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Eyelid ptosis is a droopy upper eyelid. If the lid edge displaces downwards it can cover part of the pupil and block the upper part of the vision, or cause fatigue. These are functional problems. Mild ptosis can be a cosmetic problem.
Eyelid ptosis surgery is usually done under local anaesthesia as a day case. Local anaesthetic drops are placed on the eye and a small bleb of local anaesthetic is given into the upper eyelid to numb the area. A short incision is made in the natural skin crease and the eyelid raising muscle (the levator palpebrae superioris) is identified and shortened to lift the eyelid. Dissolving sutures are used inside the lid and on the skin.
An eye pad may be applied for 24 to 48 hours. The upper eyelid will usually appear swollen for the first 7 to 10 days. The wound should be kept clean and dry and there should be no discharge from the wound.