What is Ptosis?
Ptosis is a fairly common condition in which one or both of your upper eyelids droop so that the eyelid margin sags, crowding or even covering the pupil. The drooping can be to a small extent, or it can be substantial so that the eyelid actually inhibits your vision. It can even cause you to tilt your head back in order to see better. In fact, if the drooping eyelid significantly interferes with your vision, your medical insurance will probably accept the claim for your surgery.
If you believe you have Ptosis, you may benefit from Ptosis Repair in St. Louis with Dr. John Holds, one of America’s “Top Docs.” Dr. Holds has written and published extensively on the topic of “Ptosis Repair” and is a noted authority on the problem.
You may have been born with Ptosis and lived with the condition for a long time, or it may have developed more recently as a part of the aging process or because of an injury. Either way, Ptosis Repair surgery may be the answer for you.
Ptosis Repair Consultation
When you arrive at our office, you will need to provide a medical history. We need to know about any major illnesses or problems you have had, such as heart disease, hypertension, prior surgeries (especially facial surgery), etc.
We also need to know your medication history, including medications or supplements that thin the blood. All over-the-counter pain/fever reducers (except Tylenol) and non-steroidal anti-inflammatory drugs (NSAID) are off limits for a week before eyelid surgery, as are herbal medications such as ginkgo biloba, St. John’s Wort, fish oil, flax seed oil, and vitamin E.
Dr. Holds will ask you what bothers you about your eyelids, and he will discuss how these changes in your eyelids may relate to changes in other parts of your face. Eyebrow position is particularly important in upper eyelid surgery. He will discuss your surgical goals, talk about what is attainable, and create a plan to accomplish it. A mutual understanding of the goals, expectations, and outcomes is essential to a great result!
An examination is then performed to look for any eye conditions such as a dry eye. This could limit or alter the surgical plan and be a possible post-operative concern. As a board-certified ophthalmologist (eye surgeon), as well as an ophthalmic plastic surgeon, Dr. Holds is attuned to eye diseases and concerns. Some of the best facial and cosmetic surgeons in the area regularly refer patients to Dr. Holds because of his expertise and ability to operate safely on patients who are at higher risk for complications.
Ptosis Repair Procedure
Ptosis Repair is generally a straightforward surgical procedure that is performed on an outpatient basis. A local anesthetic is generally sufficient, although you may opt for sedation in order to feel relaxed during the procedure.
Dr. Holds and his associates at Ophthalmic Plastic and Cosmetic Surgery, Inc. in St. Louis have extensive experience performing Ptosis Repair surgeries and always take great care to make sure that your eyes are as symmetrical as possible after your procedure.
The surgery involves a small incision in the crease of your upper eyelid (where scarring is hidden after the healing process), and the muscle of the lid – called the levator muscle – is tightened and reattached, lifting the eyelid so that it no longer droops. The incision is closed with sutures that will dissolve or with sutures that are removed after 7-10 days.
If your upper eyelid also has excess tissue, one of the types of Blepharoplasty may be recommended along with your Ptosis Repair to remove the excess tissue and give you the best possible cosmetic and visual result. If your brows are too low as well, Dr. Holds may discuss a Brow Lift with you, which can be done at the same time as your Ptosis Repair procedure.
Recovery from Ptosis Repair
You will be given ice packs and an antibiotic ointment for a few days after your procedure, and Dr. Holds will advise you about pain medications that you can take if you need them. Artificial tears are generally used for the first few weeks, as dryness sometimes occurs after surgery.
Discomfort is usually minimal with some minor swelling, bruising, tightening, and/or numbness of the eyelids. These symptoms will last 1-3 weeks, and complete healing takes 1-3 months depending upon the patient.
After Ptosis Repair surgery, most people take 3-7 days off before returning to work unless their job is physically taxing, in which case they may need to take more time off. If you normally wear contact lenses, you can wear them again about two weeks after your procedure. Wearers of rigid gas-permeable contact lenses present a special situation after Ptosis surgery, and usually a DMV plunger must be used to remove the lenses for a few months after surgery. Rarely, these lenses must be refit after surgery or cannot be worn anymore.
Ptosis Repair Before and After
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