Is ptosis surgery successful?

Eyelid ptosis surgery price colombia

Blepharoptosis, or palpebral ptosis is defined as an abnormally low position of the upper eyelid. It is a known complication of eye surgery that can compromise the final results and satisfaction of the surgery. In this post I would like to discuss a literature review of the incidence and risk factors for palpebral ptosis after eye surgery by Dr. Godfrey et al, published in Current Opinion in Ophthalmology.

It is classically defined as a 2-mm decrease in the position of the upper eyelid 6 months after surgery, with an incidence between 6-12%. The main mechanisms involved are: use of traction suture in the upper rectus, tight blepharostats during surgery, especially reusable ones, and locoregional anesthesia due to possible myotoxicity.

It is worth mentioning the ptosis associated with prostaglandin periorbitopathy. These drugs have been shown to induce a decrease in orbital and palpebral fat with a deepening of the superior sulcus (cadaveric sulcus) and an increase in the incidence of palpebral ptosis, although the mechanism is still uncertain.

How long does eyelid ptosis surgery last?

It is performed on an outpatient basis, under local anesthesia with sedation and lasts approximately 15 to 20 minutes per side. What is sought with this surgery is an elevation of the palpebral margin, a good contour of the palpebral margin and a good symmetry with the other side.

What is ptosis surgery like?

Surgery to correct palpebral ptosis (drooping eyelids) consists of raising the upper eyelid to its normal position.

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How is eyelid ptosis cured?

Surgery to correct eyelid ptosis consists of raising the upper eyelid to its normal position. This is recommended in most cases since ptosis is not only an aesthetic problem.

Ptosis surgery price

Patients with palpebral ptosis usually have difficulty keeping their eyes open and tend to arch their eyebrows to compensate for the palpebral droop, which can even make vision difficult if the eyelid covers the pupil. Therefore, it can lead to partial or total visual field alteration.

In the case of palpebral ptosis in pediatric age, it may cause the development of amblyopia or lazy eye, since the eye does not receive the necessary stimuli to properly develop the visual potential.

It is performed on an outpatient basis, under local anesthesia with sedation and lasts approximately 15 to 20 minutes per side. What is sought with this surgery is an elevation of the palpebral margin, a good contour of the palpebral margin and a good symmetry with the other side.

If, on the other hand, the eyelid margin covers the upper margin of the pupil and it is unilateral, it may need to be corrected as soon as possible so that the visual development of that eye is as good as possible.

What can go wrong with blepharoplasty?

Blepharoplasty done wrong: complications

Displacement of the nasolacrimal duct. Very visible scars. Retraction of the lower eyelid. Infections after surgery.

How much does eyelid ptosis surgery cost?

Hello, the price is very variable and can vary from 10 thousand to 30 thousand depending on many variables. Go to a certified plastic surgeon for your individual evaluation and treatment.

Who operates Palpebral ptosis?

The correction of palpebral ptosis is a surgery that is performed with some frequency by plastic surgeons and ophthalmologists with experience in palpebral surgery.

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How is ptosis surgery performed?

The moment to perform a touch-up in eyelid ptosis surgery depends on the patient. In general we wait more than 6 months, but in some cases it is necessary an earlier correction, even a week after the intervention.

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When to operate a palpebral ptosis?

When the eyelid droops, the field of vision decreases, as it becomes blocked; this is why it is important to intervene, generally as soon as possible, as the only solution is surgery (an outpatient surgery, with local anesthesia when the patient’s age allows it, which does not last more than 20-30 minutes).

How is a palpebral ptosis performed?

Palpebral ptosis is the drooping of the upper eyelid and is one of the most common oculoplastic problems. This abnormal eyelid position is usually caused by a dysfunction of the levator muscle, either due to degenerative or congenital causes, and can affect both adults and children.

What causes eyelid ptosis?

Palpebral ptosis is the drooping of the upper eyelid. It usually arises from a dysfunction of the levator muscle, due to degenerative or congenital causes.

Corrección de ptosis palpebral

La cirugía oculoplástica estudia y trata los trastornos de párpados, órbita y vías lagrimales. Entre las patologías más importantes por frecuencia e impacto tenemos: ptosis palpebral, blefarochalasis, ectropión y entropión.

La cirugía oculoplástica estudia y trata los trastornos de los párpados, la órbita y las vías lagrimales. Entre las patologías más importantes por frecuencia y repercusión están: la ptosis palpebral, la blefarochalasis, el ectropión y el entropión.

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Estudio descriptivo y retrospectivo. Se revisaron expedientes de pacientes operados con diagnóstico de blefarochalasis, ptosis palpebral, ectropión y entropión entre los años 2010 y 2017. Se analizaron datos como edad, sexo, comorbilidades, causa del defecto, cirugía oculoplástica, tipo de anestesia, complicación postoperatoria, tiempo de seguimiento y resultados.

Entre los años 2010 y 2017 se operaron 79 pacientes con patología oculoplástica, 17 por ptosis palpebral, 42 por blefarochalasis, 14 por ectropión y 6 por entropión, siendo la principal causa senil (93,7%). Las cirugías realizadas fueron: pexis elevadora para la ptosis palpebral, blefaroplastia para la blefarochalasis y para el ectropión-entropión tira tarsal. La principal técnica anestésica utilizada fue la anestesia local + sedación (54,4%). Del total de complicaciones postoperatorias, tenemos: lagoftalmos (2 casos), ectropión residual (3 casos), conjuntivitis (3 casos), dehiscencia de la herida (2 casos) y hematoma palpebral (1 caso). Seis pacientes fueron reoperados debido a complicaciones. Los resultados obtenidos según la evaluación subjetiva del cirujano plástico fueron regulares (5 casos), buenos (20 casos) y muy buenos (54 casos).