Also called ptosis repair. It lifts an upper lid that sits too low, by tightening the muscle that holds the lid up.
What it is
A droopy upper lid usually happens when the muscle that lifts it stretches with age, though some people are born with it. Surgery shortens or reattaches that muscle so the lid sits where it should.
The operation
The cut sits in the natural crease of the lid. Your surgeon adjusts the lifting muscle and checks the height with you sitting up, often with you awake so you can open and close your eyes.
It takes about an hour, usually under local anaesthetic.
What it does not do
It is a different operation from upper eyelid surgery, which removes skin. Some people need both.
Who it can help
It may suit you if lifts an upper lid that sits too low is what you notice most, and you are otherwise well.
- An upper lid that covers part of the pupil
- Lifting your brow or tilting your head to see
- Tired, heavy eyes by the end of the day
- A lid that has dropped after cataract surgery or contact lens wear
A droopy lid that comes and goes, or appears suddenly, needs checking first, because it can point to another condition.
Recovery and risks
Everyone heals at their own pace. This is a typical course, and your consultant will tell you what to expect in your case.
The first two days
Swelling and bruising are at their most noticeable. Rest with your head raised and use cold compresses.
The first week
The lids feel tight or gritty. Stitches, where they are used, come out at about seven days.
Weeks two and three
Bruising fades. Many people are back at work and comfortable being seen.
Three to six months
Scars settle and soften. Your final review is around this time.
Possible risks
Every operation carries some risk. For droopy eyelid surgery these include:
- Dry or irritated eyes, usually temporary
- A small difference between the two sides
- A visible or thickened scar
- Infection or bleeding, which are uncommon
- Very rarely, a change in your vision
Your surgeon will go through the risks that apply to you, and give you written information to take home.
Insurance
Droopy eyelid surgery is sometimes covered when the problem affects your health or your vision. Surgery for appearance alone is not.
Check your cover with your insurer before your consultation, and your surgeon will supply what they need.
Questions patients ask
Will both lids match?
Your surgeon aims to get the lids level, and checks the height during the operation. A small difference can remain, and occasionally a second adjustment is needed.
Am I awake during it?
Usually yes, with the area numbed. Being able to open your eyes helps your surgeon set the height. Sedation is available.
Is it covered by insurance or the NHS?
Often, when the lid affects your vision. Your consultant can arrange a visual field test to support a claim.
Can it happen again?
The muscle can stretch again over many years. Most people do not need a second operation.