Ptosis correction

Ptosis correction is a surgical procedure designed to treat ptosis, a condition characterized by drooping of the upper eyelid due to weakened or dysfunctional eyelid muscles. The procedure restores normal eyelid function and improves both the aesthetic appearance and vision.

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Purpose of Ptosis Correction

1. Functional Improvement:

   • Corrects vision obstruction caused by drooping eyelids.

2. Aesthetic Enhancement:

   • Improves the symmetry and appearance of the eyes for a more alert, youthful look.

3. Address Congenital or Acquired Ptosis:

   • Treats both inherited (present at birth) and acquired (developed over time) ptosis.

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Causes of Ptosis

• Congenital Ptosis: Weakness in the levator muscle from birth.
• Aging (Involutional Ptosis): Muscle or tendon stretching over time.
• Trauma or Injury: Damage to the eyelid or surrounding structures.
• Neurological Conditions: Affecting the nerves controlling eyelid movement (e.g., myasthenia gravis, Horner’s syndrome).

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Types of Ptosis Correction Surgery

1. Levator Resection or Advancement:

   • Tightens or repositions the levator muscle to lift the eyelid.

2. Müller’s Muscle Resection:

   • Shortens Müller’s muscle for mild ptosis correction, often performed internally.

3. Frontalis Sling:

   • Uses a sling to connect the eyelid to the forehead muscles, allowing the forehead to lift the eyelid. Commonly used for severe or congenital ptosis.

4. External Eyelid Surgery:

   • For acquired ptosis due to age or trauma, involving direct adjustments to the levator muscle.

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Procedure Overview

1. Consultation:

• Comprehensive eye examination and discussion of medical history.
• Tests to determine the degree of ptosis and muscle function.

2. Preparation:

• Avoid smoking and certain medications prior to surgery.
• Follow pre-operative instructions regarding food, drink, and hygiene.

3. During Surgery:

• Performed under local anesthesia with sedation or general anesthesia.
• The surgeon makes precise adjustments to the levator muscle or other related structures.
• Incisions are strategically placed to minimize visible scarring.

4. Duration:

• Surgery typically takes 1-2 hours.

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Recovery Process

1. Immediate Recovery:

   • Mild swelling, bruising, and discomfort are common for the first few days.
   • Blurred vision or dryness may occur temporarily.

2. Activity Restrictions:

   • Avoid strenuous activities, bending over, or heavy lifting for at least two weeks.
   • Use prescribed eye drops or ointments as directed.

3. Healing Timeline:

   • Most swelling subsides within 1-2 weeks.
   • Full results are visible after 4-6 weeks.

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Benefits of Ptosis Correction

• Restores normal vision by lifting the drooping eyelid.
• Improves eye symmetry and overall facial appearance.
• Provides long-lasting functional and aesthetic results.

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Risks and Complications

• Scarring: Minimal with proper surgical techniques.
• Dryness or Irritation: Temporary dryness or incomplete eyelid closure may occur.
• Overcorrection/Undercorrection: May require revision surgery in rare cases.
• Infection or Bleeding: Rare with appropriate care.
• Asymmetry: Minor differences in eyelid height are possible.

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Ideal Candidates

• Individuals experiencing drooping eyelids affecting vision or appearance.
• People in good overall health without conditions that impair healing.
• Children or adults with congenital or acquired ptosis.

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Post-Surgical Care

• Use cold compresses to minimize swelling and bruising.
• Avoid rubbing or touching the eyes.
• Protect the eyes from direct sunlight and follow up with the surgeon as advised.