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What is Droopy Eyelids (Ptosis)?

Droopy eyelids / eyelid ptosis refers to the upper eyelid of one or both eyes dropping to a lower position. Ptosis can present in childhood or as an acquired condition in later life. This may partly obscure the vision and / or pose a cosmetic concern. Gradual onset ptosis is frequently associated with age-related skin changes or long-term gas permeable contact lens wear. Sudden onset ptosis is more likely associated with a neurological event and therefore requires urgent medical attention to ascertain the cause.

Droopy Eyelids (Ptosis) Symptoms

What are the Symptoms?

  • Obscured vision
  • Cosmetic concern
  • Eyestrain
  • Dry eye
  • Secondary headache from postural adjustments

What are the Causes?

The skin of the eyelids and surrounding orbit will naturally lose elasticity with time as levels of collagen and elastin decline. At the same time, the suborbicularis oculi fat or SOOF which sits in pads on the surface of the fascia increases in size to add weight and ‘puffiness’ to the lower eyelids.

Causes
Causes

What are the Causes?

The skin of the eyelids and surrounding orbit will naturally lose elasticity with time as levels of collagen and elastin decline. At the same time, the suborbicularis oculi fat or SOOF which sits in pads on the surface of the fascia increases in size to add weight and ‘puffiness’ to the lower eyelids.

Droopy Eyelids (Ptosis) Diagnosis

What is the Diagnosis?

Age-related, non-pathological ptosis can be corrected with a minor surgical procedure and is typically coupled with an upper eyelid blepharoplasty to give a good cosmetic outcome. Under local anaesthesia, the muscle responsible (levator) can be shortened and reattached to restore the top eyelid to its original position.

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