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What Is Ptosis?

What is ptosis of the eye? Ptosis is a medical condition that refers to drooping or sagging of the upper eyelid (lazy eyelid), resulting in the eyelid partially or completely covering the eye. This can occur in one or both eyes and can cause vision obstruction and cosmetic concerns.

What causes ptosis? Ptosis of eyelids can be caused by several factors, including muscle or nerve damage, age-related weakening of the muscles that control the eyelids, trauma, or neurological conditions such as myasthenia gravis or Horner syndrome.

Ptosis causes in adults tend to be related to ageing, neurological conditions, eye trauma, eyelid tumours, medications (such as muscle relaxants or antihistamines), congenital ptosis and eye lid surgery. 

Ptosis treatment options will depend on the underlying cause and severity of the ptosis and can range from medication to surgical intervention. It is important to seek medical attention if you experience ptosis-eye, as it can have an effect on your vision and quality of life.

Ptosis Symptoms - What Does Ptosis Look Like?

Here are some common signs and symptoms of ptosis:

  • One eyelid drooping or both upper eyelids appear to droop or sag lower than the normal position, (lazy eye-lid, saggy eyelids, or droopy eye).

  • The eye(s) may appear smaller than usual due to the drooping eyelid (half-closed eyelid).

  • The eyelid may partially or completely cover the pupil, which can obstruct vision.

  • Tilting the head back or raising the eyebrows may help temporarily lift the eyelid due to half-closed eyes.

  • Some people with ptosis may experience eye strain, headaches, or difficulty with activities that require clear vision, such as driving or reading.

Is Hooded Eyes The Same As Ptosis?

Hooded eyes and ptosis are similar but not the same. Hooded eyes refer to a specific eye shape where the skin of the upper eyelid hangs over the crease and can sometimes give the appearance of a "hood." This eye shape is usually genetic and is not typically associated with any medical conditions. 

Ptosis, on the other hand, is a medical condition characterised by a drooping or sagging of the upper eyelid, resulting in it partially or completely covering the eye. Ptosis can be caused by several different factors, including muscle or nerve damage, age-related weakening of muscles that control the eyelids, trauma, or neurological conditions. Unlike hooded eyes, ptosis can detrimentally affect vision and may require medical treatment.

In some cases, people with hooded eyes may also have ptosis, and in those cases, hooded eyelid treatment may be necessary to correct the ptosis and improve vision, such as ptosis surgery.

What Causes Hooded Eyes?

While the exact cause of hooded eyes can vary from person to person, here are some common factors that can contribute to this condition:

  • Ageing: As we age, the skin loses its elasticity and becomes thinner, making it more prone to sagging and wrinkling. The muscles that support the eyelids may also weaken over time, causing the eyelids to droop.

  • Genetics: Some people may be born with a genetic predisposition to hooded eyes. In these cases, the condition may be inherited from one or both parents.

  • Sun exposure: Exposure to the sun's ultraviolet (UV) rays can damage the skin and accelerate the ageing process, leading to wrinkles, sagging, and other signs of ageing.

  • Lifestyle factors: Certain lifestyle factors, such as smoking, poor diet, and lack of sleep can also contribute to the development of hooded eyes.

Hooded Eyelid Treatment.

Can botox help hooded eyelids and is there treatment for droopy eyelids? Hooded eyes are typically a cosmetic concern and do not require medical intervention or treatment. However, some people may prefer to minimise the appearance of hooded eyes for aesthetic reasons. Here are some options to help improve the aesthetics of your eyelid appearance.

  • Eyelid tape: A small piece of medical-grade tape can be used to lift the eyelid and create a more defined crease.

  • Makeup: Using makeup techniques such as applying eyeshadow in a way that creates the illusion of a deeper crease can help minimise the appearance of hooded eyes.

  • Botox: Can botox lift eyelids? Injecting botulinum toxin (Botox) into the muscles that control the eyebrow position can help lift the brow and reduce the appearance of hooded eyes.

