Eyelid Drooping

Our Treatment of Eyelid Drooping

Our Eyelid Design is Natural and Natural.

I am an ophthalmologist by training. After becoming an ophthalmologist, I studied oculoplastics and have developed it to the highest standards in the world.
Most of the doctors in our clinic are also originally ophthalmologists.

In cosmetic surgery, the goal is to “make the eyes as bright as possible,” but for us ophthalmologists, the goal is to “create eyelids that are as natural and functional as possible.
This is not only because of the shape, but also because without natural blinking, the eye can be damaged.
We try to design without interfering with the shape and function that we have been given in this world.

Symptoms of Eyelid Drooping

If you have any of these symptoms, you may have a Eyelid Drooping.

A condition in which the upper eyelid becomes droopy and covers the eye is called ptosis. When this condition occurs, the above symptoms appear.

For those who had droopy eyelid surgery at another clinic but were not satisfied with the results.

We have many patients who have been told by other clinics that they cannot be cured, and we also have many patients who have had droopy eyelid surgery at other clinics and were not satisfied with the results.

Even for those who have been judged by other clinics to be difficult to correct, most of the patients who have come to our clinic can be treated, so please contact us first for a consultation.

Click here for
revision surgery
for droopy eyelids.

Two Causes of Eyelid Drooping

1. Eyelid Drooping caused by sagging skin

   There are two main types of causes of droopy eyelids.

   The first is due to sagging skin. This is due to the gradual stretching and sagging of the skin with age.

   It is more likely to occur in people who have always had a single eyelid, and deep wrinkles appear on the forehead and the shape of the eyes becomes a figure of eight, giving the face an illustration-like appearance. This is called a drooping eyelid.

   
2. Eyelid Drooping caused by Weakened Muscles

   On the other hand, there is also a type of droopy eyelid in which the muscles that raise the eyelid become weak. With age, the muscles become elongated, and the eyebrows rise to compensate.

   People who wear or have worn hard contact lenses in the past are more prone to this type of drooping eyelid.

   

Treatment of Eyelid Drooping

The treatment is surgery for each cause.

1. The Case of　Eyelid Drooping caused by sagging skin In the case of Eyelid Drooping caused by sagging skin, the drooping skin is removed above the lashes to create a double eyelid that will not come down any further.
   In some cases, fat removal is also performed. If the patient has always had a double eyelid, a submental skin incision may be made just below the eyebrow. In severe cases, both may be necessary.
2. The Case of　Eyelid Drooping　caused by muscle weakness In the case of Eyelid Drooping　caused by muscle weakness, the stretched muscles are treated by sewing them back into position so that the eyelids are functionally elevated. The skin may be removed at the same time. In mild cases, this may be done from the back of the eye without incising the skin.

Features of our treatment

• 

  Large number of surgeries and extensive experience

  Our group has performed 5,017 ptosis surgeries per year (from January to December 2023: out of more than 10,000 total surgeries), including both insurance and self-funded surgeries.
  This number of surgeries is not only in Japan but also overseas.

• 

  Beautifully designed for each patient

  Treatment of Eyelid Drooping is a very important surgery because it changes the shape of the eye, and a person’s life depends on it. If the design is not done properly, it can be life changing.
  Therefore, a lot of “experience” and “skill” are needed to make the eyelids fit the patient.

• 

  For failed or redone surgeries at other hospitals.

  We have performed many corrective surgeries for those who have never had surgery before, as well as for those who were not cured or had failed at other medical institutions.

Eyelid Drooping Surgery Cases

Eyelid Drooping caused by sagging skin

In Eyelid Drooping caused by sagging skin, the goal is to remove excess skin and to create a double eyelid.

An incision is made in the eyelid skin about 5 to 6 mm above the eyelashes, and the excess skin is removed.
The double eyelid is then created and the skin is sutured. Fat may be removed at the same time.

The advantage of this method is that the skin is removed and the double eyelid can be remade. If the patient has always had a unilidery or a double folded eyelid, it will be more beautiful if the eyelid is remolded.

Another method of skin excision is to make an incision under the eyebrow and remove the skin (subhyperbrow dermabrasion). If you have thick eyelid skin and anticipate that an incision above the eyelashes will result in a thick and unnatural double eyelid, a subbrow dermabrasion is preferable.

This method exposes your own double eyelids, giving you the natural look of your own eyes about 10 years ago when the skin was sagging. Because the flaws in a subbrow dermabrasion are on the surface of the body, basic competence in the basics of incision and suture technique, in addition to design, is of paramount importance. Without skill, the flaws will be conspicuous. At our clinic, we take the utmost care to make the flaws inconspicuous.

Comparison between our clinic and other clinics for　Eyebrow lift

1.Eyes that slant down

2.The eyes don’t look good.

3.Eyebrows rise and wrinkles form on the forehead

4.Eyelids are swollen by fat.

5.Differences in the shape of the left and right eyelids

6.Revision of Eyelid Drooping surgery received at another hospital

About Eyebrow lift cases

7.The eyes are all in shadow.

8.Request to eliminate sagging

9.Eyebrows are raised.

10.Eyes that are said to be sleepy

11.Eyes covered with skin like an umbrella.

Eyelid Drooping　caused by muscle weakness

Surgery for tendinous ptosis can be improved by sewing the stretched tendon back into its youthful position (levator muscle resection).

Surgery may also include removal of excess skin and fat that is causing heaviness.

The surgery takes about 10 to 30 minutes per side depending on the severity of the surgery, but we use intravenous anesthesia sedation to ensure that the patient does not feel any pain or time.

1.Eyelids do not open due to muscle weakness

2.Eyelid Drooping of the right eye

3.Small black eyes caused by ptosis

4.Sagging of the whole face

5.Wide double eyelids

6.Drooping eyelids with a large left-right discrepancy

Treatment Introduction Video

Treatment videos are available on our official Youtube channel

Our clinic is able to perform blepharoplasty (transconjunctival elevator shortening) without cutting the skin.

It is recommended for relatively young patients with little excess skin.

Medical expenses

All prices above include tax.

In the case of an operation, the cost of the medical examination will be deducted from the surgical fee.

Side effects, risks, and precautions for ptosis treatment

• The surgery is mainly performed under local anesthesia to check the shape of the eyelids during the surgery, but general anesthesia may be used depending on the situation, such as in children.
• Sedatives may be used to reduce pain before surgery.
• When surgery is performed under local anesthesia, the patient may experience severe pain. If the pain is painful, additional anesthetics or painkillers may be administered.
• Patients who have undergone multiple surgeries tend to have more pain.
• Although the surgery is performed to minimize the left-right difference as much as possible, it is not possible to achieve perfect symmetry. If there is a large difference between the left and right sides after the surgery, we may perform suture treatment again or reoperate.
• The scars will gradually become less noticeable after the surgery, but scars may still be visible and keloids may occur.
• If the wound is dissected after surgery, it must be sutured again.
• Orbital cellulitis may occur due to infection.
• Intraoperative sedation may cause hypotension, pulselessness, and respiratory depression.