Ptosis Repair Gallery

Here are a small selection of our before and afters. During your consultation with Dr Nick Koutroumanos, you will be shown more before and afters.

Male eyelid ptosis repair

Some of our most cautious patients are often men.

This patient’s before and after photographs are taken at just three weeks after blepharoplasty and ptosis repair.

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Ptosis repair of the eyelid

Ptosis repair works by tightening the muscle that opens the eyelid, called the levator muscle.

It is the procedure we use when the eyelids droop resulting in small eyes.

Just like with our patient here, we must carefully adjust the muscle to different extends on each side, in order to achieve as perfect a symmetry as possible.

Other than symmetry, the best outcomes are those characterised by a natural upper eyelid contour and the compete absence of surgical scars.

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Blepharoplasty and ptosis repair combined

This case nicely demonstrates the difference between Blepharoplasty and Ptosis Repair.

In the real world, the two procedures more often than not need to be combined, to different extents, to deliver symmetry and to rectify deformities arising from aging.

The eye on our left shows significant ptosis (eyelid droop) with a compensatory raised eyebrow and a prolapsed inner fat pad.

The eye on our right shows significant skin excess (dermatochalasis) requiring a blepharoplasty.

Both surgical procedures were carried out to different degrees on each side in order to deliver a symmetric eye size, symmetric eyelid and symmetric brow.

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Ptosis repair

Another case of ptosis repair, or droopy eye lift carried out under local anaesthesia. Our now delighted patient had put off this procedure for a long time before finally making the decision to fly to London for a consultation.

Apprehension around eye surgery is very common given the sensitive nature of our eyes.

An assessment and a conversation with a clinician should be seen as an information gathering step, not a commitment and never the reason alone to proceed to surgery.

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Asymmetry surgery

It is often subtle improvements or adjustments to their eyes’ shape and size that make the biggest impact on our patients and it’s this detailed, fine touch work that we most enjoy carrying out.

This patient underwent a symmetrising left upper eyelid lift (or ptosis repair) to correct a very bothersome asymmetry. Scarless surgery was carried out without any skin incisions (transconjunctival) ensuring no tell-tale signs of surgery. Operation time was just 30 minutes and downtime less that one week.

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Ptosis repair

Minor surgery leading to major improvements. The effect that sleepy or droopy eyes (Ptosis) can have on a young professional are not minor.

Patients come to us describing challenges in their social life, careers and relationships.

Ptosis repair has been scientifically proven to restore confidence and improve quality of life.

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Ptosis repair

Minor surgery leading to major improvements. The effect that sleepy or droopy eyes (Ptosis) can have on a young professional are not minor.

Patients come to us describing challenges in their social life, careers and relationships.

Ptosis repair has been scientifically proven to restore confidence and improve quality of life.

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Paediatric ptosis repair

Eyelid ptosis, or drooping, is typically a condition presenting later in life due to wear and tear of the eyelid muscles, long term use of contact lenses or sometimes an injury. In a smaller proportion of individuals, ptosis will present at birth, due to the abnormal development of the muscles responsible for opening the eye.

Such cases require careful multidisciplinary management as they can result in poor eyesight development. In short, a child’s eye covered by a droopy eyelid, may lead to irreversible poor eyesight unless appropriately rectified and in the right time.

Surgery is technically challenging and requires expert input by an experienced oculoplastic surgeon. Good outcomes can result in remarkable improvements in children’s vision, in psychosocial development and quality of life with substantially improved opportunities in later life. Congenital ptosis repair can also be a problem in young adulthood where treatment again can provide an outstanding boost in confidence.

The family of our young patient illustrated here consulted us for an opinion following unsuccessful surgery previously. We carried out a revision ptosis repair under general anaesthesia with a great outcome. A massive thank you to them for sharing her progress.

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