Ptosis is actually caused by a weak levator muscle. The function of the levator muscle is to raise the eyelid. Muscular ptosis can occur in early childhood or adulthood.
Ptosis which occurs in early childhood is usually due to a weak levator muscle. If the Ptosis affects the child’s vision, early correction is necessary. In some cases the ptosis will actually keep a child from walking well because the child must lift the chin in order to see. If the ptosis is not that severe, ptosis repair is usually delayed until the child is more cooperative, between 4 and 6 years of age. Mild ptosis in childhood can worsen as the person ages, requiring surgical repair in young adulthood.
Muscular ptosis can also be acquired later in life as the muscle weakness. In some cases, muscular ptosis is associated with other muscular or neurologic problems.
AFTER SURGERY
After surgery, the operated eyelid will be stiffer than normal. When you go to sleep and your facial muscles relax, your eyelid will tend to open slightly. In general, the weaker the lifting muscle was before surgery the more stiffness will be produced by surgery. However it is necessary to use lubricating ointment and/ or drops to prevent dryness. In most people these lubricants will be needed for a few weeks after surgery.
Ptosis surgery is an operation to tighten the muscle that lifts your upper eyelid. As you get older, the levator muscle that lifts your upper eyelid stretch and weakness, causing your eyelid to sag. If you have a sagging eyelid that is interfering with your vision, ptosis surgery can be an effective treatment. Ptosis surgery can also be performed to make you look younger if one of your eyelid has begun to sag or there is a difference in the height of your eyelids.The position of your eyelid should improve and your face should look younger. If your eyelid is interfering with your vision, your vision should improve. Ptosis surgery is the only effective way to tighten the levator muscle. Ptosis props, fitted to glasses, can keep your eyelid lifting up, but ptosis props can be awkward to wear and do not treat the problem.
The operation usually takes 45 to 90 minutes, depending on weather the operation involves both of your upper eyelids. Your surgeon will usually make a cut on the natural skin creams of your eyelid. They will place stitches in the levator muscle to strengthen its attachment to your eyelid and to adjust the height of your eyelid. Ptosis surgery involves lifting your eyelid to improve its position and improve your vision. You should consider the options carefully and have realistic expectations about the results.

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