thank you for your question! you’re asking about what’s causing yourdrooping eyelid and you stated in your question that you’ve learned a lot about ptosis butyou are also asking about whether or not this could be possibly allergy related. and you submitted a photo to help me guideyou. just a little bit of background, i’m a boardcertified cosmetic surgeon and fellowship trained oculofacial plastic and reconstructivesurgeon. as an oculofacial plastic surgeon and in practiceover 20 years in manhattan and long island, i have focused almost exclusively on cosmeticand reconstructive issues of the area of the
eyelids and face as well as complex revisionsurgeries and the many different artistic ways to approach enhancing eyes. so this is a type of issue that i deal within my practice every day. i think that it’s very good that you havepursued knowledge in this area and you’re familiar with the term ptosis. but to help guide someone like yourself whocomes to my office, i also want you to learn a little bit of about definitions and howit applies and how it would be relevant to your situation. first, one of the things that i help peopleunderstand is that a drooping eyelid can be
caused by something called dermatochalasiswhich means excess skin or redundant skin. and that is what i think is more consistentto what it appears to be the case in your right upper eyelid where it looks like theskin is hooded over and approaching the eyelash. now that is to be distinguished from a termcalled ptosis. ptosis describes the relative position, whichmeans of course ptosis meaning low, to the eyelid margin relative to the pupil. and so, when you look at your eyes, it lookslike the eyelid margin relative to the pupil is pretty symmetric. but what you are dealing with is an asymmetryin the relative hooding of your eyes.
now there are a variety of reasons for thistype of situation. sometimes when the skin is asymmetric justfrom relative stretching of the skin whether the shape of the orbit is a little bit differentand the orbit being the bones around the eyes, as well as the relative amount of fat aroundthe eyes, it is very common to have this situation. now as far as doing something surgical isconcerned, i can tell you that being in practice for over 20 years, i have operated on manypeople your age who had exactly this issue. and the reason that’s the case is that essentially,if your goal is to achieve a certain amount of symmetry, you have a couple of options. one approach would be to add volume on theleft upper eyelid in the sub brow area to
try to make it look more full and match theright eye, or a subtractive procedure where you take fat from the right eye, and somefrom the left to create better symmetry. i don’t think you have to adhere to a ruleof delaying surgery if surgery is the best solution. there was a time when it was justifiable todelay surgery because people would not want to go under general anesthesia and put themselvesunder additional physical stress and go through hospitalization. could be possibly allergy related. and yousubmitted a photo to help me guide you. trained oculofacial plastic and reconstructivesurgeon. as an oculofacial plastic surgeon
and in practice over 20 years in manhattanand long island, i have focused almost exclusively on cosmetic and reconstructive issues of thearea of the eyelids and face as well as complex revision surgeries and the many differentartistic ways to approach enhancing eyes. so this is a type of issue that i deal within my practice every day. i think that it’s very good that you have pursued knowledgein this area and you’re familiar with the term ptosis. but to help guide someone likeyourself who comes to my office, i also want you to learn a little bit of about definitionsand how it applies and how it would be relevant to your situation. now that is to be distinguished from a termcalled ptosis. ptosis describes the relative
position, which means of course ptosis meaninglow, to the eyelid margin relative to the pupil. and so, when you look at your eyes,it looks like the eyelid margin relative to the pupil is pretty symmetric. but what youare dealing with is an asymmetry in the relative hooding of your eyes. now there are a variety of reasons for thistype of situation. sometimes when the skin is asymmetric just from relative stretchingof the skin whether the shape of the orbit is a little bit different and the orbit beingthe bones around the eyes, as well as the relative amount of fat around the eyes, itis very common to have this situation. of symmetry, you have a couple of options.one approach would be to add volume on the
left upper eyelid in the sub brow area totry to make it look more full and match the right eye, or a subtractive procedure whereyou take fat from the right eye, and some from the left to create better symmetry. idon’t think you have to adhere to a rule of delaying surgery if surgery is the bestsolution. there was a time when it was justifiable to delay surgery because people would notwant to go under general anesthesia and put themselves under additional physical stressand go through hospitalization. in my practice, we do everything under localanesthesia with lite™ sedation, including eyelid surgery, facelifts, cheek implantsand even body procedures like liposuction, breast augmentation. that means that you don’thave to go under general anesthesia. we use
a small intravenous to give you a little liquidequivalent to liquid valium. i think the terminology is important to understand,but practically speaking, you need to meet with a doctor who has a lot of experiencewith eyelid surgery to help you understand your option. sometimes, eyelid surgery isoversimplified, so people have it done, then regret it - as a specialist, i do a lot ofrevision surgery, so i often see this scenario. i spend a lot of time with patients and tryto help them understand what their options are, then help them make an informed decision.surgery and fillers may be options for you. some type of balance is also possible betweenthose options, but ultimately a proper examination and consultation is necessary to get a 3-dimensionalsense of what is appropriate. i hope that
was helpful, i wish you the best of luck,and thank you for your question!
