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Eyelid Repair (Ptosis)Excess eyelid skin, droopy eyelids or eyelids that curl inward or outward are common problems. They can cause eye discomfort, and even limit vision. Fortunately, such eyelid conditions are correctable by plastic surgery. Eyelid plastic surgery is usually performed by your plastic surgeon or ophthalmologist on an outpatient basis using local anesthesia. Over time, many people develop excess eyelid skin. Eyelid skin is the thinnest skin of the body, so it is more likely to stretch. In the upper eyelid, this stretched skin may limit the field of vision, and may produce a feeling of heaviness and a tired appearance. In the lower eyelid, "bags" form. The excess skin in the upper eyelids can be removed surgically to improve the field of vision and other symptoms. Removal of the excess skin in either the upper or lower eyelids may improve appearance. If any fatty tissue is present, it may be removed at the same time. Ptosis is a drooping upper eye lid that is apparent at birth (congenital) or develops with age (involutional). A child with congenital ptosis will tilt his or her head backward in order to see, so it rarely leads to poor vision. However, children with ptosis should be examined by an ophthalmologist because they can have other associated eye problems. Surgery to correct ptosis is commonly recommended in the preschool years to make it easier for children to see and to improve appearance. The type of surgery varies, depending upon how much the eyelids droop. Involutional ptosis develops with aging. It may worsen after other types of
eye surgery or eyelid swelling. Ptosis may limit the field of vision and
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