  • Eyelid surgery: In some cases, people may opt for cosmetic eyelid surgery or droopy eyelids surgery, (blepharoplasty) to remove excess skin and fat from the eyelids, creating a more defined crease and reducing the appearance of hooded eyes. 


It's important to note that while these options can help improve the appearance of hooded eyes, they may not be appropriate or necessary for everyone. It's always a good idea to consult with a medical professional or licensed aesthetician before pursuing any cosmetic eyelid surgery.

What Is Myasthenia Gravis?

Myasthenia gravis (MG) is a rare, chronic autoimmune disorder that affects the neuromuscular junction, which is the connection between nerves and muscles. It causes muscle weakness and fatigue, which typically worsens with activity and improves with rest.

The immune system mistakenly attacks and damages the receptors on the muscle surface that receive signals from the nerve endings. This results in a decrease in the ability of the muscles to contract, leading to muscle weakness and fatigue, especially in the muscles that control eye movement, facial expression, swallowing, and breathing.

Myasthenia gravis symptoms can range from mild to severe and can vary from person to person. Common symptoms include drooping eyelids, double vision, difficulty speaking or chewing, weak neck and limb muscles, and respiratory difficulties.

Myasthenia Gravis Treatment.

How to reverse myasthenia gravis? While there is no absolute cure for myasthenia gravis, treatments  and medications may help manage the symptoms and improve your quality of life.

What Is Horner’s Syndrome?

Horner's syndrome is a rare disorder that affects the nervous system and results in a variety of symptoms that are caused by a disruption in the sympathetic nervous system. This disruption can happen anywhere along the pathway of the sympathetic nerves that run from the brain to the face, neck, and even the upper chest.

Common symptoms of Horner's syndrome include a drooping eyelid (ptosis), a small pupil (miosis), decreased sweating on one side of the face, and a slightly sunken appearance to the affected eye.

What Causes Horner’s Syndrome?

Horner's syndrome can be caused by a variety of underlying conditions, including trauma or injury to the head, neck or chest, tumours in the chest or neck, strokes, and other neurological disorders. It can also be caused by some medications or as a rare congenital condition. In many cases, the exact cause of Horner's syndrome is unknown.

How Common Is Horner’s Syndrome?

What is the treatment for ambylopia.

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Ptosis Surgery Cost / Eye-Lid Surgery Cost UK

Ptosis surgery and upper eyelid surgery are two different types of procedures that can be used to improve the appearance and function of the eyelids. Here is a brief overview of each procedure:

Ptosis Surgery Cost UK: From £2,500 Per Eye.

Ptosis surgery UK, what is a ptosis repair and how to tighten eyelids? Ptosis surgery is a procedure that is used to correct drooping or sagging of the upper eyelid. The surgery involves making a small incision in the eyelid crease and tightening the levator muscle that lifts the eyelid. 

In some cases, during ptosis correction the surgeon may also need to reattach or tighten the muscle that controls the eyelid movement. Ptosis eyelid surgery can improve vision and enhance the appearance of the eyes. The procedure is typically done under local anaesthesia and takes about 1-2 hours to complete.

Upper Eye-Lid Surgery Cost UK: From £2,500 Per Eye.

How to avoid ptosis with botox and upper eyelid surgery, also known as blepharoplasty? Upper eyelid surgery is a cosmetic procedure that is used to remove excess skin and fat from the upper eyelids or excess eyelid skin. 

The surgery can help reduce the appearance of hooded or droopy eyelids, improve vision, and enhance the overall appearance of the eyes via the removal of the extra skin on eyelid. 

How to reverse droopy eyelid from botox? The procedure involves making a small incision in the natural crease of the eyelid and removing excess tissue. The incision is then closed with fine sutures. Upper eyelid surgery for eye drooping treatment can be done under local anaesthesia or general anaesthesia and typically takes about 1-2 hours to complete. Please note that fees are discussed on a “case by case” basis following discussion with the consultant ophthalmologist.

