Ptosis surgery lifts the upper eyelid to restore normal height, improve vision and correct eyelid function. Learn how ptosis repair works, who it suits and what to expect during recovery.
Ptosis surgery is a specialist oculoplastic procedure that lifts a drooping upper eyelid by tightening or repositioning the muscles responsible for lifting the lid — usually the levator or Müller’s muscle.
The goal is to:
Restore eyelid height
Improve visual field
Achieve symmetry
Reduce brow strain and fatigue
Improve appearance and confidence
The technique varies depending on the cause and severity of ptosis.
There are three main surgical approaches:
The levator aponeurosis is tightened or reattached
Lid height and contour are corrected
Performed via an eyelid crease incision
Internal approach with no skin incision
Suitable for mild-to-moderate ptosis with positive phenylephrine response
Used when levator muscle is very weak (often congenital)
A sling (silicone or fascial) links the eyelid to the forehead muscle
Forehead lifting helps open the eyelid
The procedure typically takes 30–45 minutes per eye, under local anaesthetic with sedation or general anaesthetic (in children).
Improves visual field
Restores eyelid height and symmetry
Reduces brow strain and headaches
Enhances overall appearance
Improves daily comfort and reading ability
Can be combined with blepharoplasty
Long-lasting results
Most patients notice immediate functional improvement after swelling settles.
Ptosis surgery may be recommended if you have:
Drooping eyelids affecting vision
Severe brow fatigue
Asymmetry that impacts reading, driving or daily tasks
Congenital ptosis in children
Worsening ptosis due to ageing or stretched tendons
A desire for improved eyelid contour and appearance
Surgery may not be appropriate if there is uncontrolled dry eye, active eyelid infection, or untreated neurological cause.
Performed under local anaesthetic in adults
You may feel pressure but no sharp pain
A crease incision is made (levator repair) or an internal approach (MMCR)
Surgery lasts under an hour
You can go home the same day
An eye shield may be recommended overnight
Early intervention is advised if:
Ptosis is interfering with vision
You are developing compensatory brow or neck strain
Ptosis is affecting a child’s visual development
The drooping is worsening over time
The eyelid obstructs the pupil
Swelling and bruising peak at 48 hours then settle
Cold compresses help reduce swelling
Stitches removed at 1 week (if non-dissolving)
Light activities can resume next day
Avoid heavy lifting/exercise for 1–2 weeks
Full healing takes 4–6 weeks
Final eyelid height settles over several months
