How Eyelid Ptosis is Diagnosed, and Treated
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- Опубліковано 3 жов 2024
- More on ptosis correction: eyelifts.com/p...
For more about Dr. Prasad's training and background, please go to:
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New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. reviews how eyelid ptosis is diagnosed, treated, and what one can expect after ptosis correction surgery:
0:21 - An introduction on the definition of ptosis
1:02 - Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience as an eyelid surgery specialist
1:26 - How Dr. Prasad assesses cases for ptosis; and the difference between congenital and acquired ptosis
1:58 - What eyelid ptosis is
2:11 - How type of ptosis surgery depends on the strength of the levator muscle
2:37 - The difference between dermatochalasis and ptosis, and the importance of properly diagnosing both during consultation
3:39 - Ptosis surgery for acquired ptosis
4:04 - The objectives of ptosis surgery
4:28 - Dr. Prasad discusses the specifics of how ptosis surgery is performed in his practice
5:04 - How 5% of the time, enhancements are needed after ptosis surgery
5:26 - How swelling is a normal part of the post-surgery healing process
5:38 - Helpful methods to employ to help with post-surgery swelling
6:07 - The follow-up process; and how it is possible to return to work in 1 week
6:22 - How healing usually resolves in about 6 months
6:28 - Scenarios in which swelling and healing may take longer
6:39 - How ptosis can significantly impact one’s appearance and vision
6:56 - Dr. Prasad’s recommendation
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Thank you so much for guiding me 😪
You're welcome, chethmi gayeshi! I'm glad you found the video helpful!
Hello Sir I have moderate congenital ptosis in left eye, it affects my appearance but not vision, when I consulted the eye doc in india he advised me to accept it and not to undergo surgery as it will leave scar nd many complications he said its 3mm(without measuring) nd I also have a double crease (line) on that eye(left)
Hi Deeksha Mathrani,
Ptosis surgery can be done without any visible scarring, but I would have to perform a ptosis exam as shown in the video to measure how much your eyelid droops, as well as muscle function before I would make a specific recommendation. Ptosis correction surgery is highly specialized, and few doctors perform it, so your doctor may not have the experience to perform the surgery if he didn't perform a proper ptosis exam. I hope this helps you.
Did you go through surgery?
THIRD NERVE PALSY DUE TO TRAUMA RECENTLY 2 MONTHS BACK
DROOPY EYE LID ND PTOSIS ND NO LEFT SPARING
SO THEY HAD SUGGESTED EYE DROPS ND NEUROKIND TABLET
DOES IT CURE WITH IT OR NEED SURGERY
Hi AKHIL,
I suggest following the advice of your neurologist or neurosurgeon as I do treat eyelid ptosis due to the muscle, but I don't normally treat neurogenic ptosis or third nerve palsy. I hope this helps you.
My Ptosis has been ignored by multiple Optometrist hand I am now experiencing pain in the eyelid of the eye and face muscle strain in my cheek muscle under the same eye from straining to keep my eye opened all day. I hate it this condition effects me daily from headaches to driving to my work performance. My question is should I see a cosmetic surgeon or an ophthalmologist who specializes in Ptosis? I’d really like to get this taken care of ASAP.
Hi Ty Baldwin,
While some ophthalmologists do perform ptosis correction surgery, it is more of a specialty of oculoplastic/ oculofacial plastic surgeons such as myself, who perform cosmetic eyelid surgery, and are also trained as ophthalmologists. General cosmetic or plastic surgeons are not trained to operate on the levator muscle that lifts the upper eyelid, and will only treat the eyelid skin, which will still droop after surgery, and may cause a skin shortage if they focus only on the skin. I hope this clarifies things for you.
