What is ptosis?
Ptosis, medically coined as blepharoptosis, is when the upper eyelid droops over the eye in a position that is lower than normal. The extent of droopiness may vary – it may droop a little or so much that it ends up covering the pupil. As a result, severe ptosis may limit or completely block normal vision.
How do I know I have ptosis?
It can be difficult to determine if you have ptosis or perhaps suffering from a severe lack of sleep.
One of the key symptoms is when you find it extremely difficult to keep your eyes open. You may experience a persistent ache around your eyebrows area from having to constantly lift your eyelids. In extreme cases, you may even need to tilt your head backwards in order to see from underneath the eyelids.
Fortunately, ptosis is not permanent. There are various treatment options available to improve your vision and improve your overall look.
What causes ptosis?
Ptosis may be present at birth (also known as congenitally) or appear at the later stages of your life (acquired).
Ptosis in children
Congenital ptosis is when an infant is born with a developmental problem involving the muscle that raises the upper eyelid. Majority of the time, this condition only affects one eye. The most obvious tell-tale sign is a droopy eyelid. Another sign is when the eyelid creases do not align evenly with each other.
If the droopy eyelid obscures the baby’s field of vision, surgery is necessary in order to correct the problem early and prevent permanent loss of vision.
Ptosis in adults
There are several causes for acquired ptosis in adults. One of the most common causes is aging, in which the wide, tendon-like tissue that helps the levator muscle lift the eyelid becomes overstretched. In such an instance, both eyes are usually affected. However, the extent of droopiness may be worse in one eye.
Other possible causes of acquired ptosis could be attributed to prolonged wear of contact lenses or a side effect of an eye surgery.
Ptosis treatment for children
In deciding the appropriate ptosis treatment for children, there are several factors that the ophthalmologist has to consider. This includes the child’s age, whether one or both eyelids are affected, the eyelid height, and strength of the eyelid muscle.
In most cases, the ophthalmologist will recommend surgery to treat ptosis in children. The aim is to either tighten the levator muscle or attach the eyelid to other muscles that can help to lift the eyelid, with the main goal of improving the child’s vision.
All children diagnosed with ptosis, regardless of whether they underwent surgery or not, should go to an ophthalmologist for periodic eye reviews. Reason being that children’s eyes grow over time and their shape may change. Periodic eye exams can help the ophthalmologist to identify whether there are potential risks of other eye problems.
Ptosis treatment for adults
For adults, there are two types of treatment available – ptosis crutch or surgery.
Ptosis crutch
The ptosis crutch is a nonsurgical option that involves adding an attachment to the frames of your glasses. This attachment, or crutch, minimises the drooping by holding your eyelid in place.
There are two types of ptosis crutches available – adjustable and reinforced. Adjustable crutches are attached to one side of the frame of your glasses. Reinforced crutches, on the other hand, are attached to both sides of the eye frames. Ptosis crutches can be installed on nearly all types of eyeglasses, but they usually work best on metal frames.
Ptosis crutch is a non-permanent option and is effective when the ptosis condition is only temporary.
Ptosis surgery
Depending on the severity of your ptosis, the ophthalmologist may recommend surgery. Ptosis surgery is considered as an outpatient procedure, which means that post-surgery hospital stay is not required and you are allowed to go home after the surgery.
During the surgery, local anaesthesia will be administered to the eye area. The entire process will be a fairly comfortable and painless procedure. The surgeon may only need to make small adjustments to your eyelid’s lifting muscle or strengthen your levator muscle and reattach to your eyelid.
As with any surgical procedures, there may be the risk of complications and side effects. Hence, it is advisable to discuss with your opthamologist on the possible risks and whether surgery is the best option for you.
What is the expected recovery time?
Post the surgery, you may experience minor swelling or bruising around the eye area. However, this will typically subside within a few days. The chances of scarring for ptosis surgery is usually very minimal as well.
Where can one go for ptosis surgery in Singapore?
Think that you could possibly be suffering from ptosis? Here are the various clinics in Singapore where you go for a review session and undergo ptosis surgery if necessary.