eyelids and face as well as complex revisionsurgeries and the many different artistic ways to approach enhancing eyes. so this is a type of issue that i deal within my practice every day. i think that it’s very good that you havepursued knowledge in this area and you’re familiar with the term ptosis. but to help guide someone like yourself whocomes to my office, i also want you to learn a little bit of about definitions and howit applies and how it would be relevant to your situation. first, one of the things that i help peopleunderstand is that a drooping eyelid can be
caused by something called dermatochalasiswhich means excess skin or redundant skin. and that is what i think is more consistentto what it appears to be the case in your right upper eyelid where it looks like theskin is hooded over and approaching the eyelash. now that is to be distinguished from a termcalled ptosis. ptosis describes the relative position, whichmeans of course ptosis meaning low, to the eyelid margin relative to the pupil. and so, when you look at your eyes, it lookslike the eyelid margin relative to the pupil is pretty symmetric. but what you are dealing with is an asymmetryin the relative hooding of your eyes.
now there are a variety of reasons for thistype of situation. sometimes when the skin is asymmetric justfrom relative stretching of the skin whether the shape of the orbit is a little bit differentand the orbit being the bones around the eyes, as well as the relative amount of fat aroundthe eyes, it is very common to have this situation. now as far as doing something surgical isconcerned, i can tell you that being in practice for over 20 years, i have operated on manypeople your age who had exactly this issue. and the reason that’s the case is that essentially,if your goal is to achieve a certain amount of symmetry, you have a couple of options. one approach would be to add volume on theleft upper eyelid in the sub brow area to
try to make it look more full and match theright eye, or a subtractive procedure where you take fat from the right eye, and somefrom the left to create better symmetry. i don’t think you have to adhere to a ruleof delaying surgery if surgery is the best solution. there was a time when it was justifiable todelay surgery because people would not want to go under general anesthesia and put themselvesunder additional physical stress and go through hospitalization. could be possibly allergy related. and yousubmitted a photo to help me guide you. trained oculofacial plastic and reconstructivesurgeon. as an oculofacial plastic surgeon
and in practice over 20 years in manhattanand long island, i have focused almost exclusively on cosmetic and reconstructive issues of thearea of the eyelids and face as well as complex revision surgeries and the many differentartistic ways to approach enhancing eyes. so this is a type of issue that i deal within my practice every day. i think that it’s very good that you have pursued knowledgein this area and you’re familiar with the term ptosis. but to help guide someone likeyourself who comes to my office, i also want you to learn a little bit of about definitionsand how it applies and how it would be relevant to your situation. now that is to be distinguished from a termcalled ptosis. ptosis describes the relative
position, which means of course ptosis meaninglow, to the eyelid margin relative to the pupil. and so, when you look at your eyes,it looks like the eyelid margin relative to the pupil is pretty symmetric. but what youare dealing with is an asymmetry in the relative hooding of your eyes. now there are a variety of reasons for thistype of situation. sometimes when the skin is asymmetric just from relative stretchingof the skin whether the shape of the orbit is a little bit different and the orbit beingthe bones around the eyes, as well as the relative amount of fat around the eyes, itis very common to have this situation. of symmetry, you have a couple of options.one approach would be to add volume on the
left upper eyelid in the sub brow area totry to make it look more full and match the right eye, or a subtractive procedure whereyou take fat from the right eye, and some from the left to create better symmetry. idon’t think you have to adhere to a rule of delaying surgery if surgery is the bestsolution. there was a time when it was justifiable to delay surgery because people would notwant to go under general anesthesia and put themselves under additional physical stressand go through hospitalization. in my practice, we do everything under localanesthesia with lite™ sedation, including eyelid surgery, facelifts, cheek implantsand even body procedures like liposuction, breast augmentation. that means that you don’thave to go under general anesthesia. we use
a small intravenous to give you a little liquidequivalent to liquid valium. i think the terminology is important to understand,but practically speaking, you need to meet with a doctor who has a lot of experiencewith eyelid surgery to help you understand your option. sometimes, eyelid surgery isoversimplified, so people have it done, then regret it - as a specialist, i do a lot ofrevision surgery, so i often see this scenario. i spend a lot of time with patients and tryto help them understand what their options are, then help them make an informed decision.surgery and fillers may be options for you. some type of balance is also possible betweenthose options, but ultimately a proper examination and consultation is necessary to get a 3-dimensionalsense of what is appropriate. i hope that
was helpful, i wish you the best of luck,and thank you for your question!
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