Ptosis of the upper and lower eyelids - causes of occurrence in adults: how to get rid of and how to treat ptosis

It’s not for nothing that the eyes are called the mirror of the soul. The openness and directness of the gaze, the manner of reflecting emotions are the first to form the impression of the face of a stranger. Unfortunately, with age, the thin skin in this area changes: wrinkles appear, the upper eyelid begins to sag, the corners of the eyes droop, and dark circles and swelling appear underneath.

The look becomes heavy, gloomy and unfriendly, which adds an extra ten years to even the most well-groomed and pretty face. Specialists from the GALAXY Beauty Institute will tell you how to deal with drooping eyelids, which methods really work, and which methods will not be beneficial.

Causes of ptosis of the upper eyelid

The term comes from a Greek word and means “overhanging or falling.”
The low location of the movable skin fold reduces the field of vision or completely disrupts it on the altered side. In this case, the anomaly can be congenital or acquired. It is considered normal if the cornea is covered by approximately 0.5-2 mm. If a muscle is atrophied or weakened, pathology occurs. Correct diagnosis allows the doctor to choose an adequate control strategy using therapeutic or surgical methods. The most common are:

• weakening of muscles;
• age-related gravitational changes;
• nerve ending paralysis;
• endocrine and other diseases;
• disruptions in the nervous system.

Among the reasons are diabetes mellitus and incorrect Botox injections.

Exercise 2

Place your index fingers at the very top of your eyebrows. Raise your eyebrows for 2 seconds - feel the muscles working. But be careful: there should be no creases on the bridge of the nose. Bring your eyebrows together 10 more times, rest for 10 seconds. Repeat the approach 2 more times.

Expert's comments. Those who have wrinkles between the eyebrows should not do this exercise. During it, the muscles responsible for bringing the eyebrows together are in constant spasm. And exercise increases it. Circular massage movements from the beginning to the middle of the eyebrows will relieve spasm and relieve tension in this area.

Characteristic symptoms of eyelid ptosis

Overhanging mobile skin folds are observed at different stages of the disease. Externally, the disorder is expressed by uneven size of the eyelids, swollen skin, and a “sleepy” appearance. In addition, compensatory signs arise, such as the habit of throwing the head back, early wrinkles on the forehead, and the appearance of a raised eyebrow effect. The process of blinking is also difficult, which leads to increased fatigue and increases the risk of infection of the organs of vision. It is impossible to self-medicate in such cases; it is necessary to prescribe an examination, the purpose of which is to determine the causes of drooping of the upper eyelid in one eye and begin treatment only with strict adherence to the recommendations of a specialist.

The normal indicator is the distance from the edge of the skin fold to the central point of the pupil. It is assessed when the patient is examined by a doctor. Double vision and squint clearly indicate damage to the oculomotor nerve. Often there is a whole complex that combines ptosis and retraction of the eyeball. It is useless to solve problems one by one; the subject is prescribed an appropriate course of procedures. In the absence of results from conservative treatment, specialists resort to surgical correction.

Lifting operations

The most drastic intervention that will really give a visible effect is plastic surgery. During blepharoplasty, the doctor makes an incision along the eyelash edge, along the crease of the lower or upper eyelid, or on the inside of it. It then mechanically redistributes, removes or moves the soft tissue to smooth out the fold. Then the incision is sutured or glue is applied, which helps the wounds heal faster.

The method is very traumatic, but it is still not able to cope with the deep essence of the problem. It can mask an unsightly defect, but over time it will appear again.

Classification and stages of development

Like other pathologies, this one has its own characteristic features that make it possible to divide the total mass according to its external manifestation and prerequisites for its occurrence.

Neurological

It is also called neurogenic, since the root causes are disruptions in the central nervous system. In the vast majority of cases, the violation is observed on one side. If there is no clear functioning of the frontal and ocular muscles, then pathology occurs. These are the main causes of ptosis of the upper eyelid in adults. In this case, the bilateral appearance indicates a previous heart attack, and when the oculomotor nerve is damaged, pupil dilation is observed, and eye mobility is impaired. All cases are purely individual; the problem may spontaneously disappear when the affected area is stabilized. If treatment is necessary, the method is selected individually.

