Evidence Basedcheckmark

Eyelid Ptosis Surgery Internal Approach

The internal approach to ptosis repair may be directed toward the Müller muscle, the tarsus, or the levator aponeurosis. Müller muscle resections are used in patients who have an adequate upper eyelid position and need repair of minimal ptosis (2 mm). In this procedure, the surgeon turns the eyelid inside out and shortens the eyelid muscles from the inside of the eyelid.

Eyelid Ptosis Surgery Internal Approach

Try on Eyelid Ptosis Surgery Internal Approach Solutions

Our 3D Aesthetic Simulator allows you to ‘try on’ cosmetic procedures and instantly visualize possible results from the palm of your hand — anytime, anywhere, for free.

appStore

The Skinny


Average Recovery

6 weeks

Permanence

Temporary

Application

Surgical Procedure

Surgical

Yes

Cost

$2000 - $5500

The Specifics


What is an eyelid ptosis surgery internal approach procedure?

Eyelid ptosis surgery internal approach is a permanent oculoplastic procedure to correct upper eyelid ptosis. Upper eyelid drooping is also known as ptosis or blepharoptosis. This usually occurs in older adults, however, certain medical conditions like Horner Syndrome, eye tumors/disease, myasthenia gravis, and/or nerve palsies may also cause upper eyelid ptosis in younger individuals.

The Anatomy of the Eye

Eye Anatomy Close-Up Photo

Ptosis of the upper eyelid occurs when the levator palpebrae superioris and frontalis muscles are stretched and/or weakened. In an eyelid ptosis surgery internal approach, incisions are made within the upper eyelid crease and the ocularis muscle and levator palpebrae are altered. Correction of a ptosis rejuvenates, restores, and enhances the appearance of the upper eyelid and overall facial aesthetic.

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

  1. Sagging & Hooded Eyelids: Eyelid ptosis surgery internal approach targets the internal eye structures like the orbicularis muscle and levator aponeurosis to correct ptosis (a droopy eyelid or sagging eyelid), and rejuvenate the facial appearance.

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

The ideal candidate for an eyelid ptosis surgery internal approach is an individual with upper eyelid ptosis and adequate levator muscle function. Eyelid Ptosis Surgery Internal Approach is not recommended for patients with severe upper eyelid ptosis, corneal sensitivity, severe dry eye, thyroid disease, Bell’s Palsy, or poor eye muscle function. These individuals have a higher risk of lagophthalmos (difficulty closing the eyelids together).

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

The acute bruising, swelling, discoloration, and tenderness resulting from an eyelid ptosis surgery internal approach around the upper eyelids usually resolves within one to two weeks. Avoid rubbing the eyes or touching the eye area and using contact lenses for a few weeks. Strenuous physical activity should be limited for one to two weeks.

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

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

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

The results of an eyelid ptosis surgery internal approach are immediately noticeable, permanent corrections to the upper eyelid. Patients will experience a toned, tightened, and rejuvenated upper eyelid with improved eyelid positioning and possibly function.

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

An eyelid ptosis surgery internal approach plastic surgery procedure can cost anywhere from $2,000 to $5,500. The actual cost of an eyelid ptosis surgery internal approach is dependent upon location, plastic surgeon, and length and involvement of the plastic surgery.

Pros

Faster procedureLess post-operative swellingLess post-operative lagophthalmo

Cons

Not as effective for patients who have more than 2 mm of ptosis

Invasiveness Score

mildmoderatesevere
1
2
3
4
5
6
7
8
9
10

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

The Takeaway


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

Is this article helpful?

To learn more about our content creation practices, visit our Editorial Process page.

Source List

+

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. Bhupendra C. Patel; Michael J. Lopez; Zachary P. Joos. Anatomy, Head and Neck, Eyelash PubMed.gov; 2020-07-27
text-me-the-app

AEDITOR

‘Try on’ aesthetic procedures and instantly visualize possible results with The AEDITOR, our patented 3D aesthetic simulator.

appStore