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Eyelid Ptosis Surgery External Approach

External levator advancement surgery is most commonly used when levator function is normal and the upper eyelid crease is high. In this setting, the levator muscle itself is normal, but the levator aponeurosis is stretched or disinserted, thus requiring advancement. The levator aponeurosis is approached from the outside of the eyelid through the upper eyelid crease while simultaneously removing excess eyelid skin.

Eyelid Ptosis Surgery External Approach

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The Skinny


Average Recovery

6 weeks

Permanence

Temporary

Application

Surgical Procedure

Surgical

Yes

Cost

$2000 - $5500

Before & After Images by Provider

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The Specifics


What is an eyelid ptosis surgery external approach?

Eyelid ptosis surgery external approach is a permanent, surgical oculoplastic procedure targeting upper eyelid ptosis. Upper eyelid drooping is referred to as eyelid ptosis or blepharoptosis. This most commonly occurs in adults, although certain medical conditions such as Horner Syndrome, eye tumors, eye disease, myasthenia gravis, or nerve palsies may also cause upper eyelid ptosis.

The Anatomy of the Eye

Eye Anatomy Close-Up Photo

Ptosis of the upper eyelid is caused by weakening or stretching of the levator palpebrae superioris and frontalis muscles. In an eyelid ptosis surgery external approach procedure incisions are made on the outside of the upper eyelid and excess skin can be simultaneously removed. Correction of ptosis will rejuvenate, restore, and enhance the appearance of the upper eyelid and eye.

What cosmetic concerns does an eyelid ptosis surgery external approach procedure treat?

  1. Sagging & Hooded Eyelids: Eyelid ptosis surgery external approach targets both the internal eye structure and the upper eyelid skin to correct a droopy eyelid or sagging eyelid, and rejuvenate facial aesthetic.

Who is the ideal candidate for an eyelid ptosis surgery external approach procedure?

The ideal candidates for an eyelid ptosis surgery external approach are those with upper eyelid ptosis with strong levator muscle function. Eyelid ptosis surgery external approach is not recommended for patients with severe ptosis, corneal sensitivity, severe dry eye, thyroid disease, Bell’s Palsy, or poor eye muscle function. These individuals are more at risk for lagophthalmos (inability to close the eyelids completely).

What is the average recovery associated with an eyelid ptosis surgery external approach procedure?

Most acute bruising, swelling, discoloration, and tenderness from an eyelid ptosis surgery external approach seen around the upper eyelids resolves with one to two weeks. Avoiding rubbing the eyes or touching the eye area and using contact lenses is recommended for a few weeks. Strenuous activity should be limited for two to three weeks.

What are the potential side effects of an eyelid ptosis surgery external approach procedure?

Potential side effects of an eyelid ptosis surgery external approach include prolonged bruising or swelling, double vision, undesirable correction of the ptosis, eyelid asymmetry or malpositioning, foreign body sensation, and development of severe dry eye.

What can someone expect from the results of an eyelid ptosis surgery external approach procedure?

The results of an eyelid ptosis surgery external approach are immediately noticeable and permanent enhancements to the upper eyelid. Patients will see the upper eyelid toned, tightened, and rejuvenated with improved positioning and possible function.

What is the average cost of an eyelid ptosis surgery external approach procedure?


An eyelid ptosis surgery external approach plastic surgery procedure can cost anywhere from $200 to $5,500. The actual cost of an eyelid ptosis surgery external approach is dependent upon location, plastic surgeon, and length and involvement of the plastic surgery.

Pros

Ability to control the skin crease

Cons

More swellingPotential scar

Invasiveness Score

mildmoderatesevere
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Invasiveness is graded based on factors such as anesthesia practices, incisions, and recovery notes common to this procedure.

The Takeaway


An eyelid ptosis surgery external approach is a surgical ptosis repair producing permanent enhancements to the upper eyelid appearance and eyelid position. Most patients recover within two to three weeks, and are comfortable in public after two weeks.

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Source List

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AEDIT uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

  1. Dailey RA, Wobig JL. Eyelid Anatomy PubMed; 1982-12-01
  2. Harry S Hwang The effect of "single" vs "double" eyelids on the perceived attractiveness of Chinese women PubMed.gov; 2014-03-03
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