Ptosis Repair

If your upper eyelid droops, partially covering the pupil, you may be dealing with a condition called ptosis. Not only does ptosis cause a droopy, sleepy appearance, but it also can reduce vision in those suffering from it. Dr. Amy Kulak, an oculofacial plastic surgeon in the North East Florida area, is dedicated to individualized patient care to help them achieve personalized results while utilizing the most current non-invasive products and technologies for facial rejuvenation.

What is Ptosis Repair?

Ptosis presents as a droopy upper eyelid that ends up partially covering the pupil, often causing the patient a problem with their vision. In most people, gradual stretching of the levator muscle that supports the upper eyelid is what causes ptosis. Ptosis repair surgery is performed by a doctor and is often covered by medical insurance, as it’s deemed medically necessary to improve vision.

There is a lot of confusion between upper blepharoplasty and ptosis repair. Upper blepharoplasty is considered cosmetic surgery as it corrects excess tissue and loose sagging skin on the eyelids.  Unlike upper blepharoplasty, ptosis repair is mostly functional. Ptosis repair is intended to provide an improvement in eyesight, as well as providing a more youthful and vibrant appearance.

How Ptosis Repair is Performed

Each of these three neuromodulators provides similar benefits but do have their differences. Here are some of the differences between the three?

  • Botox – The FDA approved Botox in 2002 for the treatment of forehead wrinkles, Crow’s feet, and other fine lines to the face
  • Dysport – Dysport and Botox work in a similar fashion. Where they differ is the dose size. Dysport’s larger dose size makes it a better option for larger surface areas like the forehead
  • Xeomin – Xeomin is relatively new, being approved by the FDA in 2011. Experts consider Xeomin as the purest injectable, making it a reliable option for those with skin sensitivities

How Ptosis Repair is Performed

There are two ways to perform ptosis repair surgery, internal approach and external approach. The most commonly performed ptosis repair is the external approach, also referred to as levator advancement. Both ptosis repair surgeries take roughly an hour to perform during outpatient surgery, and your doctor can decide which of the surgeries would be better for your individual needs.

External Approach to Ptosis Repair
The external approach is best for patients that have strong levator muscle function. When performing the external approach, the oculoplastic surgeon makes an incision in the eyelid skin and then stitches the levator muscle to the tarsus to reposition the attachment of the levator muscle. This procedure is more appealing cosmetically and allows for better vision, as the eyelid is more elevated.

It is usually performed using general sedation, and the surgeon may ask you to perform certain eye movements during the procedure to determine how wide the eyelid should open.

Internal Approach to Ptosis Repair
The other approach to ptosis repair is the internal approach. With this surgery, the doctor basically shortens the eyelid muscles by turning the eyelid inside out. The Mueller’s muscle or levator muscle is then shortened. This surgery is generally performed under sedation or general anesthesia, depending on what your doctor feels is necessary.

Contact Us for Ptosis Repair

If you are dealing with ptosis and have considered ptosis repair surgery, a consultation with Dr. Amy Kulak is a wonderful idea. Our offices enjoys serving the North East Florida community.  Contact us today at 904-775-5275 or to schedule an appointment for a consultation to see if ptosis repair is right for you.

Oculofacial Plastic Surgeon
Amy Kulak, MD.

What People Are Saying

Michys BraidsMichys Braids
17:47 27 Apr 22
Dr Kulak and her team are the best. Wouldn't want to go anywhere else.
Katherine SanbornKatherine Sanborn
17:27 27 Apr 22
Dr. Kulak did a fabulous job. She repaired a very large gaping hole where my mother’s eyelid wise. Dr. Kulak was able to do so without using a skin graft, which greatly shortened the recovery time. Now, my mother’s eyelid looks virtually the same even though about 75% of it was removed. We are extremely pleased with Dr. Kulak’s professionalism, attention to detail, concern and care. Highly... recommend her more
Kristin SilbermanKristin Silberman
22:42 16 Feb 22
Dr. Kulak is extremely thorough and helped answer all my questions. I felt very comfortable and staff was friendly as well! I will definitely be returning. 🙂
Mark ThompsonMark Thompson
14:25 22 Dec 21
Does a wonderful job. Would recommend Dr. Kulak to anyone that needs this type of procedure.
Connie ChaffinConnie Chaffin
14:32 11 Nov 21
Went to doctor kulak to have surgery on my eyes. Had a significant amount of baggy skin over my eye lids. After being referred to her by doctor Futch in Macclenny and a few visits finally decided to have it done and I am so thankful that I did. Doctor kulak is the best. You can’t even tell I have had surgery. Everyone in her office is supper sweet. Thank you to everyone in doctor kulak’s office... for making this experience an easy one 😊read more