2022-07-07
Characteristics of Pseudoptosis and Differences in Surgical Methods
Pseudoptosis, often mistaken for true ptosis, is caused by sagging eyelid skin. While true ptosis requires corrective surgery, pseudoptosis can often be improved with just double eyelid surgery, reducing cost and recovery time.
Ptosis refers to a condition where the muscles that open the eye are weakened,
preventing the eyelid from opening sufficiently.
It describes cases where the eye's original size is not properly revealed due to the eyelid skin sagging and covering the eye.
When the upper eyelid sags significantly, it prevents normal eye opening, covering more than half of the iris.
One of the problems is that to open such eyes widely, the forehead and eyebrows are used,
leading to prominent wrinkles on the forehead.
Diagnosis of Ptosis
Cases diagnosed with ptosis typically include the following:
When the eye-opening muscles are weak, preventing proper eye opening and exposing less of the iris,
When the forehead and outer eyebrows excessively press down on the eyes, making it difficult to open them normally,
When the eyebrows are raised to open the eyes, causing severe forehead wrinkles,
When the eyelids sag or the eye size is smaller than average.
Ptosis presents an aesthetic problem, as sagging eyelids can make one appear tired and sleepy,
giving a lethargic impression.
However, sagging eyelids can also obstruct vision by covering the pupil,
and cause issues like easy swelling of the eyes and excessive tearing.
Furthermore, the decline in vision and the irritation at the corners of the eyes,
which can lead to various diseases, are functional problems that cannot be overlooked.
In addition, if the habit of raising the eyebrows becomes severe, forehead wrinkles can deepen.
Surgery for Ptosis Improvement
Ptosis is generally divided into true ptosis and pseudoptosis.
In cases of true ptosis,
double eyelid surgery alone may not make the eyes appear clear,
and it may be difficult to improve the associated symptoms, so ptosis correction surgery or epicanthoplasty, tailored to the cause, is absolutely necessary.
In cases of pseudoptosis,
double eyelid surgery alone can create clear and distinct eyes.
Reasons for the Difference in Pseudoptosis Surgical Methods
Pseudoptosis also obstructs vision,
leading people to use their forehead and eyebrows to open their eyes, which can be mistaken for ptosis.
However, since it is a skin issue, by removing the sagging skin
and creating a double eyelid line, clear and distinct eyes can be achieved without epicanthoplasty.
This can reduce the burden of surgery, recovery process, and costs.
Therefore, a specialist's diagnosis is very important.
In cases where less of the iris is exposed,
When it's difficult to open the eyes while pressing down on the forehead and outer eyebrows,
When raising the eyebrows causes forehead wrinkles,
Many of the cases diagnosed with ptosis, including those with simply small eyes or eyes smaller than average,
actually have pseudoptosis, which can be sufficiently improved with just double eyelid surgery.
It is advisable to be cautious if a hospital indiscriminately diagnoses ptosis and
induces epicanthoplasty, a surgery with a higher cost than general double eyelid surgery.
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