Understanding Eyelid Ptosis (Droopy Eyelids) vs. Excess Skin Folds (Hooded Eyelids)
While they may appear similar, eyelid ptosis (droopy eyelids) and dermatochalasis (excess skin folds) are two distinct conditions that can affect vision and appearance. In this article, learn about the causes, diagnosis, and treatment options for these common eyelid concerns to help you make the best decision for your eye health and aesthetics.
What is Eyelid Ptosis?
Eyelid ptosis, also known as droopy eyelids, is the condition where the upper eyelid does not completely open and sits on a lower position, covering a larger portion of the eye. This condition often results from aging, injury, or congenital factors, but it can also occur after certain eye surgeries.
Symptoms:
- Obstructed vision due to the lowered eyelid position
- Tired or fatigued appearance
- Watery or dry eyes
- Head tilting in severe cases to improve sight
Diagnosing Eyelid Ptosis
A specialist surgeon can evaluate eyelid ptosis through a comprehensive examination and a visual test. If the eyelid’s position affects the field of vision, ptosis repair surgery may be recommended to restore functionality.
Treatment Options for Eyelid Ptosis
- Ptosis Repair Surgery: This corrective surgery tightens the levator muscle to lift the eyelid, improving both appearance and vision.
- Non-Surgical Solutions: Options like ptosis crutches (attachments fitted to glasses) can provide temporary lifting in mild cases but do not correct the underlying issue.
What is Dermatochalasis?
Dermatochalasis, also known as hooded eyelids, occur when excess skin on the upper eyelid accumulates, creating a skin fold. This can obstruct vision, especially in the upper-lateral field, and contribute to an aged or tired appearance of the eyes.
Symptoms:
- Excess skin folds
- Eyelid skin fold irritation
- Partial visual obstruction
- Feeling of heaviness on the eyelids
- Cosmetic concerns related to the appearance of excess skin folds
Diagnosing Dermatochalasis
A visual test and comprehensive evaluation are essential if eyelid skin folds impact your vision. For those experiencing cosmetic concerns, a consultation with a specialist can help determine the best approach.
Treatment Options for Dermatochalasis
- Blepharoplasty (Upper Eyelid Surgery): This procedure removes excess skin and corrects fat deposits, effectively addressing the excess skin folds, altering the appearance and improving any related vision issues.
- Non-Surgical Methods: For mild cases, eyelid tape or non-surgical skin-tightening treatments can offer temporary improvements but are limited in effectiveness for significant skin folds.
When the eyebrows also sit low (low brows) and contribute to the issue, a brow lift may also be considered to optimise results.
Frequently Asked Questions
To help answer common concerns, here are some frequently asked questions:
- Can I fix upper eyelids without surgery?
Mild cases may see some benefit from non-surgical options, but for significant ptosis or excess skin folds, surgery is often the most effective solution. - How do I know if I need surgery for my eyelids?
If your eyelids obstruct your vision or you have aesthetic concerns, a consultation and visual test can help determine if surgery is recommended. - Will insurance cover eyelid surgery?
Coverage may be available if surgery is required for vision improvement. Consult with a specialist to understand the specific requirements.
Eyelid Surgery with Confidence and Care
If you’re considering options for droopy or hooded eyelids, our team is dedicated to providing a patient-centred approach. We’re here to answer your questions, discuss your goals, and guide you toward the best choice for your needs. Book a consultation to have an assessment and obtain more information.
Eyelid Surgery
About Dr Rodrigo Teixeira
Dr Rodrigo Teixeira, MD, FRACS, is a Specialist Plastic Surgeon based in Melbourne, Australia, at Unveil Plastic Surgery in the heart of East Ivanhoe Village.
With extensive experience in aesthetic and reconstructive surgery for the face, nose, and breast, Dr Teixeira is a Fellow of the Royal Australasian College of Surgeons (RACS). He is also a respected member of the Australian Society of Plastic Surgeons (ASPS) and the Australasian Society of Aesthetic Plastic Surgeons (ASAPS). Internationally, he holds memberships in both the American and International Societies of Plastic Surgery.
Please note that any surgical or invasive procedure carries risks. To discuss your aesthetic goals or address any concerns about facial appearance or other cosmetic procedures, please consult with your general practitioner, who can provide a referral for a specialist surgeon consultation. For more information, contact us at (03) 9000 3800.