How is upper eyelid ptosis treated?

Dec 30, 2024 Source: Cainiu Health
Dr. Wang Shuai
Introduction
The upper eyelid refers to the upper lid. Upper eyelid ptosis may be caused by aging, lack of sleep, excessive eye strain, oculomotor nerve palsy, myasthenia gravis, or other factors. Treatment options include Thermage, shortening of the levator muscle, direct suspension with a frontalis muscle flap, and medication, all of which should be performed under a doctor's guidance. It is also important to maintain eye hygiene and avoid using irritating eye cosmetics in daily life.

Under normal circumstances, the upper eyelid refers to the upper lid. Ptosis of the upper eyelid may be caused by aging, lack of sleep, excessive eye use, oculomotor nerve paralysis, myasthenia gravis, and other factors. Treatment options include Thermage, levator muscle shortening surgery, direct temporalis muscle flap suspension, and medication, under the guidance of a physician. It is recommended to visit a reputable hospital and undergo related procedures under medical supervision to ensure the effectiveness and safety of the treatment. Detailed explanations are as follows:

1. Aging

With aging, the elasticity of the upper eyelid skin and muscles gradually weakens, which may lead to ptosis of the upper eyelid. It is recommended to maintain a healthy lifestyle, balanced diet, and moderate exercise to delay the aging process. Under medical guidance, Thermage treatment can also be used, which utilizes radiofrequency technology to stimulate collagen regeneration and tighten the eyelid skin. The general reference price for Thermage is 10,000-40,000 yuan per session, with visible improvement typically seen within 1-2 months, although side effects such as redness and pain may occur.

2. Lack of Sleep

Long-term sleep deprivation or staying up late may cause eye fatigue and muscle relaxation, resulting in ptosis and weakness of the upper eyelid. It is important to adjust one's sleep schedule and ensure sufficient rest. Following medical advice, a levator muscle shortening procedure may be considered, which involves surgically shortening the length of the levator muscle to elevate the upper eyelid. The general reference price for this procedure is 3,000-6,000 yuan per session, with visible improvement usually occurring within 1-2 months, although complications such as infection and bleeding may arise.

3. Excessive Eye Use

Extended use of electronic devices may lead to eye muscle fatigue and weakening of the eyelid muscles, causing laxity and ptosis of the upper eyelid. Regular eye rest should be taken to avoid prolonged continuous eye strain. Under medical recommendation, direct temporalis muscle flap suspension surgery may be performed, which involves attaching the temporalis muscle flap to the eyelid plate to lift the eyelid using the contraction force of the temporal muscle, thereby correcting ptosis. The general reference price for this surgical procedure is 4,000-10,000 yuan per session, with improvement typically seen within 1-3 months, although complications such as hematoma and infection may occur.

4. Oculomotor Nerve Paralysis

Oculomotor nerve paralysis may be caused by brain injury or inflammatory responses. This condition can lead to dysfunction of the nerves controlling eye muscles, resulting in the aforementioned symptoms. It is often accompanied by restricted eye movement and blurred vision. Treatment under medical supervision may include medications such as vitamin B1 tablets, mecobalamin tablets, and sodium citicoline tablets.

5. Myasthenia Gravis

Impaired neuromuscular junction transmission may trigger myasthenia gravis, causing muscle weakness and leading to ptosis of the upper eyelid. It may be accompanied by symptoms such as double vision and strabismus. Under medical instructions, medications such as pyridostigmine bromide tablets, prednisone acetate tablets, and azathioprine tablets may be used for treatment.

In daily life, it is important to maintain eye hygiene, avoid using irritating eye cosmetics, and undergo regular eye examinations to maintain overall health.

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