Clinic |
Dr Terence Goh |
Speciality |
|
Website | https://www.plasticsurgeonsingapore.com/ptosis-surgery/ |
Address | 38 Irrawaddy Road #06-48 Mount Elizabeth Novena Specialist Centre Singapore 329563 |
Contact | 6432 8247 |
Opening Hours | Mon – Fri: 9am – 6:30pm Sat: 9am – 1pm Sun: Closed |
Clinic |
Allure Plastic Surgery |
Speciality |
|
Website | https://www.drsamuelplasticsurgery.com/ptosis-surgery/ |
Address | 435 Orchard Road #22-04 Penthouse Floor Wisma Atria Singapore 238877 |
Contact | 64328206 [email protected] |
Opening Hours |
|
Clinic |
Hong Plastic Surgery |
Speciality |
|
Website | https://www.drhongsoowan.com/ptosis-surgery |
Address | 820 Thomson Road #06-68 Singapore 574623 |
Contact | 64328248 [email protected] |
Opening Hours | Mon – Fri: 9am – 1pm, 2pm – 5pm Saturday:9am-1pm Sunday & Holiday: Closed |
Clinic |
Sweng Plastic Aesthetic and Reconstructive Surgery |
Speciality |
|
Website | https://www.sweng.sg/ |
Address | 1 Farrer Park Station Rd, #16-08 to 10 Connexion, Singapore 217562 |
Contact | 65 6600 6868 |
Opening Hours | Weekdays: 8:30am–5:30pm Saturday: 8:30am–1pm |
Clinic |
Colin Tham Plastic Surgery |
Speciality |
|
Website | https://www.colinthamplasticsurgery.sg/ |
Address | 304 Orchard Road, Lucky Plaza #05-06, Singapore 238863 |
Contact | 65 6235 8411 |
Opening Hours | Weekdays and Saturday: 9:30am–6:30pm |
Clinic |
Woffles Wu Aesthetic Surgery & Laser Centre |
Speciality |
|
Website | https://www.woffleswu.com/ |
Address | Camden Medical Centre, 1 Orchard Boulevard, Suite #09-02, Singapore 249615 |
Contact | 65 6733 9771 / 65 6733 2820 |
Opening Hours | By appointment only |
Clinic |
TES Clinic |
Speciality |
|
Website | https://tesclinic.com/services/blepharoplasty-eyelid-surgery/ |
Address | 304 Orchard Road, Lucky Plaza Suites #05-42, Medical Specialists, Singapore 238863 |
Contact | 65 6737 0552 | 65 9735 9930 |
Opening Hours | Monday – Friday: 9am – 6pmSaturday: 9am – 1pm |
Clinic |
Shens Clinic |
Speciality |
|
Website | https://www.shensclinic.com |
Address | Winsland House 1, #09-08, 3 Killiney Road, Singapore, Singapore 239519 |
Contact | 65 6904 4488 |
Opening Hours | Weekdays: 9:30am–6:30pm Saturday: 9:30am–2:30pm |
Clinic |
Wong’s Plastic Surgery Centre |
Speciality |
|
Website | https://www.wongplasticsurgery.com/ |
Address | 6 Napier Road, #07-13, Singapore 258499 |
Contact | 65 6479 7173 |
Opening Hours | Monday – Saturday, 9:00 AM to 5:30 PM |
Clinic |
Jerry Tan Eye Surgery |
Speciality |
|
Website | https://www.jerrytaneyesurgery.com/ |
Address | 1 Scotts Rd, #21-03 Shaw Centre, Singapore 228208 |
Contact | 65 6738 8122 |
Opening Hours | Mondays to Fridays: 9:00am to 5:30pm
Saturdays: 9:00am to 1:00pm |
Clinic |
Asia Retina |
Speciality |
|
Website | https://asiaretina.com/ |
Address | #15-10 The Paragon, 290 Orchard Rd, Singapore 238859 |
Contact | +65 6732 0007 | +65 9118 0007 [email protected] |
Opening Hours | Monday – Friday: 09:00 AM – 05:00 PM Saturday: 09:00 AM – 12:00 PM |
Clinic |
Focal Eye Centre |
Speciality |
|
Website | https://www.focaleyecentre.com/service/Droopy-eyelids |
Address | Mt Elizabeth Novena Hospital, 38 Irrawaddy Road, #10-21, Singapore 329563 |
Contact | 65 6339 8936 |
Opening Hours | Monday to Friday: 830am to 5pm Saturday: 830am to 1230pm |
Clinic |
Heal Group |
Speciality |
|
Website | https://www.healgroup.sg/ |
Address | OKIO, 262 Balestier Road, #04-01/02, Singapore 329714 |
