Ptosis Surgery: Types, Preparation and Recovery

Ptosis Surgery
Ptosis Surgery Image

Positioning the drooping eyelids back to their original state is done through Ptosis surgery. Read to find out more about it in this article.


Ptosis surgery is a repairing process that actually changes the position of the eyelids. The height of the eyelids is changed from the position it stays on the surface of the eyes. The drooping condition of the eye is corrected through ptosis surgery.

It is performed for two reasons mainly. The two reasons are elaborated below.


There are many people who want a better appearance to their precious face. It could be because of aging that the eyelids are changing position or a person can have a look from their birth that they want to change. If this is the case and that person decides to go through the surgery then it is called cosmetic ptosis.

Cosmetic surgery is the one that is not necessary at all. It is only done to enhance the beauty.


The functional ptosis is a procedure that is recommended and a necessary surgery. This is not done to enhance beauty, rather to protect your health.

Generally, as we age our body weakens. So does our eyes. Our skins start to fold up. This creates a drooping eyelid. The drooping eyelid can cause difficulty including obstructing the vision. This is when the ptosis surgery is performed and it is called functional ptosis.

Causes that Lead to Ptosis


There are many causes which ultimately leads a person to start considering ptosis surgery. Let us go over some of them here.

Droopy eyelids are the prime reason. But how do eyelids become droopy? There are actually a number of different ways you can get droopy eyelids. It could happen naturally or it could happen due to some activities that you should avoid.

The one reason for dropping that occurs so often in patients is the aging. There is muscle which controls the lifting of your eyelids. This muscle is called levator muscle. With the aging process, the levator muscle weakens and stretches. This results in an eyelid drop.

There is also a chance of eyelid drop due to nerve damage. Nerve damage can occur from an injury or other conditions that affect the brain.

Stroke, tumor, etc. can sometimes damage some nerves that control the movement of the eyelids. This will also result in eye drooping.

High blood pressure is another disease that can lead to a situation where ptosis surgery is necessary. Long term uncontrolled diabetes can damage nerves in a way that will require you to have ptosis.

That is why it is better to get cure from each mentioned illness before they can create other diseases in your body.


Ptosis is characterized by two broad categories or types. Both these types are described here.


The congenital ptosis refers to a person having ptosis due to birth complications. The muscle that is responsible for lifting your eyelids is the levator muscle. In the congenital ptosis, this levator muscle does not develop properly in the womb of the mother.

So, the child is then born with a not so functional levator muscle. And even if it functions, it does not do the expected or required work. It is recommended to treat these diseases as soon as they are identified in children.

If for some reason it is left untreated then eyelid drooping will not be the only problem in hand. It will lead to other eye disorders like lazy eye.

Lazy eye or amblyopia is an eye condition where vision is reduced. And vision cannot be increased with eyeglasses or contact lenses.

Ptosis is not generally performed on children. That is why if congenital is found in children, they are treated with other surgeries to prevent any serious health issues later in their lives.


The acquired ptosis again is of five types. They are discussed below.

Aponeurotic: Due to eye irritation, unnecessary eye rubbing can cause Apo neurotic. But it generally occurs with age because of the overstretched condition of the levator muscle.

Myogenic: Muscle dysfunction is the main reason for this type of acquired ptosis. Diseases like myotonic dystrophy are commonly responsible for this. A sling procedure is a good choice for tackling such a condition.

Mechanical: Excess skin or fat in the eyelids prevent the muscle from coming into effect. That is when mechanic ptosis happens. Surgeries like blepharoplasty could be done to remove the excess weight.

Neurogenic: This condition is generally found because of damage done to the central nervous system. The nerve pathway that controls the movement of the muscle is sometimes blocked or damaged. This will cause neurogenic. There are also indirect causes of neurogenic. Diseases like diabetes and tumors are on top of the list of indirect causes.

Pre-op Duty

Like any other surgeries, it is important that you take good preparation to face the surgery. If you decided to undergo ptosis then here are a few tips to prepare you well for the surgery.

Consult with your doctor and have the important eye exams. It is crucial that you get your eyes evaluated before starting to take any other preparation. The condition of your eyes will tell if you can go further with the preparation or not. Certain eye defects will disallow you to have the surgery.

Alongside with your eyes, it is also recommended that you go through some physical exams. Your overall health also matters in determining if you are a candidate for the surgery or not.

There might be important medications that you need to take before the surgery. Your doctor will, of course, let you know if you should have any sort of medications or drugs. If you are prescribed then make sure that you buy the drugs and take them regularly up until the surgery.

You need to let your surgeon know about your situation. If you are already taking any sort of drugs then let the surgeon know. Ask him or her if you can continue to take those drugs because some drugs can react with drugs of the surgery and cause serious trouble.

Like other eye surgeries, it is highly advised that you stop consuming any sort of alcohol prior to the ptosis surgery. You might wonder what the problem is. Well, you will not realize the problem. At least not until after the surgery. Alcohol will not trouble the surgeon much from doing the surgery. But after the surgery, the chances of side effects will be more and recovery time will be extended.

If you are a smoker then giving up is the only choice you got. You should give up at least one week before the surgery and till you recover fully after the surgery. Smoking has almost similar effects like alcohol. In addition, there could be black spots around the eyes that could last for long time.

There could be restrictions with regards to the food you can take. If there are any, your doctor will let you know. Normally, most eye surgeons advise the patients to drink lots of water before the eye surgery. Whatever the case may be, just follow your doctor’s orders.

Recovering from Surgery

You are most likely to be released the day of the surgery. If not then the very next day. You will need to follow your doctor’s suggestions throughout the recovery process. Along with the doctor’s advice, here are some tips for you.

The first thing that you need to make sure before going into the operation room is a helpful hand. You need to assign somebody who can help you out after the surgery.

In no circumstances are you to do any heavy work. You should stay away from all kinds of physical exhaustion. You should not bend down too often. Try to keep your head still without moving it much in the sideways.

Wear protective glass wears if you go out. Protecting your eyes should be your primary goal. Ultraviolet rays, specks of dust, all are a threat to your eyes. Avoid touching your eyes much. Rubbing and itching are completely unacceptable at this stage.


Ptosis surgery is a good choice for eye drooping patients. With little risk and high success rate, it is worth going for.