Ptosis Repair

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 BACKGROUND

Ptosis, or drooping of the upper eyelid, is caused by the gradual stretching or weakening of the muscles that raise the upper eyelid.  In some cases,  ptosis is congenital, where children are born with weakened eyelid muscles.  The most common form of ptosis occurs with natural aging and creates a tired appearance.  Ptosis repair is intended to provide a more youthful, vibrant appearance, and importantly to expand one’s field of vision.  Some patients with ptosis also have excess skin and fat in the upper eyelid, which is often corrected at the same time as ptosis surgery.  This procedure is referred to as blepharoplasty.

THE SURGERY

Surgery is performed in an outpatient setting.   During surgery, patients are commonly given an intravenous sedative and local anesthesia to the operative area.  This ensures comfort during the entire procedure.   During  the procedure, Dr. Baylin will need brief cooperation from the patient to ensure proper tightening of the eyelid muscles.  On average the procedure lasts about an hour.

WHAT TO EXPECT AFTER SURGERY

Recovery from surgery will involve swelling, bruising and mild discomfort.  Some oozing or bleeding from the incision site is common and usually occurs intermittently during the first two days after surgery.   If bleeding is persistent, very gentle pressure with guaze for a couple of minutes will usually stop this.   You will receive detailed instructions for aftercare, which will include icing, ointment to the stitches and non-strenuous activity.  It is important to sleep on your back for 2 weeks, and refrain from rubbing the eyes.  Showering is OK the day following surgery, but you should keep your back to the shower.  Eye makeup and contacts should not be worn for 2 weeks following surgery.   If the eyes feel dry or irritated, you can instill artificial tear drops or ophthalmic ointment to soothe them.   You can expect the most significant swelling and bruising in the first 48 hours and then gradual improvement over the next two weeks.  Subtle swelling can last for several weeks.

Specific instructions for post-operative care will be provided and explained at the time of surgery.  As always, please call with any concerns or questions that are not addressed in your materials.