They have done all sorts of muscle weakness test to see if I have a muscle disease causing my Ptosis but so far all the test are coming back negative even though I hav a lot of the symptoms my question is can I get a negative test result even if it’s positive n is it ok to hav Ptosis Surgery
Hi Angelina Carraway35,
For proper diagnosis of ptosis, you need to see an ophthalmologist, and perhaps a neuro-ophthalmologist to rule out neurological causes. Only oculoplastic/oculofacial surgeons do ptosis correction surgery, so it is important you see specialists for proper diagnosis and treatment. I hope this clarifies things for you.
Hello doctor thank you so much.it was really helpful as you referred to me this video. According to my parents it was congenital and they said they took me into many hospitals but nobody notices my congenital ptosis because my ptosis can be seen when I see downward only that's why they didn't find out.Now should I do ptosis correction surgery doctor 😊?
Hi Karjen_Doma_Lama,
I would have to diagnose your eyelid ptosis myself before I can definitively recommend treatment for it, especially since I have not seen or examined your eyelids. I hope you understand.
Did you go through ptosis surgery?
Hi doctor 😇 my one lid doesn't fold like the other.... How do i treat it....
Hi Techi Naga,
Sorry to hear about your problem. I have not examined your eyelids to determine whether this is due to compromised connection between your eyelid skin and the muscle, a problem with the muscle that lifts the eyelid, or excess or stretched skin causing hooding, so I can't recommend a treatment without knowing the cause. This needs a proper examination before a treatment is recommended. I hope this helps you.
Sir good day i have a congenital Ptosis and I am 31 years old and affect the sight of my right eye, it its possible that my sight is going to be ok if im undergo a surgery? Thank you sir, im from Philippines
Hi Rovi Perez,
While ptosis surgery can improve sight if the eyelid obscures vision, if your vision has been obscured since early childhood it's a different story. Visual development occurs before age 6, so if your eyelid was blocking vision since early childhood, then lifting the eyelid later in life will not correct improper visual development. I hope this clarifies things for you.
My 9 month baby had ptosis on his right eye since born. Is it possible to be heal without surgery? Thank you doctor
Hi Loe asik gw asik,
Sorry to hear about your problem. Surgery is generally required for congenital eyelid ptosis. I suggest you see a pediatric ophthalmologist for a proper diagnosis, and recommendations for treatment. I hope this helps you.
Hello sir..my daughter is 9 years old..at wht age can I go for surgery...
Hi Ankur Arora,
Sorry to hear about your daughter's problem. I suggest you see a pediatric ophthalmologist first to assess your daughter's vision so the urgency for ptosis surgery can be assessed. If vision is not affected in a child, and the cosmetic issue is not affecting socialization of a child, surgery can be delayed until the child is older with an oculoplastic/ oculofacial surgeon. I hope this helps you.
I'm scared of surgery is there another way?
Hi Kraytas,
There is no other treatment for eyelid ptosis other than surgery. The risks of surgery are reduced by a skilled and experienced surgeon, so look for a good oculoplastic/oculofacial surgeon when considering eyelid ptosis correction. I hope this clarifies things for you.
My eyelid surgery was done in IMO
अच्छा हो गया? यानी अब दोनों आंख एक जैसे दिखते है?
How did it come out
Hello.How many weeks or months till I notice big diffrence in my eyelid. Thanks for your reply
Hi Hussein IDOL kazmi,
It depends on who is performing your surgery, and how it is performed. However, if you watch the video closely, you can see how we evaluate our eyelid ptosis patients while they are still in the operating room, and we will show you the results in the mirror while you are still in the operating table. Temporary swelling can be mostly gone in as little as 10 days for our patients, but most usually diminishes anywhere from 1-3 months, and by 6 months be pretty close to final results, with full surgical healing taking about a year. You can refer to this video about healing after eyelid ptosis surgery - ua-cam.com/video/gbufMchPcoc/v-deo.html
@@AmiyaPrasadMD Thank you so much for your reply, but are their anyways to temporary raise your eyelid? like for a day or week or so?