How To Tighten Eyelid Skin Without Surgery?

Is there ptosis treatment without surgery? There are various non-surgical ways to tighten eyelid skin and improve the appearance of hooded or sagging eyelids. Here are some options to consider:

  • Eye creams: Some eye creams contain ingredients such as retinol, vitamin C, and hyaluronic acid that can help improve skin elasticity and reduce the appearance of fine lines and wrinkles.

  • Facial exercises: Certain facial exercises, such as raising and lowering the eyebrows, can help strengthen the muscles around the eyes and improve the appearance of sagging eyelids.

  • Cold compresses: Applying a cold compress, such as a chilled cucumber slice or a cold tea bag, to the eyelids can help reduce inflammation and puffiness, which can make the eyelids appear tighter.

  • Makeup techniques: Using makeup to highlight the eyes and create the illusion of lifted eyelids can be an effective way to temporarily improve the appearance of hooded eyes.

  • Lifestyle changes: Making healthy lifestyle changes, such as eating a balanced diet, getting enough sleep, and avoiding smoking and excessive sun exposure, can also help improve skin health and reduce the appearance of ageing.


Non-surgical options can help improve the appearance of hooded eyelids to some extent, they may not provide the same level of improvement as cosmetic surgery. It's important to discuss your options with a qualified healthcare provider or cosmetic surgeon to determine the best treatment plan for your individual needs and goals.

Bilateral Ptosis & Unilateral Ptosis.

The terms "bilateral" and "unilateral" refer to the number of eyes that are affected by ptosis, which is a condition where the upper eyelid droops or sags lower than it should.

Unilateral ptosis refers to a condition where only one eye is affected by ptosis, (one eye drooping). This means that one eyelid is drooping or sagging lower than it should be, while the other eyelid appears normal.

Bilateral ptosis, on the other hand, refers to a condition where both eyes are affected by ptosis. This means that both eyelids are drooping or sagging lower than they should be.

The causes and severity of bilateral ptosis and unilateral ptosis may vary and it's important to consult with an eye doctor or healthcare provider to determine the underlying cause of your ptosis to develop an appropriate ptosis treatment plan.

Sudden Droopy Eyelid In Child.

Sudden droopy eyelids in a child may be a sign of ptosis. While ptosis can occur at any age, it is relatively uncommon in children and may be a cause for concern. In some cases, congenital ptosis, which is ptosis that is present from birth, may not become noticeable until later in childhood when the child's facial features become more defined.


However, sudden onset of ptosis in a child should be evaluated by an eye doctor or healthcare provider to determine the underlying cause. Other potential causes of sudden droopy eyelid in a child include eyelid swelling or inflammation, eye injury, or nerve damage. If your child is experiencing sudden droopy eyelid or any other eye-related symptoms, it's important to seek medical attention as soon as possible to determine the cause and appropriate treatment.


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Ptosis Surgery Before And After.

Before ptosis surgery, the patient will typically have a consultation with their surgeon to discuss the procedure and the expected outcomes. During the consultation, the surgeon will assess the patient's eyelid anatomy and discuss the patient's medical history and any medications or supplements they may be taking.

The ptosis surgery itself is typically performed under local anaesthesia and takes approximately 1-2 hours to complete. After the surgery, the patient will need to rest and recover for a period, typically 1-2 weeks, during which time they may experience some swelling, bruising, and discomfort around the eyes.

After the recovery period, the patient should notice a significant improvement in the appearance of their eyelids, with a more open and youthful look. The exact results of the surgery will depend on the individual patient's anatomy.

It's important to note that while ptosis surgery can be effective in correcting the appearance of drooping or sagging eyelids, there are risks and potential complications associated with any surgical procedure. Patients should discuss these risks and potential complications with their surgeon before undergoing ptosis surgery.

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