Ptosis or droopy eyelid

Ptosis is a drooping or falling upper eyelid which can affect visual acuity, cause corneal irritation, tearing and other problems. Our experienced and highly specialised consultants-surgeons treat ptosis with the most up-to-date equipment.

Correction usually involves surgery but it is essential that the possible cause is established first.

  • Safe routine procedure
  • Short procedure
  • Speedy recovery
  • Small, invisible scar

Ptosis: causes

Ptosis can have various causes and affects both children and adults.

The most common cause of upper eyelid ptosis in the elderly is a problem with the tiny muscles that lift the eyelid, called levators (Müller’s muscle), whose connection with the upper eyelid has become stretched or detached. This can occur in one eye (unilateral) or in both eyes (bilateral)

  • In children, ptosis is usually a congenital condition that needs to be corrected at an early stage to avoid potential permanent eye injury.
  • Later on in life, ptosis is linked to neurological, infectious, traumatic, tumoral, toxic/pharmacological and other less frequent causes.

Types of ptosis

Ptosis of the upper eyelids

Ptosis of the lower eyelids

Ptosis of the lower eyelid causes the lower eyelid to hang too low and sometimes to come away from the eyeball even (cf. ectropion). Tears drain poorly and the eyes can become irritated.

Like lower eyelid correction, ptosis of the lower eyelids is associated with heavy eye bags and excess skin. Both problems are treated simultaneously.

The repositioning and re-tightening of the lower eyelid (canthopexy) will correct the condition.

Ptosis: treatment

  • Beforehand

    Preoperative screening

    • Preoperative screening is available at our surgeries in Brussels or Dilbeek, or in our eye clinic.

  • Day of Treatment


    less than 1 hour in total

    • Any anticoagulant therapy must be discontinued 7 days prior to your surgery.

      On the day of the procedure, it would be best not to drive. So bring someone along to take you home again! We also strongly advise against using public transport.

    • Before the procedure

      The procedure is usually performed under local anaesthetic, with or without a mild sedative.

    • Treatment

      Ptosis of the upper eyelids

      The procedure usually consists of shortening the static muscle insertion as precisely as possible and reattaching it to the eyelid. The correct measurements for muscle and axial eye length correction are important and require extensive practice and experience.

      Other techniques such as internally attaching the lids to the forehead muscles or shortening the smaller Müller muscle are sometimes used, but are indicated less frequently.

      Ptosis of the lower eyelids

      Like lower eyelid correction, ptosis of the lower eyelids is associated with heavy eye bags and excess skin. Both problems are treated simultaneously.

      The repositioning and re-tightening of the lowereyelid (canthopexy) will correct the condition.

  • Immediately after the procedure

    After the procedure

    • After the procedure we would advise you to observe the following guidelines:

      Do not bend your head down (e.g. to tie shoe laces) or do not lie in a completely horizontal position. Sleep on your back with your head resting on two pillows.

      Avoid stress and try to remain calm. It is essential that your blood pressure remains low.

      Feel free to read or watch television.

      Aftercare consists of anti-inflammatory drugs and painkillers in combination with gentle cooling (don’t put ice or a cold pack directly onto the eye but wrap into a thick piece of fabric first or use a clean facecloth dampened with cold water).

    • 1st week after surgery

      Eye drop (artificial tears) and an ointment (Tobramycin) will need to be applied to the scar for 1 week.

    • Removal of the stitches

      1 week after the surgery

      The stitches will be removed within1 week of your surgery

Complications associated with ptosis surgery

The chances of complications associated with ptosis surgery are small. Prior to the procedure, our surgeons will discuss the risks and aftercare with you in detail.

Ptosis surgery

At Focus Eye Clinic, we pride ourselves on our transparent price policy. This means that you pay the right price for the latest technology in the field of eyelid correction.

Ptosis surgery € 1.500
Preoperativescreening € 60
Post-operative review inbegrepeincluded
Aftercare and the removal of stitches included
FEC 26

Personal advice from our experts

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