Congenital Eyelid Ptosis or drooping eyelid Congenital Eyelid Ptosis (drooping of upper eyelid). Patient photographs before and after surgery.

Upper eyelids need to protect the eye yet get out of the way for vision. Explore plastic surgery for the eyelid for both reconstructive and cosmetic (blepharoplasty) problems.

Michael Bermant, MD
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Upper eyelid ptosis and plastic surgery correction of the drooping eyelid
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Congenital Eyelid Ptosis in a 26 year old black male.
(Drooping of upper eyelid)

This 26 year old male was born with inability to open both eyes very well. The difficulty was bad enough to warrant surgery at the age of 9 on only the right lid. He came to Dr. Bermant complaining of:

  • "lazy" drooping eyelids obstructing his vision
  • difficulty at work keeping both his eyes open
  • constantly looking tired all the time
  • having to tilt his head back to see
  • problem worsening over the years
black male with drooping upper eyelids
black male after surgery for congenital eyelid deformity

Photograph Before Surgery

Photograph 6 Weeks After Surgery

Looking up obstructs the pupils - this patient could not see looking up before surgery.

before surgery picture of a black male with congenital ptosis
after surgery picture for congenital eyelid ptosis or drooping

Picture Before Surgery
Looking Up

Picture 6 Weeks After Surgery
Looking Up

You can see his scar from his earlier surgery on the before surgery photos. The crease on the right eyelid was placed too high by the other surgeon.

before surgery image of black male with droopy eyel id
after surgery image black male with congenital ptotic eyelids

Image Before Surgery
Looking Down

Image 6 Weeks After Surgery
Looking Down

This patient's reconstruction included:

  • Shortening of the levator muscle of 18mm on the left.
  • Shortening of the levator muscle 24mm on the right.
  • Adjustment of right eyelid crease to a more natural position.

    The surgery was done under local anesthesia with sedation as an outpatient. Sedation and local anesthesia permit cooperation during the operation to adjust the eyelid muscles with a greater degree of accuracy.

    This patient's measurements Right Left
    Preoperative Ptosis 4mm 3mm
    Levator Function Preop 5mm 7mm
    After Surgery no Ptosis 0mm 0mm
    Levator Function Postop 10mm 12mm

eyelid ptosis for ptotic lazy eyelidseyelid ptosis congenital ptotic lazy eyelids

Other topics of interest:

Ptosis of the eyelid (dropping of the upper eyelid).
Upper eyelid ptosis and drooping eyelid.
Ptosis classification 
Muscle function and dysfunction in drooping eyelid problems.
Upper eyelid ptosis with frontalis muscle compensation.
Measuring eyelid function in eyelid ptosis.
Testing levator muscle for drooping eyelid
Congenital eyelid ptosis reconstructive surgery options. 
Recurrent congenital eyelid ptosis in a 26 year old black male.
Frontalis muscle compensation in drooping eyelid
Ptosis associated with paralyzed eyebrow muscle.
brow ptosis creating droopy eyelid
Ptosis associated with Blepharophimosis (congenital eyelid deformity).
eyelid ptosis
Blepharoplasty (Cosmetic surgery of the eyes)

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Facelift / Neck lift (rhytidectomy)

Eyelid surgery in Richmond Virginia

Ptosis of the eyelid (drooping of the upper eyelid)

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Recurrent ectropion after multiple cancer resections and then skin cancer excision with Mohs' chemosurgery and full thickness skin grafts.

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This page last updated on: April 21, 2012

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