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by Artisan

Fix droopy eyelids

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Ptosis, also commonly known as droopy eyelids in Singapore, occurs when the upper eyelids droop or sag over the eyes.

It is a condition that occurs frequently in older people as their skin, ligaments, and muscles begin to sag, however, it can also occur in others due to trauma, medical conditions, or a congenital/birth defect.  

Ptosis can sometimes resolve on its own but most of the time, require surgical intervention to be corrected. There are two main reasons why someone would undergo surgical correction for ptosis, these are:

  • Medical reasons: ptosis may cause your eyelid to droop low into your eye, causing complete or partially obstructed vision. 
  • Cosmetic reasons: sometimes ptosis can make you feel uncomfortable with how you look and feel. 
What causes ptosis?

Ptosis is mainly caused by weakened or damaged levator muscles—the muscles which hold the eyelid up

This weakening or damage can be caused by the following factors:

  • Ageing: as we age, our muscles, ligaments, and skin lose their tautness and start to relax. This causes the eyelid to droop and sag.
  • Congenital: some children are born with ptosis due to lack of development of the nerves that control the levator muscle or lack of development of the levator muscle itself.
  • Trauma/injury: external force can damage the levator muscle causing the eyelid to droop.
  • Medical conditions: some medical conditions such as stroke, diabetes, brain aneurysm, Horner’s syndrome, etc. can cause ptosis.

What are the common symptoms of ptosis in Singapore?

Symptoms of ptosis include:

  • Droopy or saggy eyelid of one or both eyes
  • Tilting head back to see things
  • Frequent eye strain
  • Eyebrow ache
  • Eye fatigue when reading
  • Tired appearance
  • Vision obstruction (partially/complete)
  • Squinting
  • Double vision
  • Difficulty keeping eyes open

In Singapore, ptosis is often ignored or misdiagnosed as something that comes hand in hand with old age. While this may be true for some people, ptosis can be a sign of something more sinister and may even worsen with time. Thankfully, ptosis in Singapore is considered to be a necessary medical surgery and hence, is Medisave and insurance claimable. 

Is ptosis painful?

In general, ptosis is not painful, but it can lead to other painful problems such as headaches, eye strain, and eye fatigue. 

Who is at risk of ptosis in Singapore?

Individuals with the following factors have a higher risk of developing ptosis:

  • Males: men are more likely than women to develop ptosis as they age.
  • Age: older individuals are at higher risk of developing ptosis due to weakened ligaments, muscles, and skin.
  • Contact lenses: individuals who frequently wear contact lenses or rub their eyes are at higher risk of developing ptosis. These habits tend to overstretch the muscles, ligaments, and skin of the eyes causing them to sag/droop eventually.
  • Eye surgery: individuals who have had previous eye surgery are also at a higher risk because the instruments used during surgery tend to overstretch the eyelids causing them to sag/droop.

How is ptosis diagnosed?

Ptosis is diagnosed and categorised using marginal reflex distance:

Marginal reflex distance
  • Used to determine the severity of ptosis in the eyes
  • Distance between the upper eyelid and the center of the cornea

What are the treatment options available for ptosis in Singapore?

Ptosis in Singapore is treated using corrective surgery or medically known as a blepharoplasty. This procedure works by strengthening the levator muscles and may also involve removing excess fat and skin that may cause the eyelid to droop. There are two main techniques of a blepharoplasty, these are:

  • Suture technique: suitable for individuals with mild ptosis
  • Incision technique: suitable for individuals with moderate to severe ptosis

A blepharoplasty is minimally invasive and is performed as an outpatient procedure under local anaesthesia. This means you will not have to stay overnight at the hospital and will be able to return home on the same day. 

Benefits of ptosis surgery

  • Minimally invasive
  • Quick procedure
  • Improved vision
  • Eyes no longer appear puffy and tired
  • Well-defined eye contour
  • Refreshed and youthful appearance

Every patient’s journey is unique.

So every procedure is tailored to the person's specific needs allowing them to feel as comfortable as possible during the whole process. The details and the suitability of every procedure for a given individual could only be determined at the time of the consultation.

All surgical procedures have some degree of risk. The procedure should be carried in a safe environment and in an accredited clinic. Minor complications that do not affect the outcome could occur occasionally. Major complications are rare.

who is a candidate

for Ptosis

  • Droopy or saggy eyelid of one or both eyes
  • Tilting head back to see things
  • Frequent eye strain
  • Eyebrow ache
  • Eye fatigue when reading
  • Tired appearance
  • Vision obstruction (partially/complete)
  • Squinting
  • Double vision
  • Difficulty keeping eyes open

What to expect?

for Ptosis

  • At the hands of a skilled surgeon like Dr Andrew Cheah at Artisan Plastic, a blepharoplasty results in no visible scars, improved vision, alleviated eye strains and headaches, and best of all, leaves you looking refreshed and alert.
Frequently asked questions

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