Incision Ptosis Correction - SM Plastic Surgery

Non-incisional ptosis correction adjusts the muscle that opens the eye through minute openings without cutting the lid; swelling tends to be light and recovery quick, and it is considered mainly for mild ptosis. The incisional method opens along the line and finely tunes the extent while seeing the levator directly, suiting moderate or greater ptosis and cases with thick lids or skin laxity. Which method suits varies with the eye, so the decision follows a detailed assessment.

Where eye opening is markedly weak and much of the iris is covered — moderate ptosis or greater — incisional correction, which checks and adjusts the levator directly, is considered. Because the extent can be finely tuned while seeing the muscle, it suits cases the non-incisional method cannot correct sufficiently. The approach varies with the cause of the ptosis and how the muscle functions, and the degree of correction and the result vary from person to person.

The incision follows the crease and the scar sits inside the line, so it tends not to show when the eyes are open. Fine suturing reduces the burden of scarring, but fading takes time, and how well it heals varies with constitution.

It varies, but sutures generally come out after 5–7 days, and daily life tends to be possible from around then. With incision and muscle adjustment involved, swelling can exceed the non-incisional method, and settling into a natural eye area can take longer. The pace of recovery differs from person to person.

Incisional ptosis correction is usually designed together with the crease, so it is often performed alongside double-eyelid surgery. Where ptosis weakens eye opening, a crease alone rarely brings a clear eye area, so ptosis correction is considered together. The extent done together is decided after detailed assessment of the lid and the line you want.