A Guide To Understanding Ptosis Repair and Blepharoplasty

Ptosis, a condition where the upper eyelid droops over the eye, can affect vision and appearance. For some, it may occur naturally with age, while others might experience it due to trauma or medical conditions. In Singapore, ptosis surgery and blepharoplasty are increasingly sought after for both functional and cosmetic reasons. These surgeries are performed by specialised eyelid plastic surgeons and are often crucial for enhancing both eye health and appearance. This article explores the differences between ptosis repair and blepharoplasty, why someone might need them, and what to expect from the procedures.

 

What is Ptosis Repair?

Ptosis refers to the drooping of the upper eyelid. In more severe cases, it can obstruct vision, making it difficult for individuals to keep their eyes fully open. The causes of ptosis vary and include:

  • Ageing: As people grow older, the muscles responsible for lifting the eyelid may develop wear and tear changes, and become stretched and weakened.
  • Contact lens wear: A small percentage of contact lens wearers develop ptosis due to disturbance to the eyelid lifting muscle.
  • Neurological conditions which include cranial nerve palsy and myasthenia gravis.
  • Injury or trauma: Damage to the eyelid muscles or nerves may result in ptosis.
  • Congenital factors: Some individuals are born with ptosis due to underdeveloped eyelid muscles.

Ptosis repair surgery is designed to correct the drooping by tightening or strengthening the levator muscles (the muscles responsible for lifting the eyelid). In some cases, a tendon or muscle from another part of the body or a synthetic product may be used to support the eyelid function.

This surgery not only improves vision but also enhances the aesthetic appearance of the eye. It is therefore often mistaken for pure cosmetic surgery where surgery is undertaken for the sole improvement of appearance. In Singapore, patients can find experienced eyelid plastic surgeons (oculoplastic surgeons) who specialise in ptosis repair to restore their vision and facial symmetry.

 

What is Blepharoplasty?

Blepharoplasty, commonly referred to as eyelid surgery in Singapore, involves the removal of excess skin, muscle and/or fat from the upper or lower eyelids. Fat may also be repositioned, rather than removed. Unlike ptosis surgery, which primarily addresses functional issues, blepharoplasty is performed for cosmetic reasons. However, in cases where excessive drooping skin obstructs vision, blepharoplasty can be considered a functional procedure as well.

There are two types of blepharoplasty:

1. Upper Blepharoplasty: Focuses on the upper eyelids. It is used to remove excess skin and fat that may be causing drooping or puffiness.

2. Lower Blepharoplasty: Targets the lower eyelids, addressing issues such as eyebags, sagging, puffiness, or wrinkles under the eyes.

While these surgeries may seem similar, it’s important to note the key difference: ptosis surgery corrects muscle dysfunction, whereas blepharoplasty removes excess tissue for both functional and aesthetic improvements.

 

Who Needs Ptosis Repair or Blepharoplasty?

There are several reasons why individuals may opt for eyelid surgery, whether it’s ptosis repair or blepharoplasty:

1. Vision Obstruction: Drooping eyelids that obstruct vision can be a significant issue, especially for reading, driving, or performing daily tasks. If your eyelids interfere with your line of sight, you may benefit from ptosis surgery or upper blepharoplasty.

2. Aesthetic Concerns: Many people choose blepharoplasty to enhance their appearance. The eyes are often one of the first areas of the face to show signs of aging, and loose skin, puffiness, or drooping can make an individual look tired or older than they are.

3. Medical Conditions: Ptosis can also be due to trauma or neurological conditions. If ptosis develops due to a medical condition, ptosis surgery can help restore proper eyelid function and improve the patient’s quality of life.

4. Congenital Ptosis: Some individuals are born with ptosis, which can lead to lazy eye or amblyopia if severe. Early intervention, such as ptosis surgery, can help prevent this.

 

The Ptosis and Blepharoplasty Procedures

Both ptosis repair and blepharoplasty require the expertise of an experienced oculoplastic surgeon or eyelid plastic surgeon. The surgical process differs slightly depending on the condition being treated:

1. Ptosis Repair Procedure: During ptosis surgery, the surgeon focuses on tightening the muscles that lift the eyelid. In some cases, they may use additional tissue to support the eyelid’s function. The surgery typically lasts 1 to 2 plus hours, depending on the eyelid condition.

2. Blepharoplasty Procedure: During blepharoplasty, the surgeon removes excess skin, muscle, and/or fat from the upper or lower eyelids. If both upper and lower blepharoplasty are required, the surgery will take longer. Depending on the individual’s goals, the surgeon will make incisions along the natural creases of the eyelid, minimising scarring.

Both surgeries are performed under local anaesthesia with sedation. General anaesthesia is not recommended, especially for upper lid surgery, as intra-operative assessment is crucial for a good result. Recovery typically takes 1-2 weeks, during which swelling and bruising will gradually subside.

 

Recovery and Post-Operative Care

After undergoing ptosis repair or blepharoplasty, patients can expect some degree of swelling, bruising, and discomfort around the eyes. However, these symptoms typically subside within a week or two. Your eyelid plastic surgeon will provide you with detailed post-operative care instructions, which may include:

  • Keeping the head elevated to reduce swelling
  • Applying cold compresses to minimise bruising
  • Using prescribed eye drops or ointment to prevent infection
  • Avoiding strenuous activities or heavy lifting for at least two weeks
  • Attending follow-up appointments to monitor healing progress

It’s important to follow your surgeon’s advice closely to ensure a smooth recovery and optimal results.

 

Risks and Complications

As with any surgery, ptosis repair and blepharoplasty come with potential risks. These may include:

  • Infection
  • Scarring
  • Temporary blurred vision or dry eyes
  • Over- or under-correction of the eyelid position

Working with an experienced oculoplastic or eyelid plastic surgeon can minimise the risk of complications and ensure the best possible outcome.

 

Ptosis Repair, Blepharoplasty, and Cataract Surgery

Ptosis may be diagnosed with other age-related eye conditions, such as cataracts. Cataracts occur when the lens of the eye becomes cloudy, leading to impaired vision. There is no causative link between the two. But because age is a common factor, they are often seen together. If a patient is diagnosed with both ptosis and cataracts, they may require both ptosis repair and cataract surgery in Singapore. In this situation, it is best to undergo cataract surgery first as this surgery may be associated with a risk of eyelid droop.

 

Choosing the Right Surgeon

Selecting a qualified and experienced oculoplastic surgeon is crucial for achieving optimal results. Look for surgeons who specialise in eyelid surgery and have a strong track record of successful outcomes. Consultation with a surgeon can help you determine which procedure is right for you, whether you need ptosis repair, blepharoplasty, or both.

 

Conclusion

Both ptosis repair and blepharoplasty offer solutions for individuals struggling with drooping eyelids, whether for functional or aesthetic reasons. By consulting with a skilled eyelid plastic surgeon, you can explore your options and decide on the best course of action for your needs. If you’re considering these procedures, Ava Eye Clinic provides expert care in ptosis surgery, eyelid surgery, and more, ensuring you receive the highest standard of treatment.

For more information or to book a consultation, visit Ava Eye Clinic today.