Introduction
Ptosis, also known as drooping eyelids, is more than just a cosmetic concern. For many people, it affects not only their appearance but also their vision, comfort, and confidence. Patients often describe eyelids that feel heavy, eyes that appear tired even after rest, or difficulty seeing clearly because their lids obstruct the upper field of vision.
Fortunately, ptosis surgery offers a safe and effective solution. In Toronto, the EyeFACE Institute is a leading centre specializing in both functional and cosmetic eyelid procedures. Their fellowship-trained oculoplastic surgeons combine advanced surgical skills with a deep understanding of eyelid anatomy to deliver natural-looking, lasting results.
This guide will explore:
- What ptosis is and its common causes
- Signs that surgery may be necessary
- How ptosis surgery is performed
- The recovery process and expected outcomes
- Why patients in Toronto choose EyeFACE Institute
What Is Ptosis?
Ptosis is the medical term for drooping of the upper eyelid. It can affect one eye (unilateral) or both eyes (bilateral) and ranges from mild sagging to severe obstruction of vision.
Types of Ptosis
- Congenital Ptosis
- Present from birth.
- Usually caused by poor development of the levator muscle, the muscle responsible for lifting the eyelid.
- May affect vision development in children if untreated.
- Acquired Ptosis
- Develops later in life.
- Most often due to aging, trauma, or neurologic conditions.
- Common in adults over 40 as muscles and connective tissues naturally weaken.
Causes of Ptosis
Understanding the root cause of ptosis is essential for determining treatment.
1. Age-Related Changes
- The most common cause in adults.
- The levator muscle stretches or detaches, reducing eyelid support.
2. Neurological Conditions
- Nerve damage (e.g., third nerve palsy, myasthenia gravis) can interfere with eyelid muscle control.
3. Trauma or Injury
- Direct trauma or previous eye surgeries may damage eyelid muscles or tendons.
4. Congenital Defects
- Some children are born with underdeveloped eyelid muscles.
5. Other Medical Conditions
- Tumors or chronic eye diseases can sometimes contribute to drooping eyelids.
Signs and Symptoms
Patients with ptosis often experience:
- Eyelids that cover part of the pupil
- Reduced ability to see in the upper visual field
- Eye strain or fatigue from constantly raising the brows
- Asymmetrical eyes (one drooping more than the other)
- A tired or “sleepy” appearance
In children, untreated ptosis may lead to amblyopia (lazy eye) or developmental vision problems.
When to Consider Ptosis Surgery
Not all cases of ptosis require surgery, but it becomes necessary when:
- Vision is obstructed by drooping lids
- Patients struggle with reading, driving, or daily activities
- Eyelid position causes headaches or eye strain
- Cosmetic concerns impact self-esteem
At EyeFACE Institute, surgeons carefully evaluate whether surgery is functionally necessary (to improve vision) or cosmetically desired (for appearance). In many cases, it is both
Ptosis Surgery: The Procedure
Goal of Surgery
Ptosis surgery restores proper eyelid height and function by tightening, repairing, or repositioning the eyelid muscle.
Surgical Techniques
- Levator Advancement (Aponeurotic Repair)
- The most common technique in adults.
- The surgeon reattaches or tightens the stretched levator muscle tendon.
- Frontalis Sling Procedure
- Often used in severe congenital ptosis.
- The eyelid is connected to the forehead muscle using a sling, allowing the forehead muscle to lift the lid.
- Müller’s Muscle-Conjunctival Resection (MMCR)
- Used for mild ptosis.
- A small portion of the muscle and conjunctiva is shortened to elevate the lid.
Anesthesia and Setting
- Typically performed under local anesthesia with sedation for adults.
- General anesthesia may be used for children.
- Usually completed as an outpatient procedure, meaning patients return home the same day.
Recovery Timeline
Healing varies depending on age, health, and the surgical technique used.
Days 1–3
- Swelling and bruising appear.
- Cold compresses help reduce discomfort.
Week 1
- Stitches (if used) are removed.
- Swelling begins to resolve.
- Patients may return to light activities.
Week 2–3
- Most bruising fades.
- Eyelid position stabilizes.
- Makeup can be worn again if approved.
Month 1–3
- Eyelids settle into final position.
- Scarring blends into natural eyelid creases.
- Patients enjoy improved vision and appearance.
Expected Results
Functional Benefits
- Wider, unobstructed field of vision.
- Less strain when reading, working, or driving.
- Reduced forehead/brow fatigue.
Cosmetic Benefits
- Brighter, more youthful eye appearance.
- Symmetry between the eyes.
- Natural results that avoid a “surgical” look.
Risks and Considerations
Like any surgery, ptosis repair carries some risks:
- Overcorrection or undercorrection of eyelid height
- Temporary dry eyes or irritation
- Rare infection or bleeding
- Asymmetry (often improves as swelling resolves)
Choosing an experienced oculoplastic surgeon significantly reduces these risks.
Patient Outcomes in Toronto
At EyeFACE Institute, ptosis surgery outcomes are consistently positive. Patients often describe:
- Improved quality of life due to better vision
- Renewed confidence in social and professional settings
- Natural results that blend seamlessly with facial features
The clinic’s focus on precision techniques ensures a balance between functional correction and aesthetic harmony.
Why Choose EyeFACE Institute in Toronto?
The EyeFACE Institute is one of Toronto’s premier clinics dedicated exclusively to eyelid and facial surgery.
About the Clinic
- Led by fellowship-trained oculoplastic surgeons Dr. Yasser Khan and Dr. Yasser A. Gill.
- Specialists performing over 1,500 eyelid and facial procedures annually.
- Known for combining medical expertise with aesthetic artistry.
- Offer a patient-first approach, with thorough consultations and personalized care.
Patients trust EyeFACE Institute for their:
- Expertise in both cosmetic and functional eyelid surgery.
- Commitment to natural, long-lasting results.
- Proven track record of excellent surgical outcomes.
Frequently Asked Questions
- How do I know if my ptosis requires surgery?
If drooping eyelids obstruct vision or cause eye strain, surgery is likely recommended. Cosmetic concerns are also valid reasons. - Is ptosis surgery permanent?
Results are typically long-lasting, though aging may cause gradual changes over decades. - How long does the surgery take?
Most procedures take between 45 minutes to 1.5 hours, depending on complexity. - Can children undergo ptosis surgery?
Yes. Early treatment is often necessary to prevent vision development issues in children. - Will insurance cover ptosis surgery?
If vision obstruction is documented, insurance may cover functional ptosis repair. Purely cosmetic cases are usually self-pay.
Conclusion
Ptosis surgery is more than an aesthetic procedure — it restores clear vision, relieves discomfort, and enhances overall appearance. For patients in Toronto, the EyeFACE Institute offers world-class expertise in diagnosing and treating all forms of ptosis.
With specialized training, advanced techniques, and a focus on natural results, EyeFACE’s surgeons help patients achieve not only brighter, more youthful-looking eyes but also a significantly improved quality of life.
If you or a loved one are experiencing drooping eyelids, scheduling a consultation with EyeFACE Institute is the first step toward safe, effective, and lasting treatment.
- Visit us at our Toronto clinic
- Book Consultation
- Call to schedule your consultation: (647) 351-6501
