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Eyelid ptosis

Op. Dr. Halil Işık, Göztepe Prof. Dr. Süleyman Yalçın City Hospital, Kadıköy.

Medical content: Op. Dr. Halil Işık · Last updated: 6 October 2026

Ptosis is drooping of the upper eyelid due to levator muscle or aponeurosis weakness, not only extra skin. It can be congenital or acquired and may block the visual field.

Who it may be for

Adults with acquired involutional ptosis and children with congenital ptosis are evaluated differently. Myasthenia and neurological causes must be considered. Excess skin alone is blepharoplasty, not ptosis repair.

How the procedure is performed

Levator advancement, Müller muscle procedures or frontalis sling are chosen according to muscle function. Surgery is often under local anaesthesia in adults.

Recovery

Swelling, lagophthalmos (incomplete closure) and asymmetry in the early period are common. Lubrication protects the cornea. Height is judged after swelling falls.

Risks and consultation

Under- or over-correction, asymmetry, dry eye, exposure keratopathy and revision are known. Height cannot be promised to the millimetre.

Frequently asked questions

Is this the same as eyelid aesthetics?
They overlap but are not identical. Ptosis repair restores lid height; blepharoplasty addresses skin and fat.
Will both eyes be done?
If both lids are low, bilateral surgery may be planned. Hering’s law can unmask contralateral ptosis after one side is lifted.
Can children have surgery?
Congenital ptosis is timed according to amblyopia risk and muscle function. Paediatric assessment is required.
How long until I see the height?
Early swelling misleads. A fair judgement is made after weeks, not days.

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This content is educational and does not replace a medical examination. Results vary. No outcome can be guaranteed.