How to tell if you have ptosis and how to prevent it

How to tell if you have ptosis and how to prevent it

Ptosis is a problem that many people have. Many people do not know that they have ptosis unless they go to the hospital for examination. Ptosis refers to the drooping upper eyelid that covers the pupil. In severe cases, it can also affect vision.

How to tell if you have ptosis

Generally, patients with upper facial ptosis say that they cannot see it at all, probably because the facial features are not big. In fact, if the eye shape is good and the black eyeball is exposed normally, but the eyes lack liveliness and spirit, most people have symptoms of ptosis, and the symptoms are divided into 4 stages according to the severity. Under normal circumstances, if the upper eyelid covers the black eyeball more than 2mm and less than 4mm, it is mild ptosis, that is, first degree; if the upper eyelid covers the black eyeball between 4mm-6mm, it is mild to moderate, that is, second degree ptosis; if it is between 6mm-8mm, it is moderate (third degree) ptosis; when the upper eyelid covers more than half of the black eyeball, it is severe (fourth degree) ptosis, which is professionally called pathological ptosis.

How to prevent ptosis

In our daily life, we should pay more attention to protecting our eyes, especially those who work at the computer for a long time must take safety precautions to avoid eye injuries. You can do more eye and facial massage exercises to prevent it. In terms of diet, you can eat more collagen foods, fruits and vegetables, and foods that are good for the eyes. Try to eat less spicy and irritating foods. For those who are nearsighted and don't like to wear frame glasses, you should pay attention. The face is the key to sagging of the upper face, so it is best not to wear contact lenses for a long time, because long-term wearing of contact lenses is likely to irritate the cornea. It may even cause corneal inflammation.

What are the dangers of ptosis?

If you have droopy upper face, it is best to get treatment. Otherwise, it may cause more diseases. Especially if you have this disease since childhood, covering the pupil for a long time may easily lead to disuse amblyopia. The most important thing is that droopy eyelids are the early symptoms of many diseases. If you take this symptom lightly and let it develop, it will not only affect the beauty of the face, but some diseases may also cause disability or even death. Therefore, it is necessary to know some common diseases that can cause droopy eyelids.

How to treat upper face sagging

There are three methods for treating upper face sagging.

First, if it is mild, it can be improved by using drugs. If the drug treatment is ineffective, you can carefully consider surgery. So, what drugs are there to treat ptosis? If you are a patient with myogenic or paralytic ptosis, you can use energy mixture, vitamin B1 or neostigmine and other drugs under the guidance of a doctor to improve the symptoms of ptosis.

The second method is to shorten the levator palpebrae superioris muscle. This method is not only effective but also long-lasting. There are three types of this surgical method. There is an external approach, which makes an incision from the skin surface of the upper eyelid. The internal approach is to make an incision from the conjunctival surface of the upper eyelid. The last one is a combined internal and external incision. However, this operation is limited to patients with levator palpebrae superioris muscle strength of not less than 4mm.

The third method is the frontalis muscle flap suspension, which is mainly for those with severe upper face ptosis. If you want to have this surgery, there are two ways. The first method is to indirectly use the power of the frontalis muscle to correct ptosis, often using fascia lata materials for suspension. An incision is made at the upper eyelid double eyelid line and three small incisions are made on the upper edge of the eyebrow. The fascia lata is inserted into the subcutaneous tissue from the central incision on the upper edge of the eyebrow to the double eyelid position with a special guide needle. The fascia lata is then inserted into the subcutaneous tissue from the double eyelid position to the inner and outer incisions on the upper edge of the eyebrow and led out respectively, so that the fascia lata is in a "W" shape under the skin. The fascia lata is then sutured and fixed to the frontalis muscle and tarsal plate tissue at the upper and lower incisions with sutures. Another method of frontalis muscle flap suspension is to directly use the power of the frontalis muscle. An incision is made at the upper eyelid double eyelid position, the frontalis muscle is cut apart from the orbicularis oculi muscle, and separated from the upper and lower tissues, and the frontalis muscle flap is made. The frontalis muscle flap is sutured to the tarsal plate, and the upper eyelid is adjusted to the appropriate position and then sutured and fixed.

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