by Webmaster | Nov 4, 2019 | Ptosis
EXTERNAL PTOSIS REPAIR (LEVATOR REPAIR) This 60 year old patient came to me with a chief complaint of having drooping eyelids, worse at the end of the day, and affecting computer work. While her primary complaints were not cosmetic, she was sensitive to the impact... 
by Joseph Walrath | Mar 25, 2019 | Asian, Blepharoplasty, Cosmetic, Ptosis
I recently encountered a young Asian woman in the office with severe congenital ptosis. The upper eyelids drooped severely, no matter how hard the patient tried to lift them. This is because the muscles were malformed at birth. She underwent a prior surgery some... 
by Joseph Walrath | Feb 10, 2019 | Blepharoplasty, Cosmetic, Ptosis, Reconstruction
A lovely young woman came to me a few years ago for a consultation with a complaint of congenital ptosis of the left upper lid. “Congenital ptosis” is the medical term for an upper lid that is born droopy. Usually, this means that the internal upper lid is not... 
by Joseph Walrath | Oct 1, 2018 | Canthoplasty, Ptosis, Reconstruction
“I can see!” That was the greeting I got from our 90+ year old postoperative patient last Friday. She had previously be unable to do the things that she really enjoyed, like knitting and crafts, because of her upper lid ptosis. Her problem was particularly... 
by Joseph Walrath | Dec 30, 2017 | Blepharoplasty, Cosmetic, Ptosis, Reconstruction
A good relationship between the physician and patient, a realistic surgical plan, and a frank discussion of the surgical theatre environment of the office are important when determining who is appropriate for office surgery. (Also, I said “theatre”.) The idea of... 
by Joseph Walrath | Jun 30, 2017 | Pediatric, Ptosis, Reconstruction
Frontalis suspension is a specialized technique used to correct upper lid ptosis when the upper lid function is very poor: in certain cases of congenital ptosis, or neuromuscular disease, or mitochondrial disease. In these cases, the lids do not function...