Myogenic blepharoptosis

Develops with myasthenia gravis, ocular myopathy, as a result of local or systemic muscle damage. There is also a toxic form associated with poisoning from lead or other heavy metals or their salts. Impairment of the motor function of the eye is possible, often accompanied by a decrease in the tone of the facial muscle tissue. How to correct ptosis of the upper eyelid in this case will become clear after a thorough detailed examination.

Mechanical view

Occurs if muscle function is hampered by scar formation, wearing lenses, or due to a tumor or injury. Sometimes only supportive procedures are required to stimulate natural regeneration. If the damage is very severe, then surgery is recommended.

Aponeurotic

This type is also called senile, when a person experiences stretching of muscles and ligaments and their weakening. In other cases, postoperative complications, cataract removal, severe infections, and injuries can trigger the disorder. Development occurs on both sides, but one is more affected. The congenital form is rare and occurs equally in men and women. Patients note a gradually progressive drooping of skin folds. To remove ptosis of the upper eyelid, surgical correction is indicated in most cases; the prognosis is favorable.

Pseudoptosis

In fact, this is a purely cosmetic problem. It is characterized by excess skin, which creates a severe fold that interferes with normal vision. Often it occurs in combination with age-related changes. To promptly refuse unnecessary or incorrect surgery, a comprehensive diagnosis is important. Treatment depends on the cause of the abnormality.

Traumatic blepharoptosis

When determining this type of disorder, experts recommend waiting 6 months before performing correction, since cases of spontaneous resolution of the situation are not uncommon. The etiology includes many factors and is diagnosed after the swelling has resolved. During the healing process, scarring and lagophthalmos are possible. If after time the condition does not improve, then muscle resection is performed. This is the best option to cure ptosis of the upper eyelid.

Eye makeup in different colors

To make your hooded eye makeup look truly impressive, don't forget to consider your eye color when choosing eye shadow.

For brown eyes

To enhance natural color, use blue, green or purple shades. If you want to create a spectacular smoky eye makeup, the best choice would be brown or black eyeshadow.

©fotoimedia/imaxtree

©fotoimedia/imaxtree

©fotoimedia/imaxtree

For blue and gray eyes

If you have gray eyes, green or purple eyeshadow will help enhance their color, and gray or light brown eyeshadow will help create a beautiful haze. For blue-eyed girls, coral or pink shadows, as well as gray or pale blue ones, are suitable.

©fotoimedia/imaxtree

©fotoimedia/imaxtree

©fotoimedia/imaxtree

For green eyes

To highlight green eyes, opt for purple or burgundy shades. Well, khaki shadows will help you create a beautiful smoky eyes makeup.

©fotoimedia/imaxtree

©fotoimedia/imaxtree

©fotoimedia/imaxtree

Features of congenital pathology

In this case, part of the visual field is blocked, which causes dangerous complications to develop. In children of preschool and primary school age, a similar problem leads to delayed mental development, as well as the formation of complexes. There is a very high probability of progression of amblyopia, heterotopia, astigmatism, and binocular vision impairment.

Depending on the severity of the pathology and the individual characteristics of the patient’s body, a treatment regimen using conservative therapy is developed. If there is no result or the changes are too large, doctors prescribe surgery. Correction is a necessity, otherwise the omission leads to distortion of visual images in the child’s brain. The congenital form in the vast majority of cases will be transmitted from parents; a direct connection with a chromosomal malfunction is possible. Myasthenic ptosis is considered a variety, which is more visible externally in the evening; a characteristic symptom is quickly occurring fatigue of the facial muscles, especially in the area around the eyes.

Autoimmune diseases, intrauterine disorders of fetal formation, and tumors increase the risk of developing the disease. Congenital ptosis is also diagnosed in Duane and Horner syndromes; concomitant symptoms are narrowing of the palpebral fissures, deficiency of tear fluid, and deterioration in the quality of twilight vision.

When can I expect results?

A positive result is noticeable after 2-3 days of regular training . According to reviews, the number of small facial wrinkles decreases after 6-7 sessions.

To enhance the effect, you can use the following cosmetics during the exercises:

The effect on the delicate area should be gentle. After gymnastics, you need to apply warm heated palms to your eyes.

Characteristics of acquired ptosis

The manifestation of the disease is often directly related to age-related changes in the body. In this case, the process proceeds unevenly, first one fold falls, then the second, and asymmetry may remain. Treatment of this type of disease is carried out exclusively by surgery. It is advisable to seek help at the initial stage. If complications arise from the excessive use of botulinum toxin drugs or the technology of its administration is violated, the muscles do not ensure the outflow of lymph, which provokes its accumulation, leading to large-scale edema.

