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Richard W. Westreich M.D. FACS

Facial Plastic, Reconstructive, & Nasal Surgery / ENT - Park Avenue

969 Park Avenue #1B New York, NY 10028

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What is Ptosis

Ptosis, or a drooping eyelids, refers to an upper eyelid that falls lower than it should. It is often associated with the presence of excess skin in the upper eyelid and may affect one or both eyelids. Ptosis can be accompanied by additional symptoms including watery eyes, tearing and compromised vision. As a double board certified facial plastic surgeon who specializes in cosmetic eye surgery, Dr. Westreich is experienced with surgical techniques that allow him to lift one or both eyelids and reposition them in a youthful manner.

What Causes Ptosis

Ptosis can be congenital (present at birth) or develop later in life. Most often the eyelids begin to drop due to agie related stretching of eyelid muscles. Ptosis may also arise as a side effect of cataract surgery, injury, a medical condition or underlying systemic disease, such as myasthenia gravis, or stroke. If ptosis arises suddenly, it must be examined to determine the cause. Early examination can draw awareness to more serious health issues that may be present.

Ptosis Photogallery

Female Patient Before and After Eyelid Surgery



Eyelid Surgery Before and After



Asian Eyelid Surgery Before and After



Treatment of Ptosis

For healthy patients with no history of illness or medical conditions, ptosis is usually treated with eyelid surgery (ptosis blepharoplasty). The objective of the surgery is to elevate the position of the drooping eyelid and open the eyes. Dr. Westreich skillfully tightens levator muscles–the muscles that raise the eyelid–and removes excess skin.

Although individuals often seek treatment for ptosis due to functional issues, many wish to have the eyelids repaired for cosmetic reasons. A ptosis repair with an upper eyelid blepharoplasty can brighten the eyes and make them appear more alert.

Ptosis Repair and Blepharoplasty

Ptosis repair surgery is an outpatient procedure that usually requires sedation of intravenous anesthesia. During the procedure, Dr. Westreich makes small incisions in the upper eyelid crease and the muscle is adjusted. If the levator muscle is significantly weak it will be tightened. If the muscle is no longer attached, it will be re-attached. Once the new eyelid position is set and excess tissue and fat have been removed, the incisions are closed. If ptosis is present on both eyes, the procedure will be done on both eyelids in order to create symmetry. The ptosis repair procedure can generally be completed in less than two hours.


Brow Ptosis and its role in upper eyelid surgery

If the forehead has become lax and the eyebrows have dropped into the eye socket, an eyelid lift may be required. Depending on the shape of the brow and the desired eyebrow contour, a full browlift or a temporal brow lift may be performed. All brow lift surgery is done through hidden incisions behind the hairline and will involve suspension using sutures and/or dissolvable implants. If a brow lift is required, general anesthesia, rather than sedation anesthesia, may be used and the procedure will be 1 to 1.5 hours longer than an upper eyelid procedure alone. Following surgery, Dr. Westreich recommends his patients to apply ointment on the eyelids for 1-2 weeks. Post-operation, it is normal for patients to experience some minor redness and puffiness. These are temporary side effects and will subside within a few days to a week.

Ptosis Repair Consultation with Dr. Westreich, New York

Ptosis blepharoplasty is a delicate eyelid procedure, so it is important to choose a surgeon who has adequate experience with eyelid surgery. Dr. Westreich, double board-certified facial plastic surgeon who specializes in eye surgeries, has helped those with ptosis achieve transformative results. If you have ptosis contact Dr. Richard Westreich at his Manhattan office for a consultation.
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969 Park Avenue #1B New York, NY 10028