Medical Aesthetics

Drooping Eyelid Surgery

What is Drooping Eyelid Surgery?

The eyes, one of the most striking features of the face, directly reflect a person’s expression and energy. A lower-than-normal upper eyelid can both impair aesthetic appearance and narrow the field of vision. A permanent solution to this problem is surgical intervention. During eyelid ptosis surgery, the muscles that lift the eyelid are repaired, shortened, or supported using various methods. In some cases, specialized lifting techniques are used to lift the eyelid to the desired level. The goal of the procedure is not only to provide a more aesthetically pleasing appearance; it also aims to improve the patient’s vision and alleviate difficulties experienced in daily life.

What Causes Drooping Eyelids (Ptosis)?

Congenital muscle developmental disorders are one of the most significant causes of ptosis. The eyelid can appear droopy from an early age, particularly if the levator muscle, which lifts the eyelid, is not strong enough. In adults, aging-related muscle and connective tissue laxity is among the most common causes. Nerve damage, muscle diseases, eye surgeries, or trauma can also cause the eyelid to droop. Even daily habits such as prolonged contact lens wear can cause this problem over time. Accurately identifying the cause is critical for both developing a treatment plan and achieving a successful outcome.

What Problems Does Drooping Eyelids Cause?

While it may seem like only an aesthetic problem, it can actually directly affect eye health. When droopy eyelids restrict vision, a person is forced to constantly tilt their head back or raise their eyebrows. This can lead to tension in the neck muscles, forehead wrinkles, and frequent headaches. Ptosis, which occurs in childhood, can have more serious consequences; if left untreated, it can lead to amblyopia, strabismus, or vision problems. In social situations, a person may be perceived as constantly tired, sleepy, or unhappy. Therefore, it is important to treat the condition for functional reasons as well as aesthetic concerns.

How is Drooping Eyelids Diagnosed?

During the diagnosis process, the specialist first conducts a detailed eye examination. The degree of drooping of the eyelid, the distance between the pupil and the eyelid, and the strength of the muscles that elevate the eyelid are carefully evaluated. Special tests may be performed to determine whether the eyelid is affected by the visual field. If necessary, further tests examining nerve and muscle function may be performed. Furthermore, photographs and measurements are very helpful for preoperative planning. An accurate diagnosis plays a decisive role in determining the surgical procedure and directly affects the naturalness of the results.

How is Drooping Eyelid Surgery Performed?

The primary goal of surgery is to restore the function of the muscles that elevate the eyelids. This is usually achieved by shortening or strengthening the levator muscle, which lifts the eyelids. In some cases, when muscle function is observed to be inadequate, a suspension method can be used to attach the forehead muscles. This elevates the eyelid and opens the field of vision. The procedure can be performed under local or general anesthesia. The technique used depends on the degree of droop, the patient’s age, and the strength of the muscle function. It is important to maintain a natural appearance during surgery and to harmonize the eyelids with the facial structure.

How Long Does the Surgery Take?

The duration of the surgery depends on the technique used and the extent of the intervention. The average time for the procedure is between 45 minutes and 1.5 hours. If the procedure is performed under local anesthesia, the patient can return to their normal activities quickly. However, if general anesthesia is used, a slightly longer recovery period may be required. While the duration of the surgery varies from person to person, modern surgical techniques make the procedure quicker and safer.

Who Can Undergo Drooping Eyelid Surgery?

This procedure is performed on both those with aesthetic concerns and those experiencing vision problems. In children with congenital ptosis, it may be necessary to perform it at an early age due to the risk of hindering vision development. In adults, individuals with aging-related sagging, post-traumatic ptosis, or muscle weakness may benefit from this surgery. Those seeking a more vibrant and youthful appearance are also suitable candidates. However, careful evaluation is necessary for individuals with poor general health or serious conditions that may complicate the healing process.

How Does This Surgery Affect Vision?

When the eyelid droops, the person constantly tries to look up, often tilting their head upward. This can cause significant difficulties in daily life. After surgery, when the eyelid is brought back to normal, the field of vision opens, allowing the eyes to function more comfortably. This results in both an aesthetically rejuvenated appearance and improved vision quality. When used in children, it reduces the risk of amblyopia (lazy eye) and, in adults, eliminates fatigue related to head and neck posture.

Recovery Process After Eyelid Drooping Surgery

Mild swelling, redness, and bruising are normal in the first days after surgery. These usually subside within a week, and the patient can return to their daily activities. Full recovery takes between two and four weeks. During this period, it is important to avoid rubbing the eyes and to use the prescribed drops and creams regularly. Once healing is complete, the eyelids will achieve a more balanced, symmetrical, and aesthetically pleasing appearance. Visual limitations will disappear, and the patient will feel more confident in their social lives.

Does Surgery Provide a Permanent Solution?

Surgical methods for drooping eyelids often provide long-lasting and permanent results. Because the muscles are strengthened or reshaped during surgery, the likelihood of the eyelids drooping again is quite low. However, a person’s age, tissue structure, and general health around the eyes can affect the outcome. As the natural aging process continues in older adults, the eyelids may sag again. Despite this, the corrections performed last for many years, resulting in positive results both aesthetically and functionally.

