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Should You Get a Droopy Eyelid Surgery in Singapore?

Understanding Ptosis

Ptosis, also known as droopy eyelid, is a medical condition whereby one’s upper eyelid is sagging, making one look tired all the time. In severe cases, the eyelid may cover the pupil, thus affecting vision. The cause of ptosis can be congenital or acquired. 

Congenital ptosis occurs since birth due to incomplete development of the levator muscle, which is the muscle that lifts the upper eyelid. If congenital ptosis is left uncorrected, the child might develop astigmatism, amblyopia (lazy eye) or chin-up position. 

The most common cause of acquired ptosis is ageing. As one ages, the levator muscle weakens and can no longer keep the eyelid lifted. This is when the upper eyelid starts to hang down and cover the eye. 

Other causes of acquired ptosis can be due to trauma, eye injury or disease. Ptosis can be acquired if the levator muscle is injured, leading to the malfunction of the muscle or if the nerves controlling the levator muscle are damaged. Ocular or systemic diseases that can cause acquired ptosis include Horner syndrome, Myasthenia gravis, stroke, tumour or stye

It is imperative to identify the underlying cause of acquired ptosis before the oculoplastic surgeon can recommend the appropriate treatment including ptosis correction surgery (droopy eyelid surgery).

Droopy eyelids - Man
Droopy eyelids - Man
Droopy eyelids - Woman
Droopy eyelids - Woman

Severity of Ptosis 

Ptosis can be mild or severe. Mild ptosis will not affect vision and may just be an aesthetic concern. However, severe ptosis can affect appearance and those with the condition may receive comments such as looking sleepy/tired or having insufficient sleep. In addition, severe ptosis will affect vision, especially the superior portion of the vision. This will affect daily lives as one cannot see well with severe ptosis. If so, ptosis correction surgery will be recommended.

Marginal Reflex Distance (MRD)

Consideration Before Getting a Droopy Eyelid Surgery in Singapore

Prior to ptosis surgery in Singapore, one should consult an oculoplastic surgeon to assess the condition. Some opt for ptosis correction surgery as the vision is affected causing inconvenience and safety hazards. Others opt for ptosis correction surgery purely for aesthetic purposes. One should be clear of the purpose of getting a ptosis surgery and carefully consider the possible risks and complications.

Possible Risks and Complications

All surgeries carry risks and complications. The most common complication after droopy eyelid surgery is over-correction or under-correction with the eyelid being too high for the former and low for the latter post-surgery. Another possible complication would be asymmetrical eyelids, where both eyelids are of different height. All these though may be corrected with additional surgeries if necessary. 

Some people may experience dry eye post-surgery. Hence, if there is a pre-existing dry eye, be reminded to notify your oculoplastic surgeon so he/she is able to take that into consideration prior to droopy eyelid surgery. Other complications can include scarring, infection, bleeding and undesirable cosmetic results.

Ptosis surgery steps diagram 1 to 8

Droopy Eyelid Surgery Cost in Singapore

Droopy eyelid surgery cost in Singapore can vary depending on a myriad of factors including the severity of the condition, oculoplastic surgeon’s experience, complexity and length of surgery, type of anaesthesia the surgery is performed under, if surgery is needed on one or both eyelids, location of surgery etc. Fees can range from $5,000 to $10,000 for 2 eyelids.

In instances whereby the droopy eyelid is assessed to affect the field of vision, the droopy eyelid surgery may be insurance- and Medisave-claimable.

If you are experiencing vision issues with droopy eyelids, please contact us at +65 6694 1000 or manager@eyemax.sg to understand more about possible droopy eyelid surgery options in Singapore. For more information, visit Eye Max Centre.

References

https://my.clevelandclinic.org/health/diseases/14418-ptosis-droopy-eyelid
https://www.sgh.com.sg/patient-care/conditions-treatments/upper-eyelid-drooping/
https://prasadcosmeticsurgery.com/eyelid-ptosis-surgery/#:~:text=Risks%20related%20to%20the%20ptosis,ways%20to%20minimize%20these%20risks

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