ophthalmology-la-peer-healthPtosis is the drooping of the upper eyelid, which can result in a reduction in the field of vision when the eyelid obstructs the pupil. The drooping is the result of reduced muscle tone in the eye muscles.

When lower eyelids droop outward and away from the eye, this is known as ectropion. When ectropion occurs, your eyelids may no longer be able to protect the eye. This results in irritated and dry eyes. In the case of eyelids turning inward, the lashes are forced into the eye also causing irritation and damage.

Patients suffering from ptosis can have trouble keeping their eyes open and compensate by arching their eyebrows or straining their eye muscles to see. Drooping lower eyelids can prevent tear drainage, resulting in excessive tearing. In severe cases, children suffering from ptosis can develop lazy eye or abnormalities of the head and neck due to constant leaning back to see.

Ptosis can do any of the following:

  • Effect one or both eyelids
  • Be present at birth
  • Occur later in life
  • Appear asymmetrical


Causes of ptosis can occur over shorter or longer amounts of time. When the tendon that attaches the levator muscle, which lifts the eyelid, starts to stretch it can cause the eyelid to fall. Ptosis can be caused by:

  • Age related weakness
  • Congenital weakness
  • Trauma
  • Neurologic disease
  • As a result of eye surgery


Your Los Angeles oculoplastic surgeon will determine the cause of the ptosis and plan the best treatment.  If treatment is necessary, it is usually surgical. Sometimes a small tuck-in, the lifting muscle, and removal of excess eyelid skin or a blepharoplasty can raise the lid sufficiently.

More severe ptosis requires reattachment and strengthening of the levator muscle. This restores it to its normal position. It is very important that children with ptosis have annual ophthalmic visits to monitor their vision and prevent severe vision loss.

At La Peer Health Systems, the goal is to elevate the eyelid to permit a full field of vision and to achieve symmetry with the opposite upper eyelid. Our oculoplastic surgeons perform this surgery on an outpatient basis, which allows our patients to recovery easily with the help of antibiotics and ointment in the weeks following the procedure.


When a patient is seeking treatment for ptosis, it’s very important to visit a fellowship-trained oculoplastic surgeon in Los Angeles due to their extensive background and training of the eyes and orbit.

If you’d like to learn more about the various surgical procedures offered by a cosmetic surgeon at La Peer Health Systems in Los Angeles, please contact us today to schedule your initial meeting with a surgeon. Our physicians are experts in their fields and will address any question or concern that you may have pertaining to your cosmetic or reconstructive eyelid surgery.

Next, read about Retina Surgery.