While the age at which eyelids start to droop (also known as ptosis) varies between individuals and is dependent on factors such as sun exposure and skin type, most people notice the beginnings of ptosis in their late 30s or early 40s.
Droopy upper eyelids can result from conditions affecting the different structures of the upper eyelid. A droopy upper eyelid can cause an individual to appear tired, and can lead to functional issues such as obstruction of the visual field.
Most commonly, ptosis is due to the ageing process where there is a combination of excess skin laxity and/or stretching of the muscles and tendons elevating the upper eyelid.
Other causes include congenital, neurological or traumatic issues. You should seek advice from a plastic surgeon regarding the cause, extent and potential treatments for your droopy eyelids.
The appearance of multiple eyelid creases is often called triple folds. In patients without previous procedures done, it is caused by excess skin or loss of upper eyelid fat volume. Previous upper eyelid surgery can also cause triple folds, either due to improper scarring or removal of too much tissue.
These can be addressed through non-surgical or surgical techniques. Non-surgical techniques such as radiofrequency or botulinum toxin therapy either achieve mild reversal or give the illusion of wider eyes, respectively.
For a more significant and precise correction, a surgical procedure would be required. Your plastic surgeon will perform a comprehensive assessment to determine the cause of your ptosis, and recommend the appropriate surgery.
This may include excision of excess skin and/or repositioning of the muscles which raise the upper eyelid.
Whilst there are many different types of procedures, correction of ptosis can often be very naturally achieved through a levator muscle advancement technique. Rarely does any muscle need to be resected.
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