Treatment
Ptosis surgery
Clinically reviewed · Last reviewed 2026-06-13
What it is
Ptosis is a drooping upper eyelid caused by a weak or stretched levator muscle, or sometimes by nerve problems. Surgery aims to lift the lid to a better height so you can see more easily, reduce forehead strain from raising your brow, and improve symmetry. The exact technique depends on how severe the droop is and how well the lifting muscle still works.
Who it helps
Surgery is considered when ptosis affects vision, causes significant asymmetry, or leads to neck or forehead strain from lifting the brow. In children, early treatment may be recommended if the droop covers the pupil and risks amblyopia. Your surgeon will assess lid height, muscle function, and overall eye health before recommending surgery.
What happens on the day
The operation is usually a day case with local anaesthetic, though children may need a general anaesthetic.
- Numbing of the eyelid so you feel no pain during surgery
- A small adjustment to the levator muscle or a frontalis sling if the muscle is very weak
- The lid height checked while you are awake so both eyes can be matched
- Stitches that are usually removed or dissolve within one to two weeks
Recovery and risks
Swelling and bruising are common for the first week or two. You will usually use antibiotic ointment or drops and avoid rubbing the eye. Most people return to normal activities within one to two weeks. Under- or over-correction, asymmetry, dry eye, and infection are possible but uncommon risks that your surgeon will discuss with you.
Conditions this can help
Frequently asked questions
Is ptosis surgery cosmetic or medical?
It can be both. When a droopy lid blocks vision or causes strain, surgery is often considered medically necessary. When the droop is milder, it may be done mainly for appearance, depending on local guidelines and assessment.
How long does it take to recover from ptosis surgery?
Most swelling settles within one to two weeks, though the lid position can continue to refine for several weeks. Stitches are usually removed or dissolve within that time.
Can ptosis come back after surgery?
The result is usually long-lasting, but drooping can return slowly over many years, especially if the muscle was weak to begin with. Repeat surgery is sometimes possible if needed.