- Medically Reviewed by Mr Mfazo Hove Consultant Ophthalmologist
- Author: Chris Dunnington
- Published: April 23, 2025
Ptosis, also known as eyelid drooping, is a condition characterised by the abnormal lowering of one or both upper eyelids. This condition can affect individuals of all ages and varies in severity, from mild drooping to cases where the eyelid obstructs vision. At Blue Fin Vision® Eye Clinic, with locations in London, Chelmsford, and Hatfield, we specialise in diagnosing and treating ptosis of the eyelid. If you’re considering ptosis eye surgery, this guide will provide an overview of the causes, symptoms, and treatment options – helping you make an informed decision about your eye health and appearance.
What Is Ptosis?
Ptosis refers to the drooping of the upper eyelid caused by weakness or dysfunction in the muscles responsible for lifting the eyelid. This condition can occur in one or both eyes and may be congenital (present at birth) or acquired later in life. Ptosis of the eye can range from cosmetic concerns to functional issues that impair vision.
While ptosis is often associated with ageing, it can also result from medical conditions, trauma, or neurological disorders. Regardless of the cause, ptosis treatment aims to restore normal eyelid function and improve both vision and appearance.
Causes: What Leads to Ptosis?
There are several ptosis causes, including:
- Ageing: The most common cause of ptosis is age-related weakening of the levator muscle, which lifts the eyelid.
- Congenital Ptosis: Present at birth due to underdevelopment or dysfunction of the levator muscle.
- Neurological Conditions: Disorders such as Horner’s syndrome or third nerve palsy can affect eyelid movement.
- Trauma: Injury to the eyelid or surrounding structures may lead to ptosis droopy eyelid.
- Medical Conditions: Diseases like myasthenia gravis or muscular dystrophy can weaken the muscles controlling the eyelids.
- Post-Surgical Complications: Ptosis may develop after eye surgeries such as cataract removal.
Identifying the underlying cause is crucial for determining the most effective ptosis procedure.
Symptoms: When Should You Seek Treatment?
Common symptoms of ptosis include:
- Drooping upper eyelids that may affect one or both eyes.
- Obstructed vision, particularly if the eyelid covers part of the pupil.
- Difficulty keeping eyes open, leading to fatigue or strain.
- A tired or asymmetrical appearance due to uneven eyelids.
- Compensatory behaviours, such as tilting the head back or raising eyebrows to improve vision.
If you experience any of these symptoms, consulting with a specialist at Blue Fin Vision® Eye Clinic can help determine whether ptosis surgery is necessary.
Treatment for Ptosis
At Blue Fin Vision®, we offer advanced solutions for ptosis tailored to your individual needs:
Non-Surgical Options
In mild cases, non-surgical treatments such as prescription glasses with a crutch attachment (to lift the eyelid) may provide temporary relief. However, these options are limited in effectiveness for more severe cases.
Surgical Treatment: Ptosis Operation
The most effective treatment for ptosis is oculoplastic surgery aimed at tightening or repositioning the levator muscle responsible for lifting the eyelid:
Levator Muscle Advancement
This procedure involves shortening or tightening the levator muscle to restore normal eyelid position.
Frontalis Sling Surgery
For patients with severe muscle weakness, this technique uses a sling to connect the eyelid to the frontalis muscle (in the forehead), allowing forehead movement to lift the lid.
Combined Techniques
In complex cases, multiple surgical approaches may be combined to achieve optimal results.
The Ptosis Procedure: What to Expect
At Blue Fin Vision®, we ensure every patient receives expert care throughout their journey:
Consultation
Your journey begins with a detailed consultation at our eye clinic in London, Chelmsford, or Hatfield. Our consultant ophthalmic surgeons will assess your concerns, discuss your goals, and explain the risks and benefits of ptosis surgery.
Surgery
Ptosis surgery is typically performed under local anaesthesia with sedation or general anaesthesia depending on complexity and patient preference. The surgeon makes precise adjustments to the levator muscle or applies a sling technique as required. Incisions are carefully placed within natural creases to minimise scarring.
Recovery
Most patients return home on the same day as their surgery. Swelling and bruising are common but usually subside within two weeks. You may experience temporary light sensitivity or mild discomfort – both manageable with prescribed medication.
Ptosis Eye Surgery: Before and After Results
The transformation achieved through ptosis treatment is often dramatic yet natural-looking. Patients frequently report:
- Improved ability to see clearly without obstruction from drooping lids
- A more youthful and symmetrical appearance around the eyes
- Enhanced confidence in their overall look
Before-and-after images highlight how effectively ptosis surgery addresses both cosmetic concerns and functional impairments caused by eyelid drooping.
Risks and Considerations
While ptosis surgery is generally safe, it carries some risks:
- Temporary swelling or bruising
- Dryness or irritation in the eyes
- Rare complications such as infection or scarring
At Blue Fin Vision®, our experienced surgeons use advanced techniques to minimise risks and ensure optimal outcomes. During your consultation, we will discuss any concerns you may have and provide honest advice tailored to your needs.
Why Choose Blue Fin Vision® Eye Clinic?
When it comes to your vision and appearance, choosing an experienced provider is essential. Here’s why Blue Fin Vision® stands out:
- Expert Surgeons: Our consultant ophthalmic surgeons specialise in treating ptosis with precision and care.
- Personalised Care: Every treatment plan is customised to suit your individual anatomy and goals.
- State-of-the-Art Facilities: Our eye clinics in London, Chelmsford, and Hatfield are equipped with cutting-edge technology.
- Proven Results: Our patients consistently achieve outstanding outcomes with natural-looking results.
FAQs
How long does recovery take?
Most patients recover within two weeks but may require up to six weeks for complete healing.
Will there be visible scars?
Incisions are carefully placed within natural creases of the eyelids, making scars virtually invisible once healed.
Is ptosis surgery painful?
Most patients report minimal discomfort during recovery thanks to local anaesthesia and prescribed medication.
Take the Next Step: Book Now
If you’re considering treatment for ptosis in London, Chelmsford, or Hatfield, trust Blue Fin Vision® Eye Clinic for expert care and exceptional results. Our team is dedicated to helping you achieve brighter eyes through personalised treatment plans.
Reclaim your confidence with professional care – contact Blue Fin Vision® today to schedule your consultation at one of our convenient locations.