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What Happens During Ptosis Repair?

Ptosis repair can be done through an external approach (through the skin) or an internal approach (under the eyelid, avoiding an incision through the skin) to tighten the eyelid lifting muscles. One of the eyelid- lifting muscles is the levator (targeted from the external approach) and the other is Muller's muscle (targeted from the internal approach). Dr. Chen will perform an eye exam to determine how ptosis is affecting your vision and special testing to see which method will achieve the best outcome.

On the day of your procedure, you will receive local anesthesia. Your eyes may also be numbed to make the procedure as comfortable as possible. The procedure involves these steps:

  • You and Dr. Chen will have predetermined the appropriate approach for your situation.
  • The muscles are tightened. The eyelid may also need to be lifted under the eyebrow for the best vision results and excess eyelid skin may need to be removed.
  • The incisions are closed using self-dissolving sutures or adhesives.
  • Topical antibiotic ointments are applied to the eyes.
  • You will return home where you should rest the remainder of the day.

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Preparing for Ptosis Repair

Your medical history will be reviewed to ensure you are healthy enough for this procedure. Dr. Chen will also need to know all of the medications you are currently taking if any, so she can tell you which ones should be suspended prior to your procedure. Here are some general tips to promote a successful procedure:

  • Over-the-counter pain-relieving medications such as ibuprofen should not be taken 2 weeks prior to your surgery.
  • Stop smoking at least 2 weeks before (and after) your surgery.
  • Do not wear makeup the day of your procedure.
  • The night before your procedure, have a light meal and do not eat after midnight.
  • Do not eat anything the morning of your surgery.
  • Have someone drive you home after your appointment.
  • You may want to have someone spend the night with you in case you have any questions or experience any complications.

You will be provided detailed pre-operative instructions in writing by Dr. Chen and her team prior to your procedure.

Recovery from Ptosis Repair

You should expect to take it easy for the first few days after procedure and avoid strenuous activities for at least 10-14 days. During this time, your eyes may be swollen and appear bruised. You will be advised to apply ice for the first week, but especially during the first 48 hours - this will help minimize swelling and discomfort. Use a warm compress after that timeframe. You may also take over-the-counter pain medications if needed.

Dr. Chen and her team will provide you with detailed post-operative instructions in writing.

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Other Tips for Recovery

  • Do not wear eye makeup until your eyes are fully healed.
  • Do not resume smoking as this can slow your healing process and may cause unnecessary complications.
  • Wear sunglasses to protect your eyes when outdoors.
  • Avoid stress as much as possible.
  • Get plenty of rest to promote healing.
  • Do not rub your eyes.

Be patient and allow your eyes to heal! It may take 1-2 weeks for your eyes to fully heal, but most patients are able to return to work and non-strenuous activities within 1 week.

Results from Ptosis Repair

Patients who have ptosis repair are often amazed at how well they can see after their procedure. As a side benefit, lifting the eyelids can also make you appear more alert and even younger. It can truly be a life-changing, confidence-boosting procedure.

Are you ready to improve your field of vision? 

To find out if you are a good candidate for ptosis repair call 704-540-9595 or complete the short form below.

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