Hi@@sein9426,
There are drops that may lift the eyelid temporarily, such as for having a picture taken, but you will still need to see doctor about getting a prescription for it. You can try seeing a local ophthalmologist about it. I hope this clarifies things for you.
Did you go through surgery bro?
Plz muje b treatment btaen plz plz
Hi Zayan food & vlogs,
Eyelid ptosis correction surgery, and its results are shown throughout the video. Ptosis correction surgery is the only treatment for eyelid ptosis due to a stretched, or detached muscle that lifts the eyelid. I hope this clarifies things for you.
@@AmiyaPrasadMD surgury k ilawa koi treatment nai ha
Hi@@zayan738,
Surgery is the only treatment, unless eyelid ptosis is neurological. You can refer to this video about the neurological causes of ptosis -
ua-cam.com/video/cLiYHLLPb1g/v-deo.html
Apka contact number ha koi main apko apni eyes ki pics send krti ap btadaen k kya tosis hi ha ya koi or masla ha
Hi@@zayan738,
Sorry, but to diagnose your condition, I need to perform an examination like what's shown in the video. Pictures alone can't determine if drooping eyelids are caused by a muscle issue, or is neurological. I hope this clarifies things for you.
Sir only 25% ptosis in left eye how can i do fine this sir???
Hi KIDS CLASS👈👍
I don't quite understand what you're asking, but it's especially important to have eyelid ptosis treated if it is affecting your vision. You can watch the video closely to see how we treat eyelid ptosis. I hope this clarifies things for you.
@@AmiyaPrasadMD how to contact with U sir i want to show You my photo!
Hi@@kidsclass4087,
As shown in the video, muscle function also needs to evaluated when diagnosing eyelid ptosis, so a photo alone is not enough for a proper diagnosis. I hope this clarifies things for you.
Do you still do surgery
Hi Jianguo li,
Yes, our offices have been open for the past 3 weeks, and I have been performing surgery regularly.
My grand daughter 4 months old has severe ptosis. At what age is surgery suggested and at what age.
Hi krishnan hema,
Sorry to hear about your granddaughter's problem. Generally, this should be corrected before age 5 so it does not affect visual development. I suggest you see a pediatric ophthalmologist for a proper examination and specific recommendations. I hope this helps you.
@@AmiyaPrasadMD thank you
You're welcome, @@hemakrishnan962!
Sir ,,, I have both ptosis and squint in my left eye, so can both be cured by surgery?
Hi Dikesh singh Dikesh singh,
Eyelid ptosis can be treated by surgery, but strabismus needs a proper diagnosis first before surgery can be considered for treatment. I hope this clarifies things for you.
Sir plz suggest me a doctor in Pakistan (Karachi)
Hi Fixa Xain,
Sorry, I am not familiar with doctors in Pakistan. You can seek out an oculofacial/oculoplastic surgeon in your area who performs eyelid ptosis correction. If you can't find one, you can consult with a local ophthalmologist for guidance. I hope this helps you.
Hello my name is Clara I just want to ask how can we say that you have a moderate congenital ptosis?
Thank you and God bless
Hi Clara May Gacu,
A ptosis exam can be performed by an oculoplastic/oculofacial surgeon who are also trained ophthalmologists like myself, or an ophthalmologist. A proper physical exam is really the only way to diagnose and classify your ptosis. I hope this helps you.
Sir ,,,, where are you from ?, does surgery of ptosis take care of you?
Hi Dikesh singh Dikesh singh,
Yes, I do perform eyelid ptosis surgery, with my work shown in the video. Our offices are in the USA, located in New York City which you can call at (212) 265-8877, Garden City, Long Island at (516) 742-4636, or Vienna, Virginia at (703) 356-1446. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Sir my 4month baby suffering same problem with his right side eye. Can he do the surgery now. And what may the reason of this my 6year boy has same problem both eyes.
