Small differences between the eyes are normal. In fact, most people do not have perfectly symmetrical eyes. This asymmetry can range from minor to major. The more severe the asymmetry, the more it will visibly affect your appearance. A drooping upper eyelid on one side can cause cosmetic and functional issues. This is often due to a condition called ptosis. When this is the cause, surgical intervention is necessary. You may wonder: can ptosis surgery correct uneven or asymmetrical eyes?
Can Ptosis Surgery Correct Uneven or Asymmetrical Eyelids?
When ptosis causes your asymmetry, ptosis repair is a highly effective cosmetic solution. It can raise the eyelid and restore a more balanced look. This is especially beneficial when one upper eyelid sits lower than the other because of a weak or stretched levator muscle. The levator muscle lifts and closes your eyelid. The surgeon repositioned the drooping eyelid. It then rests at a height that closely matches the other eye.
Perfect symmetry is not the goal for ptosis repair. In fact, small and natural-looking differences are normal. Eyelid and facial specialists aim for balanced, natural movement. The surgery is not one-size-fits-all. A thorough evaluation of your eyes helps the surgeon create a customized treatment plan that is right for you.
Common Causes of Uneven Eyelids
Eyelid asymmetry can be caused by several different factors. Finding the root cause of your asymmetry is necessary to determine if ptosis surgery is right for you. Below are some of the common causes of uneven eyelids.
Natural Aging
Age-related muscle stretching is a common cause of uneven eyelids. The levator muscle attaches to the eyelid through a thin tendon. Over time, the tendon can stretch or slip from its anchor point. This is the most common type of ptosis in adults. In most cases, one side often loosens faster than the other. This creates noticeable asymmetry between the eyes.
Consistent Strain
Consistent strain on the skin, muscle, and surrounding tissue in the upper eyelids can lead to ptosis. This is often common among contact lens users. Years of pulling the eyelid up to remove and insert contacts can cause stretching. When the tendon is continuously stretched, it can cause drooping. Changes often differ between each eye, which can lead to asymmetry.
Previous Eye Surgery
Certain eye surgeries can weaken the levator attachment. This includes cataract surgery, glaucoma surgery, and other eye surgeries. During surgery, instruments may hold the eye open and place tension on the eyelid. This can lead to asymmetry and changes to the upper eyelid area.
Prior Trauma or Injury
Trauma or injury to the eye can lead to asymmetry. If the injury heals incorrectly, scar tissue can lead to changes in the eye. Additionally, friction and tension can lead to changes to the upper eyelid. This includes things like frequent eye rubbing. Addressing trauma right away with a skilled surgeon is necessary. It is also important to address any eye symptoms, such as itching or redness, directly to avoid unnecessary harm to the eyes.
What to Expect from the Consultation Process
To determine if you are a good candidate for the procedure, a surgeon needs to evaluate your eyes. They will examine your eyes, skin, and surrounding structures to determine whether you are a good candidate for ptosis repair. They will also discuss your cosmetic goals and functional concerns. This will be used to curate a detailed surgical plan if you are a good candidate for ptosis repair.
The consultation involves several measurements. This includes measuring the distance from the center of the pupil to the upper eyelid edge. It involves testing how well the levator muscle lifts each eyelid. The surgeon will lift one eyelid to see if the other one drops. Your eyebrow height and the amount of upper eyelid skin will also be measured and evaluated. The surgeon will test your peripheral vision if insurance coverage is a factor.
Candidates should also be in good overall health and be non-smokers. If you do smoke, let your surgeon know right away. You will need to stop smoking before and after surgery. This is necessary to reduce your risk of complications during and after surgery. Candidates should also have realistic expectations. This helps ensure you are satisfied with the results after surgery. Once it has been determined that you are a good candidate for ptosis surgery, you will be provided with pre-operative instructions to follow.
Ptosis Repair Surgery
The surgery is performed on an outpatient basis so that you can go home the same day. Once you arrive, you will be sedated. Local anesthesia and mild sedation ensure your comfort throughout the procedure. In some cases, general anesthesia is used. This will be discussed at your consultation, so you are prepared on the day of your surgery.
Once you are anesthetized, the surgeon will make incisions. These are strategically placed to reduce any visible scarring after surgery. From there, they will make the necessary adjustments to correct any asymmetry. Once the adjustments are made, the incisions are closed with fine sutures. You will be placed in an observation room for a short period. Once you are cleared, you can go home the same day. You cannot drive home on your own. Be sure to bring a trusted friend or family member with you to drive you home.
Recovering from Ptosis Repair Surgery
The recovery process takes roughly ten to fourteen days. You will notice swelling, bruising, and mild discomfort the first few days after surgery. This is normal and should gradually subside over the next week. Focus on rest and recovery for the first week. Most patients are back to their normal routine within two weeks.
Top Eyelid and Face Specialists
Ptosis can impact the appearance and symmetry of your eyes. If you want to improve the look of your eyes, contact the team at InFocus Ophthalmic Plastic Surgery today to schedule your consultation!