How to treat upper eyelid ptosis

Nov 29, 2024 Source: Cainiu Health

Dr. Wang Shuai

Introduction

Ptosis of the upper eyelid may be caused by aging, genetic factors, eyelid trauma, oculomotor nerve palsy, myasthenia gravis, and other conditions. It can usually be improved through etiological treatment, medication, surgical intervention, and other approaches. If abnormalities occur, prompt medical attention is recommended. Patients should maintain good eye hygiene in daily life, avoid eye trauma or infection, and undergo regular eye examinations.

Upper eyelid ptosis may be caused by aging, genetic factors, eyelid trauma, oculomotor nerve palsy, or myasthenia gravis. It can usually be improved through cosmetic surgery, medication, or other treatments. If abnormalities occur, prompt medical attention is recommended. Detailed analysis is as follows:

1. Aging: With aging, the eye muscles and skin gradually become lax, leading to upper eyelid ptosis. Eyelid plastic surgery, such as levator muscle shortening or frontalis suspension, can be performed under a doctor's guidance to restore the normal position of the upper eyelid.

2. Genetic factors: Individuals with a family history are more prone to develop upper eyelid ptosis. Hereditary upper eyelid ptosis may affect appearance and vision. Surgical adjustment of the eye muscles and skin can improve the condition.

3. Eyelid trauma: Trauma to the eyelid may damage the eye muscles or skin, leading to upper eyelid ptosis, accompanied by pain, swelling, bleeding, etc. Wound debridement and suturing may be performed according to the injury condition, and surgical treatment may be considered to repair damaged ocular tissues when necessary.

4. Oculomotor nerve palsy: Oculomotor nerve palsy refers to dysfunction of the oculomotor nerve due to lesions of the cranial nerves, which affects normal eye muscle movement, causing upper eyelid ptosis, restricted eye movement, double vision, etc. The treatment mainly targets the underlying cause, such as administration of neurotrophic drugs like vitamin B12 injection, methylcobalamin injection, vitamin B1 tablets, and rehabilitation therapy.

5. Myasthenia gravis: Myasthenia gravis is an acquired autoimmune disease characterized by impaired neuromuscular junction transmission, which may cause weakness of the eye muscles, leading to upper eyelid ptosis, possibly accompanied by double vision or strabismus. Treatment mainly involves taking medications such as pyridostigmine bromide tablets, azathioprine tablets, cyclosporine capsules according to medical advice, and surgical treatment may be considered when necessary.

Patients should maintain good eye hygiene in daily life, avoid eye trauma or infection, and undergo regular eye examinations.

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Is it attractive for males to have fully incised double eyelids?

In general, a full-incision double eyelid procedure involves making an incision on the upper eyelid, removing excess skin and fat, and then attaching the eyelid skin to the tarsal plate at a specific height to create a double eyelid crease. Whether a full-incision double eyelid looks good for males depends on individual facial features and whether the surgical design aligns with male aesthetic characteristics. There is no absolute answer, but overall, the key is to achieve a natural and harmonious appearance.