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Whether performed in conjunction with cosmetic eye surgery or as an isolated surgical procedure, ptosis correction in Asian eyes poses an added challenge because of the impact of surgery on the presence, position, and shape of the eyelid crease.
In a patient with preexisting well-defined upper eyelid creases, most standard operative techniques for ptosis repair may be employed with little or no modification.
In a patient with creaseless "single" eyelids or with weakly-defined but creased "double" eyelids, some standard operative techniques may inadvertently introduce unacceptable asymmetry. This is especially true when ptosis is present on only one eye.
Young woman with ptosis
The upper lid is drooping low even though the brow has been pulled high by the patient to try to see better.
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During surgery through a skin approach, a well-defined tear in the tendon of the eyelid opening muscle was identified and repaired. To view a photo of the tear, click here (Caution: Actual surgery photo).
The following guidelines may be especially helpful in approaching ptosis in the young adult Asian eyelid . . .
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