Patients who are bothered by droopy or baggy eyelids should be evaluated by a board certified ophthalmologist. During your appointment, your eyelid function will be assessed and measured. A simple visual field test can be performed to determine whether visual field loss has occurred. Facial photos may also be taken. If the cause of your symptoms is thought to be medical, lab tests or special x-rays may be obtained, but this testing is often not required.
Treatment
During your visit, your doctor will establish whether your symptoms are due to excess eyelid skin or brow descent. If the main problem is excess skin, a blepharoplasty may be performed that removed excess skin and fat from the upper or lower eyelids. If the problem is eyebrow descent, the brow can be lifted surgically by removing a flap of skin from above the eyebrow (direct brow lift). Alternatively, the brow can be lifted with BOTOX® injections. BOTOX® can also be used cosmetically to reduce facial lines. If your eyelids are droopy, but there is no excess skin or brow descent, you likely have ptosis. There are many causes of ptosis, but the most common is age-related slippage of the muscle that lifts the eyelid. This muscle attachment can be strengthened with a levator advancement procedure, and the eyelids can usually be lifted to improve visual function and appearance. If your lower eyelids are loose, causing them to turn in or out, a lateral tarsal strip procedure can be performed to tighten them and reduce chronic irritation and tearing.
Most eyelid conditions are correctable with surgery, and many patients enjoy improved function and appearance after their procedure.
Blepharoplasty
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