My eyelids seem very heavy since my blepharoplasty. What causes this and what can be done?

This is actually quite common. It is the result slippage or disinsertion of the upper eyelid tendon. This tendon connects the upper eyelid edge with a muscle that raises the upper eyelid. This results in a condition that is referred to as ptosis or blepharoptosis. It can be caused if the tendon is cut during surgery but it can also slip on its own and this can be made much worse with the swelling of the eyelid that occurs with the blepharoplasty. Correcting this first entails determining if one or both of the eyelids is drooping. One may be worse than the other but if both sides are not fixed at the same time, the side that was not repaired will end up looking heavy. The exact procedure needed to fix the droopy lid is determined by how heavy the eyelid is and its response to the instillation of neosynepherine eye drops. Based on the effect of this test and several other measurements Dr. Steinsapir will determine the most appropriate surgery for correcting the ptosis.

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