The problem may arise due to individual intolerance to the drug and the unprofessionalism of the cosmetologist. In this case, it is necessary not only to correct the consequences, but also to select high-quality care products that will help speed up regeneration and stop age-related changes. A specialist will tell you how to get rid of ptosis of the face and upper eyelid after a full examination and tests. You should not rely on chance, since with advanced pathology, vision is impaired and strabismus occurs.

Professional cosmetology: how to quickly remove drooping eyelids without surgery or at home

Modern specialists offer a huge number of different solutions that have different degrees of effectiveness, as well as danger indicators. It’s worth starting with the most unpleasant, but fairly safe ones that you can go through and get a good result.

• Taping is the process of gluing elastic patches to the desired areas, followed by exposure for a certain time. It is believed that eventually the skin will remember the position and tighten. At the same time, excess fluid should be removed and tone restored.
• Hardware treatment techniques are more effective and can give significant results. We are mainly talking about laser blepharoplasty and RF lifting. Both procedures are based on heating the skin from the inside, as well as its external polishing. They cause internal scarring, which our body begins to actively “patch” after damage.

These and other similar methods are quite traumatic. They have a whole list of contraindications and can lead to the opposite effect. Therefore, it is worth trying something more gentle before turning to the “heavy artillery”.

Complications

The disease is not life-threatening. In most cases, the consequences are psychological in nature, provoking the emergence of complexes, the development of shyness, internal constriction from the awareness of a defect in appearance. A narrowing of the visual field and headaches also begin.

It is more difficult for children; progression of amblyopia and other disorders, including binocular vision, is possible. The outlines of objects are distorted, which causes partial disorientation in space. In severe forms, there is a high probability of developing a myasthenic crisis.

If the causes of facial ptosis and drooping upper eyelid are found, the doctor will tell you what to do, how to fight and remove the main symptoms. This will not be difficult, since the actions will be targeted, and the methods will be clearly selected and comprehensive.

A healthy lifestyle is the key to beauty

Your lifestyle determines the overall health of your body and affects your appearance. Start with proper nutrition and follow a healthy and balanced diet to maintain beauty for as long as possible, which also depends on the condition of the area around the eyes. Drooping eyelids, dark circles, wrinkles and other aesthetic imperfections are often caused by poor diet. The ideal diet is a serving of lean fish or meat, vegetables, rice, enough fruit and other healthy foods. Each meal should contain a balanced combination of carbohydrates, protein, fiber and healthy fats. A healthy lifestyle also involves getting enough sleep, regular exercise, and giving up bad habits. These simple measures are good prevention aimed at the premature appearance of cosmetic defects and help more effectively solve existing aesthetic problems, including such as drooping upper eyelids.

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Diagnostics

It is worth considering that the most effective measures can be taken in the early stages of diseases. Unfortunately, at this stage it is very difficult to notice changes. You should be wary:

• visual enlargement of the skin fold;
• eyelid asymmetry;
• narrowing of the field of view;
• rapid fatigue of facial muscles;
• the desire to tilt your head back to examine a small detail in detail;
• the appearance of longitudinal wrinkles on the forehead.

If you suspect the development of pathology, you should contact a specialist to clarify the diagnosis. First of all, it is determined whether the anomaly is congenital or acquired. Next, an examination is carried out to determine the degree of prolapse. In case of vision problems, it is necessary to evaluate how much the field has narrowed, measure the eye pressure and examine the condition of the fundus. The next step is to check muscle tone and blinking function, and the quality of binocular vision.

Among the examinations that are prescribed:

• X-ray;
• MRI;
• Ultrasound;
• electromyography.

In some cases, with an unclear etiology, consultation with a neurosurgeon, endocrinologist, or neurologist may be necessary. The disease develops gradually.

1st degree

The upper eyelid hangs over the cornea or covers a third of the pupil. At this stage, there are quite a few options for how to treat eye ptosis. Basically, they are of a conservative direction, since there is no serious threat to visual acuity, the main concern is the cosmetic effect.

2nd degree

At this stage, half to two-thirds of the pupil closes, pain, headache, and overstrain of the muscles of the face and neck appear. Visually, the violation is clearly visible and causes not only psychological, but also physiological discomfort.

