clinic, we use the highest-quality silicone sling materials (e.g. BD) to ensure durability and reduce tissue reaction.
What to Expect & Recovery
- Anesthesia: Adults are operated under local anesthesia (awake but comfortable). Children require general anesthesia, which involves strict fasting guidelines beforehand.
- Daycare Procedure: Patients return home the same day. Bruising and swelling of the upper lid are normal and typically fade in 7 to 10 days.
- Aftercare: Antibiotic and lubricating drops/ointments are prescribed for 1 to 3 weeks. It may take several weeks to see the final symmetrical result.
- Risks: Main risks include mild asymmetry, under-correction (needing a minor adjustment), or temporary difficulty closing the eye completely, which is managed with hydrating drops until it resolves.
For more details on childhood ptosis, please check our Congenital Ptosis & Drooping Lids Guide.
Frequently Asked Questions (FAQ)
What is ptosis (drooping eyelid)?
Ptosis is the drooping of one or both upper eyelids. It can be congenital (present at birth due to poorly developed levator muscles) or acquired (occurring later in life due to aging, muscle weakness, nerve damage, or trauma).
When is ptosis surgery necessary?
Ptosis surgery is necessary if the drooping eyelid blocks the pupil and impairs vision. In children, prompt surgery is critical to prevent lazy eye (amblyopia). For adults, it is also performed to improve visual field block and cosmetic appearance.
How is ptosis surgery performed?
Ptosis surgery involves tightening the levator muscle that lifts the eyelid. For patients with very weak muscles, a sling operation (frontalis suspension) is performed using the forehead muscles to help lift the eyelid.
Where is specialized ptosis surgery performed in Navi Mumbai?
Expert ptosis surgeries for children and adults are performed by pediatric ophthalmologist and oculoplastic specialist Dr. Anand Kumar at Utsav Eye Clinic in Kharghar, Navi Mumbai.
MBBS, MS (Ophthalmology), Fellowship in Pediatric Ophthalmology & Strabismus (USA). Chief Surgeon & Director at Utsav Eye Clinic.
Utsav Eye Clinic in Kharghar Sector 21 is easily accessible to patients across Navi Mumbai, including Belapur, Panvel, Vashi, Nerul, and Kamothe.