Ptosis, often described as a “droopy eyelid”, is a common condition that can affect people of all ages. For some, it is simply a cosmetic concern. For others, it can interfere with daily tasks such as reading or driving, leading to fatigue or heaviness around the eyes.
Ptosis surgery is one of the most effective ways to restore eyelid height and improve both function and appearance. Still, many patients understandably have questions before deciding whether it is right for them.
We break down five of the most frequently asked questions about ptosis surgery.
Q1: What causes ptosis?
Ptosis occurs when the muscle responsible for lifting the eyelid becomes stretched, weakened, or detached. Ageing is a common factor, but ptosis can also be linked to long-term contact lens wear, habitual eyelid rubbing, previous eye surgery, trauma, or nerve-related conditions.
Some individuals are born with ptosis due to developmental issues affecting the lifting muscle (levator muscle).
Q2: How do I know if I need ptosis surgery?
Surgery may be recommended if the drooping eyelid is affecting your vision, causing eye strain, or contributing to a tired or asymmetrical appearance.
During assessment, your surgeon will measure eyelid height, evaluate muscle strength, assess brow compensation, and rule out any underlying causes before recommending treatment. Speak to us if you would like to have your condition evaluated.
Q3: What happens during ptosis surgery?
The surgery aims to tighten, reposition, or reattach the eyelid-lifting muscle.
There are two main approaches:
- External approach: Performed from the skin surface to access and adjust the muscle.
- Internal (conjunctival) approach: Performed from the underside of the lid, often used for mild to moderate ptosis.
Most cases are done under local anaesthesia with light sedation. The procedure is tailored to restore eyelid height, symmetry, and contour.
Q4: What is the recovery for ptosis surgery like?
Swelling and mild bruising are expected for one to two weeks. Many patients resume desk-based work within a few days.
Your eyelid height and shape will continue to settle over several weeks as the tissues heal and the final contour forms.
Q5: Will my eyes look natural after ptosis surgery?
A natural appearance is always the aim. An experienced oculoplastic surgeon will consider your eyelid crease, brow position, skin quality, and facial proportions to achieve a balanced, harmonious result that still looks like you.
Conclusion
Ptosis surgery is a precise and highly individualised procedure that can enhance both vision and eyelid aesthetics. Understanding what the surgery involves — and what results you can expect — helps you make a confident and informed decision.
If you are noticing heaviness, asymmetry, or difficulty keeping your eyes open, an assessment may help you explore whether ptosis correction is suitable for you. Speak to our team at Eagle Aesthetics and Surgery to consult our oculoplastic surgeons, who can then assess your condition, medical suitability, and the best approach for you.
Speak to us to know more.
Dr Stephanie Young is an oculoplastic surgeon practising at Eagle Aesthetics & Surgery, Singapore, with clinical expertise in eyelid and ptosis surgery, orbital and lacrimal conditions, as well as aesthetic procedures involving the periocular region.
Her practice focuses on achieving natural, balanced outcomes through a combination of reconstructive techniques and aesthetic approaches.
