HomeHealthCan a botched ptosis surgery be corrected?

Can a botched ptosis surgery be corrected?

Undergoing ptosis surgery in order to improve the appearance of your eyes involves some risks and complications like any type of surgical procedure. These can be easily avoided when you choose a surgeon who is highly skilled and has years of experience for your ptosis correction (https://www.allureplasticsurgery.sg/ptosis-droopy-eyelid-correction-singapore)  in Singapore.

But in case the unexpected happens, can the results of a botched ptosis surgery be corrected? Find out in this article.

Why you may need ptosis surgery

Ptosis is a condition that affects the upper eyelid wherein the eyelid droops and may cause visual problems. It can be congenital or acquired.

Congenital ptosis is present at birth. This happens when the levator muscles, which are responsible for the eyelid’s elevation and retraction, fail to properly develop while the baby is still in the womb. This leads to ptosis once the child is born. Children with ptosis may have limitations with their ability to see clearly. Because of a drooping eyelid. The top field vision of their sight may be compromised. Hence, they may need to tilt their head at a certain angle to be able to see fully. Congenital ptosis must be treated so the child does not develop further complications with their vision, which can have long lasting negative effects during their lifetime.

Acquired ptosis is a condition that is not present at birth. This can happen at any point in life and may be caused by various factors. Acquired ptosis has five types:

  • Aponeurotic ptosis – This type of acquired ptosis is usually due to aging, but it can also be due to using contact lenses for a long time or constantly pulling and/or rubbing the eyelid to relieve the eye from irritation. When this happens, the eyelid’s levator muscle becomes overly stretched and causes the eyelid to droop.
  • Mechanical ptosis – This type of acquired ptosis occurs when there is extra skin or weight that pulls the eyelid down.
  • Myogenic ptosis – This type of acquired ptosis is linked to an underlying condition, such as muscular dystrophy or external ophthalmoplegia that is chronic and progressive, which causes the levator muscle to weaken.
  • Neurogenic ptosis – This type of acquired ptosis involves the functionality of the nerve pathway responsible for controlling the eyelid muscles’ movements. Its cause may be due to medical conditions such as Horner syndrome, myasthenia gravis, or third nerve palsy.
  • Traumatic ptosis – This type of acquired ptosis is a result of an injury or damage to the levator muscle due to eye trauma or an accident impacting the eyelid.

Symptoms of ptosis

The very obvious sign that a person has ptosis is an upper eyelid that is drooping. Other factors are:

  • Changes to vision
  • Consistent eyebrow raising or head tilting
  • Eyelid that feels heavy
  • Headache caused by eye strain or forehead muscle strain

Getting your eyes checked is the best way to know whether it is necessary for you to undergo ptosis surgery or not. During your ptosis consultation, your doctor will assess your eyelid’s function. Your doctor will perform a test called the marginal reflex distance. In this test, your doctor will observe how your pupil’s center and upper eyelid relate to each other. If the results of the marginal reflex distance is below the standard level, then ptosis is present.

Ptosis surgery

Ptosis surgery is a procedure that is performed to tighten the levator muscles. Patients are usually given a local anaesthetic to remove any kind of discomfort during the operation. The anaesthetic may be given as eye drops or injected into your eyelid.

The surgery is done by creating an incision along the eyelid’s natural crease. If there are excessive skin or tissues weighing down the eyelid, these will be removed prior to tightening the levator muscles. Stitches are then placed in the levator muscles and anchored at a certain point in the eyelid to strengthen its bond and widen the opening of the eyes when the eyelid retracts. Depending on your condition, the procedure can last between 45 to 90 minutes.

Botched ptosis surgery

A botched ptosis surgery leaves complications and disappointing results. These may include:

  • Appearance that looks unnatural
  • Dryness of the eyes
  • Eyelids that do not shut completely
  • Infection in the area where the incision was made
  • Loss of sensation around the eyelash area
  • Problems with vision
  • Scarring

Correcting botched ptosis surgery

The results of a botched ptosis surgery can be corrected. However, there may be limitations to the extent of repair that your doctor can do and the procedure is a lot more complicated than your initial ptosis surgery. It is highly recommended that this correction surgery should be handled by an expert oculoplastic surgeon.

Fixing the outcome of a botched ptosis surgery varies depending on the issues that a patient is experiencing. In line with this, it is imperative to note that the anatomy of the eyelid following your botched ptosis surgery plays a crucial role in the outcome of your eyelid restoration. Repairing botched ptosis surgery cases can be tricky as there may not be enough skin and tissues for your surgeon to work with. Therefore, your surgeon should be honest and realistic when setting your expectations before doing the procedure.

How soon you can schedule a correction surgery depends on how fast your eyelids heal completely. This can be anywhere between three to six months.

Risks and complications involved in correcting botched ptosis surgery

The risks and complications involved following a botched ptosis surgery correction are similar to any surgical procedure done to the eyelids. These are the most common:

  • Bruising
  • Dryness of eyes
  • Swelling

Dry eye issues tend to worsen overtime with repetitive eyelid surgeries. An expert surgeon will not proceed with your botched ptosis surgery correction if this condition is not managed.

To address dry eyes following ptosis surgery, patients are prescribed to use artificial tears or an eye ointment for relief. Your eyes should also be checked by your doctor on a regular basis to monitor its health.

Final word

Correcting botched ptosis surgery can be done if you are experiencing any complications or are unhappy with the results of your initial surgery. However, this succeeding surgery is more complex and a patient will again undergo the similar risks and complications of eyelid surgery. To avoid getting botched ptosis surgery results, be sure to choose a surgeon that has the right credentials, technique, and skills to perform ptosis surgery.

Allure Plastic Surgery

435 Orchard Road

#22-04 Penthouse Floor Wisma Atria

Singapore 238877


Phone:  + 65 6734 9988

Whatsapp: + 65 9623 7836

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