Droopy Eyelid
Ptosis Correction


Droopy Eyelid
Ptosis Correction

Ptosis Correction Singapore


At what age do eyelids start to droop?

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.

marginal reflex distance diagramDroopy 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.

What causes triple 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.

How to correct a droopy upper eyelid or triple eyelids?

droopy eyelidThese 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.

Is Ptosis surgery permanent?

Done well, ptosis surgery is permanent. However, with time, the natural ageing process can lead to recurrence of the ptosis. In this case, a repeat procedure can be performed, if desired.

For more information, see the section ‘What can you expect from Blepharoplasty?’. Do discuss this more with your plastic surgeon.

Why choose Illumia Medical

Our plastic surgeon is fully accredited with MOH, is double-fellowship qualified, and has extensively trained and observed with eminent blepharoplasty surgeons from the East and West. He will perform a thorough assessment and, in discussion with you, recommend the appropriate, tailor made procedure to achieve what you desire.


Above all, your comfort and safety are our priority.


Will health insurance cover eyelid surgery?

In cases where your droopy upper eyelids cause a functional issue such as blocking of your field of vision, you may be able to claim your upper eyelid surgery as a medical procedure. You would need a thorough eye examination and testing for this.

What kind of doctor does ptosis surgery?

Ptosis surgery should be performed by a fully qualified plastic or oculoplastic surgeon.

Does Botulinum Toxin (e.g. Botox, Dysport) lift eyelids?

The eyelids are lifted by the upper lid muscles. The upper lid is connected to the eyebrows, whose position is controlled by the forehead elevator muscles (frontalis) as well as the forehead depressor muscles (corrugator and procerus). Botulinum toxin at the forehead depressors will allow the forehead elevator muscles to pull up the eyebrows more, helping to subtly lift the upper eyelids. In addition, placing a small amount of botulinum toxin at the lateral aspect of the eyebrow to paralyse part the muscle performing eye closure will assist in this lift. However, the lift is minimal to moderate and cannot address issues such as excess skin or fat, or stretching of the upper lid muscles. You would require an upper blepharoplasty procedure for this.


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