What is Ptosis (Droopy Eyelid)? Symptoms, Causes and Treatment Explained

How Do I Know If I Have Ptosis? Common Signs and Symptoms

The symptoms of ptosis vary depending on how severe the drooping is. Some people only notice that one eyelid sits slightly lower than the other, while others experience more significant problems that affect their vision and everyday activities.

In mild cases, ptosis may simply create the appearance of tired or uneven eyes. However, as the eyelid droops further, it can begin to block the upper part of your vision, making activities such as reading, driving or using a computer more difficult.

Common symptoms of ptosis include:

• One upper eyelid sitting lower than the other.
• A tired, heavy or sleepy appearance around the eyes.
• Difficulty keeping one or both eyes fully open.
• A reduced upper field of vision.
• Frequently raising the eyebrows to lift the eyelids.
• Tilting the head backwards to see more clearly.
• Forehead discomfort or headaches caused by muscle strain.
• Eye fatigue, particularly after reading or other visually demanding tasks.

If you notice a drooping eyelid that develops suddenly, worsens over time or is accompanied by symptoms such as double vision or muscle weakness, it is important to seek medical assessment. Identifying the underlying cause early helps ensure you receive the most appropriate treatment.

FAQ

Can ptosis be fixed naturally?

True ptosis cannot usually be corrected naturally, as it is caused by weakness or stretching of the muscle or tendon that lifts the upper eyelid. While certain non-surgical treatments, such as prescription eye drops or a ptosis crutch, may temporarily improve eyelid position in selected cases, they do not permanently correct the underlying problem. If ptosis affects your vision or daily life, surgery is often the most effective long-term solution.

Is ptosis permanent?

It depends on the underlying cause. Age-related and congenital ptosis typically do not improve without treatment. However, ptosis caused by temporary factors, such as swelling or certain medications, may resolve once the underlying issue has been addressed. An assessment by a specialist can help determine the cause and the most appropriate treatment.

How do you pronounce ptosis?

The word ptosis is pronounced “TOE-sis”. Although the first letter is written as a P, it is silent, so the word is spoken as “TOE-sis”.

Is ptosis from Botox permanent?

No. Botox-related ptosis is usually temporary. It can occur if the product affects the muscles responsible for lifting the upper eyelid, but the effect gradually wears off as the Botox naturally breaks down. Most cases improve within a few weeks, although recovery time varies from person to person.

Can ptosis affect both eyes?

Yes. Ptosis can affect one eyelid (unilateral ptosis) or both eyelids (bilateral ptosis). In age-related cases, it is common for both eyelids to be affected, although one side may appear more droopy than the other. A specialist examination can determine the cause and severity of the condition.

Is droopy eyelid surgery safe?

Ptosis surgery is a well-established procedure and is generally considered safe when performed by an experienced oculoplastic surgeon. As with any surgical procedure, there are potential risks, but complications are uncommon. During your consultation, your surgeon will explain the procedure, discuss any possible risks and answer any questions you may have.

How much does ptosis surgery cost?

The cost of ptosis surgery depends on factors such as whether one or both eyelids require treatment and the complexity of the procedure. Following your consultation, your surgeon will provide a personalised treatment plan together with a detailed quotation based on your individual needs.