What’s causing my drooping eyelid at a Younger Age?

Common Causes of Eyelid Hooding at a Younger Age, and Surgical and Non-Surgical Treatment Options

Question:

I’ve read a lot about ptosis, but I’m wondering if there’s any way this may be allergy-related. It is worse ( as in photo) when my allergies are bad. Also bad in the morning, is there any non-surgical way to at least improve it? I’m only 30 and would rather put off any procedures until they are both looking a little saggy. My father’s side of the family gets a hooded eye (kind of different than my current problem) as they age, and I suspect I will want to get them both done eventually.

Answer:

Thank you for your question. You are asking about what causing your own drooping eyelid and you stated in your question that you’ve learned a lot about ptosis, But you’re also asking about whether or not this could be possibly allergy related and you have submitted a photo to help me guide you.

So just a little bit of background. I’m a board certified cosmetic surgeon and fellow ship trained oculofacial plastic and reconstructive surgeon. As an oculofacial plastic surgeon and a practice for over 20 years in Manhattan and long island, I have focused almost exclusively on cosmetic and reconstructive issues of the already eyelids and face as well as complex revision surgeries, and many of different artistic ways to approach enhancing eye.

So this is a type of issue that I deal with my practice every day, so I think that it’s very good that you have pursued knowledge in this area and you’re familiar with the term ptosis. But to help guide someone like yourself who comes to my office I also want to help you learn a little bit about definitions, and how it applies and why how It would be relevant to your situation.

So one of the first things I help people to understand is a drooping eyelid can be caused by something called “dermatochalasis” which means excess skin or redundant skin and that is what I think is more consistent with what appears to be the case on your right upper eyelid where it looks like the skin is hooded over and approaching the eyelash. Now that is to be distinguished from a term called ptosis.

Ptosis is the description, describes the relative position which means, of course ptosis meaning low to the eyelid margin relative to the pupil and so when you look at your eyes it looks like the eyelid margin relative to the pupil is pretty symmetric but what you do, what you’re dealing with is an asymmetry and the relative hooding of your eyes.

Now there are a variety of reasons for this type of situation. Sometimes when the skin is asymmetric just from relative stretching of the skin, whether the shape of the orbit is a little bit different the orbit being the bones around the eye as well as the relative amount of fat, around the eyes it’s very common to have this purpose situation.

Now as far as doing something surgical is concerned I can tell that in practice for over 20 years we have a droopers and many people your age who had exactly this issue and the reason that that’s the case is that essentially if your goal is to achieve a certain amount of symmetry, well you have a couple of different options.

One approach would be to add volume on the left upper eyelid in the suburb brow area to try to make it look more full to match the right eye or to do a subtractive procedure you take away extra skin and fat on the right eye as well as some of the left eye to create better symmetry.

So I don’t think you have to necessarily adhere to a rule of delaying surgery if surgery is the best solution. There was a time where in surgery would, it was more justifiable to delay surgery because people would not want to go under general anesthesia and put themselves under additional physical stress and go to the hospitalization.

In my practice we do everything under local anesthesia with like sedation, this includes eyelids and face-lift she complains and even body procedures like liposuction, breast augmentation, we do under local anesthesia with lite sedation, that means you don’t have to go under general anesthesia we put it a small intravenous and just give you a little liquid to lite liquid value.

So I think that you the terminology is important to understand, But practically speaking you need to meet with a doctor who has a lot of experience with eyelid surgery to help you understand what your options are. It is sometimes eyelid surgery is over simplified and people will do something and regret having done it.

As a specialist, they do a lot of revision surgery and I’ve seen that scenario, so I spend a lot of my time with my patient and try to help them understand what their options are and then help them make a an informed decision. So as I said surgery may be an option for you, fillers may be an option for you, maybe some type of balance is also possible between those two options, But ultimately you a prober examination and consultation is necessary to get a real three-dimensional sense of what is appropriate. So I hope that was helpful. I wish you the best of luck. Thank you for your question.

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