There are a number of conditions out there that cause Saggy Eyelids and can lead to impaired vision if not treated properly.
A condition known as dermatochalasis is the most common reason for eyelids to appear sagging.The eyelids are not actually sagging but rather there is an excess of skin. The excessive skin makes the eye look saggy and tired. If enough skin begins to overhang the eye then vision may become obstructed. The dermatochalasis is caused by the aging skin because as our skin ages it becomes less tight thus allowing it hang and drape over eyes.
Ptosis is an eye condition where the eyelid actually droops. The droopiness is much like dermatochalasis as it relates to the aging of the skin. The connection at the eyelid muscle becomes loose or fully detached from the eyelid plate, and a droopy eyelid occurs. The drooping eyelid causes concerns for most people when their vision becomes impaired or it may be more of a cosmetic concern.
What can be done for sagging eyelids?
Treatment options are available for both ptosis and dermatochalasis, typically it requires surgery. Both types of surgeries require a small incision to be made on the eyelid crease. During surgery for dermatochalasis after the incision is made the excess skin is to then be removed. For ptosis surgery, the incision is made so that it reveals the eyelid plate and eyelid elevator muscle tendon. Since the tendon has become detached the goal of the surgery is to reattach the muscle tendon to the eyelid plate. After the surgery the skin is closed together with a small suture that is barely noticeable.
What will I experience during eyelid surgery?
Most eyelid surgeries are performed on an outpatient basis. Depending on the evasiveness of the procedure, it may be able to be done right in the clinic. IV sedation is often used to make the patient feel comfortable before surgery. A local anesthesia will be given to numb the eyelids before surgery. The doctor will then perform the surgery which will last between 20 minutes to an hour depending on how severe the condition may be.
What is the recovery period like after eyelid surgery?
Like most surgeries that require an incision stitches are to be involved. Most eyelid surgeries use dissolving stitches that are absorbed by the body. Most doctors will prescribe an anti-botic ointment to place on the wounds to help with the healing process and to reduce scarring. Often patients experience bruising on their eyelids as a result of the surgery. Doctors suggest that patients use ice to help reduce the bruising.