Ptosis is seen when the upper eyelid droops or sags due to stretching or weakness of the muscle that is responsible for raising the eyelid, called the levator muscle. Ptosis may also occur from damage to nerves controlling the muscle. It can be a manifestation of the normal aging process, a congenital condition or due to an injury or disease. It is very important to establish the correct cause to ensure the best treatment outcome.

Ptosis can affect one or both eyelids and should not be confused with excess eyelid skin or fat, which is corrected with blepharoplasty surgery. Many patients with ptosis also have excess eyelid skin/fat and both need to be addressed for the best aesthetic result.

When the eyelid position is so low that it obscures peripheral vision, it may be considered functional or medically necessary and covered by most insurance plans. Documentation with photographs and a visual field test are needed to prove that the vision is being affected. If the vision is not affected, ptosis can be corrected as a cosmetic procedure.

Various surgical techniques exist to correct ptosis. Most consist of tightening of the muscle that lifts the eyelid. This can be done through an incision in the crease of the eyelid or on the inside of the eyelid. The surgical approach is chosen based on the individual patient’s examination and testing. Often ptosis surgery is combined with an eyelid lift (blepharoplasty).

For more information about ptsosis and to determine what your best options are for treatment please contact us or call us today at (203) 557-6464.


Please call us today at (203) 557-6464 or request a consultation.