Hi Zahi Zooni,
Sorry to hear about your boys. It is likely congenital ptosis, which is improper development of the muscle that lifts the eyelid called the levator muscle. I suggest you see a pediatric ophthalmologist, especially for your 6-year-old, as your 4-month-old has more time to address this when he is older. For your 6-year-old, it should be addressed as soon as possible because depending on severity, it can affect visual development. I hope this helps you.
@@AmiyaPrasadMD thank u sir
Sir iam staying in u a e. I want to send a hotos of my boys to you. How i can??
Photos
Can ptosis cause double vision or slow focusing in one eye?
Hi Andron Brown,
Double vision is not associated with eyelid ptosis. If you do have double vision, you should see a neurologist for a proper diagnosis. I hope this helps you.
Sir mera bhi nhi eye lid Wala potisis Wala problem hai sir please solutions
Hi vinay sevaiye2,
I'm not sure what you are asking because I don't understand your language, but the options for the treatment of eyelid ptosis are shown in the video. I hope this helps you.
Hi I am Praveen I have ptosis in both eyes what I do or not I want diagnose but my fianceial condition not good so what I do I am very depress and I think everything is finish I my life I feel alone 😭 I don't know what I do 😭 I m from jaipur (Rajasthan)
Hi Praveen,
Sorry to hear about your problem. You will have to see a local oculoplastic surgeon, or perhaps an ophthalmologist to see what can be done for you as I don't practice medicine in India. I hope this helps you.
Hi Dr. Prasad.. please help me. I had a double blepharoplasty in january and it barely healed in between May & June. I had a revision for upper blepharo bout 5 days ago.. now once i was out the OT my eyes were bigger and prettier however my right eye had a different shape than the left one.. now still swelling the right looks smaller and most people are telling me it looks smaller 😩💔 it is somewhat more swollen than the left one but im so worried. How do i know if its ptosis? Its driving me crazy cause its my revision! Dr. Incase it is ptosis can i get a 3rd surgery for my smaller eye? Any advice? Please help 🥺
Hi @Jomood,
I would have to perform a proper ptosis evaluation before I can determine the issue. Eyelid ptosis correction surgery treats a different anatomical feature than double eyelid surgery, so it may be possible to have ptosis correction if swelling has resolved from your previous surgery. I would have to perform an examination on your eyelids before I can give you a proper second opinion. I hope this helps you.
Dr Prasad, can upper blep patients get ptosis from double eyelid surgery?
Hi,
It is highly unlikely, but keep in mind that eyelid ptosis is caused by weakening, stretching, or detachment of the levator muscle that lifts the eyelid. While eyelid ptosis isn't likely caused by surgery, you need to make sure there is no injury to eyelid muscle from stretching or friction (eye rubbing, hard contact lens use, etc.) I hope this clarifies things for you.
Amiya Prasad, M.D. thank you dr. Because I see some patients looking like they have some ptosis but maybe it’s just looking like that because their eyes are still recovering from upper blep surgery.
Hi,
Yes, temporary swelling after upper eyelid surgery can obscure the eyes.
Amiya Prasad, M.D. Thank you. :)
My 4 year son has congenital ptosis in left eye what age is suited for surgery
Hi MEENU CHOUDHARY,
Depending on the severity and the drooping eyelid obscuring the pupil, it is important to have congenital ptosis treated before age 5 to ensure proper visual development. I suggest you consult a local pediatric ophthalmologist about it for a proper evaluation, and recommendation for treatment. I hope this helps you.
How much is the cost sir? By the way I'm from Philippines.
Hi Liuserie Mogello,
We don’t have set costs for surgery as each patient has different needs, and some surgeries are more extensive than others. You can contact our offices or our websites for a price range. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
@@AmiyaPrasadMD Soon when I have already money hope I can able to go in your place for the ptosis surgery sir.
Hope to see you sometime,@@liuseriemogello3633!
Excuse me for the spanish taping mistakes.