In the simplest terms, our upper eyelids function very much like a window shade. If the window shade is pulled halfway down, the room is only half-lit. When our upper eyelid’s resting position is hanging lower than natural, the world can appear to be a darker place. This condition, commonly referred to as ptosis, results when the natural attachments (i.e. the tarsolevator aponeurosis) that hold the upper eyelid in position have loosened, causing the upper eyelid to fall and obstruct vision. Ptosis can be apparent from birth, may be the result of age or may be caused by excess surgical scarring.
Correction of ptosis, a tarsolevator advancement, involves a highly specialized procedure during which the natural muscles and tendons of the upper eyelid are tightened. The procedure can be and often is performed through a blepharoplasty or cosmetic eye procedure. It is very effective not only for restoring the resting position of the eye, but also in allowing the visual field to open up. If the ptosis is advanced, insurance carriers often cover the procedure. Ptosis correction requires a general anesthetic and recovery can last 1 to 2 weeks. After the procedure, your eyes can temporarily become dry, and special lubricants may be required to keep the eye moist.
Correction of ptosis is very successful and the treatment can be performed on both adults and children with cosmetic, congenital or traumatic deformities. Dr. Pacella will work closely with you to determine if a ptosis procedure is right for you.