Non-Incisional Ptosis Correction - SM Plastic Surgery

The non-incisional method adjusts the muscle through the conjunctiva without cutting the lid, whereas the incisional method opens the skin and handles muscle and tissue directly. Non-incisional leaves no visible scar and tends to recover quickly, suiting mild ptosis; where sagging is moderate or greater, or the lid is thick with skin laxity, incision may suit better. The method varies with the eye, so the decision follows a detailed assessment.

Entering through the conjunctiva on the inner side of the lid leaves no incision scar on the outer skin. Fine fixation points do form inside the lid, and how swelling subsides and how fast recovery goes vary from person to person.

It suits mild ptosis where the lid is thin and fat or skin sagging is not pronounced. It can be considered where weak eye opening makes the eyes look sleepy, or where the forehead is habitually used to open them; where sagging is moderate or greater, or the lid is thick, incision may suit better, so the decision follows a detailed assessment.

Because the strength of the muscle is adjusted and fixed, the correction tends to hold; but with time, or with how the eyes are habitually opened, the fixation can loosen and the correction fade. Re-adjustment can then be considered, and how well it holds differs with the lid and the person.

With no incision, swelling is comparatively light and the return to daily life tends to be quick; it varies, but daily life is generally possible around 3–5 days. Settling into a natural eye area can take longer, and the pace of recovery differs from person to person.