New York Eye & Face: Leading the Way in Functional Ptosis Repair

Dr. Anaïs Carniciu, M.D. is a renowned leader in reconstructive ptosis repair at New York Eye & Face. Her extensive experience and expertise have helped numerous patients improve their vision through advanced surgical techniques. Patients can trust that their ptosis correction will be performed with precision and attention to detail, ultimately improving functionality.

My overall experience was positive. Practically no wait time. The doctor explained everything step by step, and the assistant was helpful and attentive as well.  Would recommend to anyone.

A.T.

Ptosis and Reconstruction Basics

The levator palpebrae superioris muscle is key in eyelid movement. When this muscle or its neural innervation is compromised, it can lead to ptosis. Ptosis is a condition where the upper eyelid droops, affecting one or both eyes. This sagging can range from mild, barely noticeable, to severe, where the lid can cover the pupil entirely and impede vision.

Causes of ptosis include the following:

  • A developmental defect in the levator muscle, which is responsible for lifting the eyelid
  • Aging, as the tendon of the levator muscle can stretch or separate away from the eyelid
  • Conditions that affect the nerves, such as Horner’s syndrome or third nerve palsy
  • Muscle diseases like myasthenia gravis
  • Injury to the eye area
  • The weight of a tumor or swelling in the eyelid

Some examples of the most common symptoms of ptosis include the following:

  • Drooping of one or both upper eyelids
  • Difficulty keeping eyes open
  • Eye strain or fatigue, particularly when trying to read
  • Forehead muscle strain from attempting to raise eyelids
  • Impaired vision

Functional ptosis repair is a surgical procedure to improve significant visual compromise from low-hanging eyelids. The surgery involves repairing or reconstructing the muscles that lift the eyelid to restore functionality.

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Benefits of Functional Ptosis Repair

Functional ptosis repair surgery offers several advantages to improve your quality of life:

  • Improved Field of Vision: One of the most immediate benefits you'll notice is expanding your visual field. Drooping eyelids can reduce your peripheral vision, particularly the upper field, and correcting this can significantly enhance your ability to see clearly.
  • Enhanced Ability to Perform Daily Activities: With an improved field of vision, you're likely to find daily tasks easier. Reading, driving, and other activities that rely on sharp vision become more manageable. You'll likely experience less eye strain and more comfort during these activities.
  • Improved Emotional Well-being: Your emotional health can also benefit significantly. With your vision restored, you may feel a reduced emotional stress associated with impaired vision.

Activity

Improvement After Surgery

Reading

Increased ease and comfort

Driving

Better visibility and safety

Computer Work

Reduced eye strain

Ptosis Repair Before & After Photos

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Am I a Good Candidate?

Here are factors that may make you a good candidate for the surgery:

You should have notable eyelid drooping that obstructs your field of vision, be in good general health without any conditions that could impair healing, and not smoke, as smoking can impede the healing process. It’s important to note that certain conditions may impede your suitability for the procedure. For example:

  • Eye Conditions: Severe eye diseases such as glaucoma or dry eye could complicate the surgery.
  • Systemic Diseases: Conditions like diabetes or cardiovascular issues may affect recovery.
  • Medications: Certain medications can increase the risk of bleeding.
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What to Expect Before, During, and After

Knowing what to expect throughout the process can help you feel more at ease and prepped for the journey toward improved eyelid function.

Consultation

During your initial consultation with Dr. Carniciu, expect a thorough examination of your eyes and a discussion about your medical history. Dr. Carniciu will assess the extent of your ptosis and explain procedure options and pre-operative requirements, such as medications to avoid pre-surgery.

Procedure

On the day of the surgery, which usually takes about 30 minutes to one hour, local anesthesia, sedation, or general anesthesia may be used. Once the patient is prepared for surgery, the procedure generally involves making carefully planned incisions in the eyelids' natural creases or inside the eyelid to minimize visible scarring. Dr. Carniciu then adjusts the position of the eyelid muscles and tissues to lift and reposition the upper eyelid.

Recovery and Results

After the procedure, patients can expect some swelling, bruising, and mild discomfort around the eyes, which are normal and typically subside over time. Post-operative instructions may include:

  • Using prescribed eye drops or ointments
  • Applying cold compresses to reduce swelling
  • Avoiding activities that could strain the eyes
  • Keeping the head elevated while resting to minimize swelling and promote comfort
  • Refraining from rubbing or putting pressure on the treated area to avoid disrupting the healing process

As the initial swelling subsides, patients will begin to notice the gradual improvement in the function of their eyelids. However, full recovery from eyelid ptosis repair may take several weeks to months, during which time the final results become more apparent.

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Why Choose New York Eye & Face for Eyelid Ptosis Repair Surgery?

When you're considering ptosis repair to improve your visual function, the quality of care and expertise of the surgical team are paramount. New York Eye & Face stands out as a leading institution in this highly specialized field, offering a blend of state-of-the-art technology and personalized care.

We are led by Dr. Anaïs Carniciu, M.D., a board-certified ophthalmic surgeon and ASOPRS-certified oculofacial plastic surgeon with a strong reputation for exceptional expertise and patient care. Dr. Carniciu subspecializes in facial plastic surgery, particularly addressing the intricate tissues surrounding the eyes.

Choosing New York Eye & Face for your functional eyelid surgery means trusting a team that values your vision. Book a consultation today to make an informed choice about your eye health and begin your journey to recovery.

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