3rd degree

At this stage the pupil is completely closed. Surgery and long-term rehabilitation, including several stages, are required. The first step is to identify the causes, both the main ones and the accompanying ones. Only then can treatment be prescribed, constantly monitoring the patient’s well-being and the process of restoration of visual functions.

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Tips for doing gymnastics

There are several main types of gymnastics:

• dynamic exercises (perform up to 15 repetitions);
• static exercises (require fixing the position for 5-15 seconds).

If you combine these methods with each other, you can smooth out facial wrinkles and restore elasticity to muscle fibers in the shortest possible time.

Experts recommend performing breathing exercises simultaneously with face-building. Before starting a workout, inhale the air deeply and quickly several times through your nose and exhale sharply through your mouth. The exercises are done while inhaling; while fixing the position, the breath is held.

Recommendations from specialists for performing gymnastic exercises:

• gymnastics is carried out while sitting on the edge of a chair at a table, the back should be straight;
• Before performing gymnastics, hands are thoroughly washed with soap; you can wear gloves to improve gliding;
• Before face-building, the skin is cleansed of impurities and decorative cosmetics.

You can apply any nourishing cream to your face. After gymnastics, wipe the skin with herbal lotion or wash with warm water.

Before gymnastics, perform a warm-up to help warm up the muscle tissue, using the following technique:

• within 30 sec. blink your eyes (slowly at first, then gradually slowing down);
• make several circular movements counterclockwise and clockwise;
• Close your eyes tightly several times.

It is best to perform the exercises in front of a mirror to see which area is being affected.

How to treat ptosis of the upper eyelid

There are several methods that are used depending on the causes of the disorder, the degree of its development and the individual characteristics of the human body. When congenital pathology is detected in the early stages, if vision is not impaired, comprehensive prevention is sufficient. If the problem is caused by Botox injections, then experts recommend waiting until the effect of the botulinum toxin wears off. In any case, the treatment regimen is developed individually.

Conservative treatment

Physiotherapeutic procedures are quite effective in eliminating blepharoptosis:

• massage;
• electrophoresis;
• UHF;
• microcurrent therapy.

The complex contains vitamin B and neuroprotectors. Gymnastics for the eyes is effective if the eyelids droop on their own due to aging of the body. A well-chosen program will help tighten muscles and restore them to their former tone.

Cosmeceuticals

With slight sagging tissue, you can completely get by with cosmetics. But they must be highly effective, not cause allergies, and have a tightening effect. Innovative original injection preparations, creams and serums made in Japanese and Korean from the RHANA Corporation, containing unique biologically active substances, allow you to stop the processes of premature aging, tighten and strengthen tissues, restore elasticity to the epidermis and lift the eyelid in a natural way.

• Patches for lifting and moisturizing with kinetin.
• Anti-aging lifting cream for the eye area “24 hours”.

Surgical method

Surgery is prescribed only in advanced stages, if the quality of vision is impaired or the consequences of injury interfere with normal work. To achieve the effect, the muscle is cut or shortened slightly. Rehabilitation lasts 3-4 weeks, under the supervision of a surgeon. The method allows you to completely get rid of pathology for life.

Types of postoperative complications

The most common is an allergy to local anesthetics. Swelling or the effect of incomplete closure of the eyelids may appear. Bleeding and infections are rare. Since the procedure is performed under local anesthesia. There are no serious consequences from anesthesia either. Sometimes keratitis is diagnosed, then the use of artificial tears and special gels is recommended.

Prevention

There are no targeted actions; indirect actions include regular examinations with an ophthalmologist, the use of cosmetic care products with a lifting effect for the eyelids and skin around the eyes, self-massage and maintaining the general tone of the body.

Rules for caring for eyelid skin prone to swelling

1. Maintain a drinking regime, reduce the amount of water consumed before bed;
2. Do not overuse fatty creams, which clog pores and cause swelling;
3. Use high-quality cosmetics specifically designed to care for the delicate skin around the eyes;
4. Try to sleep so that during rest the level of your head is higher than the level of your body;
5. Do not abuse salty, fatty, spicy and other foods that contribute to fluid retention in the body;
6. Regularly remove makeup before going to bed and thoroughly cleanse your skin;
7. During intense work, take short breaks to stretch stiff muscles and do special eye exercises.