Is Drooping Eyelid Surgery Risky?

As with any surgical procedure, this procedure carries certain risks. Bleeding, infection, suture dehiscence, or delayed healing are rare but possible. Furthermore, if the eyelid height is more or less than desired, a second intervention may be necessary. However, thanks to modern surgical techniques, sterile conditions, and experienced surgeons, these risks have been minimized. Thorough preoperative evaluation and adherence to postoperative care recommendations significantly reduce these risks.

Is it possible to treat drooping eyelids for aesthetic purposes?

Even if drooping eyelids don’t affect vision, they can be aesthetically displeasing. A persistently tired, sullen, or unhappy facial expression can negatively impact a person’s social life. In such cases, eyelid surgery may be performed solely for aesthetic reasons. This procedure gives the eyes a more vibrant, youthful, and vibrant appearance. Cosmetic procedures typically involve smaller adjustments, and care is taken to preserve the natural facial expression. This results in a more aesthetically pleasing and confident appearance.

Is Droopy Eyelid Surgery Covered by Social Security?

Whether this surgery is considered covered by social security depends on the functional impact of the problem. If the drooping eyelid narrows the field of vision and interferes with a person’s daily life, it may be considered a medical need. In this case, it may be covered by the Social Security Institution (SGK) under certain conditions. However, if performed solely for aesthetic reasons, it is generally not covered. For definitive information, an examination and an official report must be prepared. This will clarify the conditions under which the surgery is considered covered by social security.

Drooping Eyelid Surgery Reviews and Experiences

Reviews from people who have undergone this procedure are generally quite positive. It is frequently noted that the procedure not only provides a more youthful and youthful appearance aesthetically, but also improves the quality of vision. Those with visual impairments, in particular, report being able to look clearly and feel more comfortable in daily life after the procedure. While swelling and bruising may be experienced in the initial days, these effects are reported to disappear within a few weeks. The short time it takes to return to social life is also a satisfactory factor. General experience indicates that the procedure provides both aesthetic and functional benefits.

Droopy Eyelid Surgery Prices 2026

Droopy eyelid surgery prices in 2026 range between $2,500 and $5,500, depending on the clinic, surgeon, and procedure complexity. This corrective surgery removes excess skin and tightens muscles, improving both appearance and vision in advanced cases. Recovery generally takes 1 to 2 weeks, with final results visible after a few months. Costs may vary based on anesthesia type, hospital facilities, and whether the operation is combined with lower eyelid or brow lift. Some clinics also offer package options including consultation, surgery, and postoperative care, which can influence the overall price.

Can eye symmetry be achieved after surgery?

One of the most important goals of the surgery is to achieve symmetry between the two eyelids. The measurements taken and techniques used during surgery ensure the lids are as symmetrical as possible. While minor differences may vary from person to person, the overall result is a more balanced and natural appearance.

Can Surgery Be Performed on One Eyelid?

If the drooping is only present in one eye, surgery can be applied to that area only. Even in this case, the other eyelid is also measured to maintain symmetry, and the procedure is meticulously planned. Unilateral surgery is often preferred, especially in cases of ptosis that develops after trauma or nerve damage.

Can Drooping Eyelids Be Treated Without Surgery?

Surgery is usually the only permanent solution for ptosis caused by muscle weakness or structural problems. Nonsurgical treatment methods can only provide temporary relief. Exercises or some supportive measures do not eliminate eyelid drooping. Therefore, surgery is the most effective option for permanent and satisfactory results.

Will There Be Any Scars After This Surgery?

The incisions made during the surgical procedure are generally hidden within the natural folds of the eyelid. This eliminates any visible scarring once healing is complete. Mild redness and suture lines may be visible in the first weeks, but these will fade over time. Modern surgical techniques and finer suture materials make scars virtually unnoticeable. Skin type, the individual’s healing process, and regular care also influence the visibility of scars. Most patients achieve a natural appearance around their eyes after surgery and experience no scarring.

Is Drooping Eyelids Genetic?

This problem can be seen from birth in some people, and genetic factors may play a significant role. Those with a family history of ptosis are particularly likely to develop similar problems. In congenital cases, the muscle that lifts the eyelid is underdeveloped. Furthermore, ptosis, which develops later, can be caused by aging, trauma, nerve damage, or muscle weakness, independent of genetics. So, genetic predisposition increases the risk, but it is not the sole cause.

Does Drooping Eyelids Cause Headaches?

The lids obstruct the visual field, forcing the person to unconsciously lift their head or constantly tense their eyebrows. This causes the forehead and neck muscles to overwork. Over time, muscle fatigue develops, and frequent headaches can occur. This can be particularly noticeable in people who work in front of a computer for long periods. When the lids are brought back to normal after surgery, the visual field opens, unnecessary muscle strain is eliminated, and headaches are significantly reduced.

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About Yıldız Acar Ebcim

Op. Dr. Yıldız Acar Ebcim completed his medical education at Istanbul University Cerrahpaşa Faculty of Medicine between 2003 and 2009. He began his Ophthalmology residency at Istanbul Training and Research Hospital in 2011 and, after extensive clinical and surgical experience, received the title of Ophthalmology Specialist in 2015.

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