How to improve ptosis of the upper eyelid

Nov 15, 2024 Source: Cainiu Health
Dr. Wang Lei
Introduction
In general, ptosis (drooping of the upper eyelid) may be caused by aging, excessive eye strain, trauma, oculomotor nerve palsy, myasthenia gravis, or other factors. Treatment options include brow lift surgery, eyelid plastic surgery, frontalis suspension surgery, and medication, all of which should be performed under a doctor's guidance. It is recommended to visit a reputable hospital and undergo these procedures under professional medical supervision to ensure effectiveness and safety.

Under normal circumstances, ptosis (drooping of the upper eyelid) may be caused by aging, eye strain, trauma, oculomotor muscle paralysis, or myasthenia gravis. Treatment options include brow lift surgery, blepharoplasty, frontalis suspension surgery, or medication, all of which should be performed under a doctor's guidance. It is recommended to visit a reputable hospital and undergo procedures under medical supervision to ensure effectiveness and safety. Detailed analysis is as follows:

1. Aging

With age, the skin and muscles of the eyelids gradually lose elasticity, leading to ptosis of the upper eyelid. Maintaining a healthy lifestyle, balanced diet, and moderate exercise can help delay skin aging. A brow lift procedure may also be performed under medical guidance. This involves removing part of the skin beneath the eyebrow to elevate the upper eyelid skin, restoring tightness. The typical reference cost for a brow lift is 3,000–8,000 yuan per session. Improvement is usually seen within 1–3 months, although complications such as infection or hematoma may occur.

2. Eye Strain

Prolonged use of electronic devices, reading, or staying up late can lead to eye strain and fatigue of the ocular muscles, potentially causing laxity and drooping of the upper eyelid. It is important to use your eyes reasonably and take regular breaks. Under a doctor’s advice, blepharoplasty may be performed to remove excess eyelid tissue or adjust eyelid structure, improving the appearance of the upper eyelid. The typical reference cost for blepharoplasty is 3,000–6,000 yuan per session. Noticeable improvement generally occurs within 1–2 months, though side effects such as infection or pain may occur.

3. Trauma

Physical impact to the eye area may damage the levator palpebrae superioris muscle or its innervating nerves, resulting in weakness and drooping of the upper eyelid. This is often accompanied by symptoms such as pain and infection. Under medical guidance, topical medications such as erythromycin ointment, mupirocin ointment, or fusidic acid sodium ointment may be used. Alternatively, frontalis suspension surgery may be recommended, which surgically connects the frontalis muscle to the tarsal plate of the upper eyelid, allowing forehead muscle contractions to lift the eyelid. The typical reference cost for frontalis suspension surgery is 5,000–15,000 yuan per session. Improvement is generally observed within 1–3 months, but complications such as hematoma or scarring may occur.

4. Ocular Muscle Paralysis

Ocular muscle paralysis may be associated with trauma or inflammatory responses. This condition can impair normal contraction of the eyelid muscles, leading to upper eyelid laxity. It is commonly accompanied by symptoms such as impaired eye movement and double vision. Under medical supervision, medications such as vitamin B1 tablets, citicoline sodium injection, or prednisone acetate tablets may be prescribed for treatment.

5. Myasthenia Gravis

Myasthenia gravis may be triggered by genetic factors, infections, or environmental stimuli. This condition can cause neuromuscular transmission disorders, resulting in weakened contraction of the levator palpebrae superioris muscle and thus causing the aforementioned symptoms. Additional symptoms may include difficulty swallowing and limb weakness. Medications such as pyridostigmine bromide tablets, azathioprine tablets, or cyclosporine soft capsules may be used as directed by a physician.

Maintaining good daily habits, ensuring adequate eye rest and relaxation, getting sufficient sleep, and moderately supplementing with vitamins and protein can help support the health of the eyelid skin.

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