How it works
Everything begins with an exam and a conversation. Your doctor measures how far your lid opens, checks the strength of the muscle that lifts it, and assesses your lid crease and any dryness. This is also when your doctor looks for the cause of the droop, because a droop from a weak muscle present at birth is handled differently from one caused by the lifting tendon stretching with age.
Depending on how much the lid has dropped and why, your doctor chooses the fitting technique. A common approach works through the front lid crease to adjust the lifting tendon, while milder cases can be treated from the inner surface of the lid. Anesthesia is usually local, sometimes with light sedation to help you relax.
During the procedure, your doctor fine-tunes the lid edge toward a more balanced position and watches how the eye opens. The surgery usually takes about one to two hours, depending on whether one side or both are treated and how involved the case is.
The incision is usually tucked along your natural lid crease so the scar is hard to notice once it heals. Your doctor then closes the incision with fine stitches and explains how to care for the area at home before you leave.