The above patient had a long standing history of ptosis, noted by the eyelid drooping and covering the pupils of the eye. Also, on the left hand photo the distance from the eyelashes to the eyelid fold is long and the eyelid fold looks very high. This indicates the muscle attachment to the eyelid tissue is improperly high and needs to be reattached lower, closer to the eyelash area.
The photo on the right shows the effects after shortening and advancing the Levator Palpebrae Superioris towards the eyelashes. The eyelid level has been raised, allowing visualization of the pupils and the eyelid fold is now closer to the eyelash line indicating a proper attachment of the muscle to eyelid tissue.
Blepharoptosis is a dysfunction of the elevator muscles of the eyelid.
There are two muscles that elevate the eyelid
Levator Palpebrae Superioris
Mueller's muscle
Causes of ptosis (drooping eyelid level) - are generally due to factors that effect the nervous system or the muscles themselves.
Tumors
Trauma
Neuromuscular diseases (e.g. Myasthenia Gravis)
Laxity of the muscle elevators from stretching or aging
Hollowness in the outer lower eyelid area sometimes requires lifting of the cheek pad in addition to the lower eyelid Blepharoplasty.
Lower eyelid incision - this can be used to lift the cheek or mid-face by anchoring to the bone around the eye (orbital bone) an Endotine Bioabsorbable Anchor.
For More Information on Blepharoplasty / Eyelid Surgery
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Thousand Oaks Plastic Surgeon Dr Costanzo
805 / 373-9919 or 818 / 706-2070
Blepharoplasty and Eyelid Surgery in Thousand Oaks by Christopher Costanzo MD, a Plastic and Cosmetic Surgeon trained at the world famous Mayo Clinic. Board Certified in 1987 Dr. Costanzo performs Blepharoplasty, Brow Lift and Eyelid Surgery Beverly Hills style for women in California, Beverly Hills, Los Angeles, Encino, Sherman Oaks, Chatsworth, Woodland Hills, Tarzana, Granada Hills, West Hills, Malibu, Calabasas,Agoura, Oxnard, Simi Valley, Moorpark, Camarillo, Santa Barbara, Los Angeles County, Ventura County and Santa Barbara County. Blepharoplasty, Brow Lift and Eyelid Surgery Tuck Beverly Hills style in Thousand Oaks