Contact | [email protected]
65 6250 9550/65 6251 2501 |
Opening Hours | Monday to Friday: 9am to 5pm
Saturday: 9am to 1pm Sunday and Public Holidays: Closed |
Clinic |
Cambridge Medical Group |
Speciality |
|
Website | https://www.cambridgemedical.com.sg/services-plexrplasmaeyelift/ |
Address | 391B Orchard Road, #08-05A1, Tower B, Ngee Ann City, Singapore 238874 |
Contact | 65 6733 0777 |
Opening Hours |
|
Clinic |
Ava Eye Clinic |
Speciality |
|
Website | https://avaeyeclinic.com/services/adult-ptosis-surgery/ |
Address | 101 Irrawaddy Road #20-01, Royal Square Medical Centre, Royal Square @ Novena, Singapore 329565 |
Contact | +65 6250 7377 / +65 6250 7477 |
Opening Hours | Monday to Friday : 9 am – 5.30 pm Saturday : 9 am – 12.30 pm Closed on Sundays and Public Holidays |
Clinic |
W Aesthetic Plastic Surgery |
Speciality |
|
Website | https://www.waesthetics.com/asian_upper_eyelids.php |
Address | Mount Elizabeth Novena, 38 Irrawaddy Road, #06-28/29, Singapore 329563 |
Contact | +65 65702528 |
Opening Hours |
|
Clinic |
Specialist Eye & Eyelids Clinic |
Speciality |
|
Website | https://www.seedrchuah.com.sg/articles/droopy-eyelids/ |
Address | Novena Medical Centre, 10 Sinaran Drive, #09-11, Singapore 307506 |
Contact | 65 6397 6101 |
Opening Hours | Monday to Friday: 9am to 5.30pm Saturday: 9am to 1pm Sunday and Public holidays: Closed |
Clinic |
Aesthetics & Reconstructive Centre |
Speciality |
|
Website | https://www.andrewkhoo.com/men/eyelid-surgery-in-men/ |
Address | 3 Mount Elizabeth Road, #13-08, Singapore 228510 |
Contact | (65) 6733 3712 |
Opening Hours | Mon-Fri 9AM-6PM
Sat 9AM-1PM Closed on Sun |
Clinic |
Dr Leo Aesthetic Plastic & Reconstructive Surgery |
Speciality |
|
Website | https://www.drleoplasticsurgery.com/ptosis-correction.html |
Address | 3 Mount Elizabeth, Mount Elizabeth Medical Centre #06-10 Singapore 228510 |
Contact | 6733 3895 |
Opening Hours | Mon-Fri : 0830 – 1700 Sat : 0830 – 1300 |
Clinic |
The Plastic Surgery Practice |
Speciality |
|
Website | https://www.andrewtay.com.sg |
Address |
|
Contact | (65) 6397 6618 / (65) 6732 1719 [email protected] |
Opening Hours | Monday – Friday : 9am – 1pm, 2pm – 5pm Saturday : 9am – 1pm Sunday & Public Holiday : Closed |
Is it possible to avoid ptosis?
Unfortunately there is no way to avoid ptosis. However, recognising the symptoms early and going for regular eye examinations can help you to fight this disorder.
If you notice that your child is suffering from a droopy eyelid, you should take them to see an eye doctor immediately. Similarly, if you notice signs of a droopy eyelid, it is imperative to visit an eye doctor quickly to prevent the condition from deteriorating further.
Is ptosis a long-term condition?
For congenital ptosis, the condition is usually addressed at the young age. For severe instances, the doctor may recommend surgery as early treatment will minimise the risk of permanent eye damage. For mild cases of ptosis, the doctor may recommend waiting until the child is slightly older before seeking treatment to avoid it becoming a long-term condition.
For acquired ptosis, it ultimately depends on the underlying cause. If it is due to aging, the droopy eyelid may come back despite surgery. Most of the time however, ptosis is simply a cosmetic condition. Undergoing surgery is one quick way to address this droopy eyelid condition.
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