The eyelid plays an important factor in keeping our eye protected by serving as its cover. The thin layer of skin that enables its movement (lifting and lowering) is controlled by several muscles. These muscles are sometimes affected by a defect that disables them from functioning properly. This inability leads to an eyelid condition called ptosis.
Ptosis may affect any person at any given time. It is identified by the drooping of an eyelid. Fortunately, this condition may be repaired by undergoing ptosis surgery, otherwise known as blepharoplasty.
This article will serve as your quick guide to ptosis surgery in Singapore.
Causes of ptosis
As the health and medical portal Ubiqi summarizes, Ptosis is caused by several reasons. These are:
Aponeurotic ptosis happens when the eyelid muscle becomes loose and detached due to too much pulling or rubbing of the eyelids and also ageing.
Mechanical ptosis occurs when excess skin or fats weigh the eyelid down, causing it to droop. At times, a tumour that develops in the upper eyelid may also be a reason for this condition.
Myogenic ptosis is caused by muscle dysfunction in the eyelid.
Neurogenic ptosis is caused by nerves in the muscles of the eyelid that fail to function correctly.
Traumatic ptosis results from injury or accidents suffered by the upper eyelid.
Diagnosing ptosis in patients
To know whether a patient has ptosis or not, the margin to reflex distance (MRD) measurement of the eyelid is obtained. The margin to reflex distance measures the ability of the eyelid to retract fully. A well-functioning eyelid is able to lift and open at a maximum of 12mm or more without having to move the eyebrows or tilt the head. Ptosis is diagnosed according to:
- Mild ptosis – eyelid drooping of 2mm
- Moderate ptosis – eyelid drooping of 3mm
- Severe ptosis – eyelid drooping of 4mm or more
Candidates for ptosis surgery in Singapore
Ptosis surgery in Singapore does not have any age requirement. Drooping eyelids in children are best operated on at a young age. This will lessen any complications as they get older. Individuals who wish to have their eyelid operated on must be in excellent health condition and without any other serious eye conditions. A doctor can give a proper assessment whether there is a need for surgery or if a person is fit for one.
General cause why patients undergo ptosis surgery in Singapore
Among the number of ptosis surgery performed in Singapore, the general cause why patients undergo this operation points to aponeurotic causes: ageing, excessive pulling and rubbing of the eyelids.
Benefits of undergoing ptosis surgery
The overall benefit that a person suffering from ptosis is an improved quality of life. Ptosis surgery does the following:
- Enables the eyelid to retract fully
- Improves vision by removing obstruction caused by drooping eyelids
- Gets rid of headaches and tiredness
- Makes the eyes look more alert and not sleepy
Undergoing a ptosis surgery in Singapore
Ptosis surgery is done in the following steps:
- Administration of sedative and local anaesthesia. This will enable the patient to sleep during the whole operation and not feel any pain or discomfort.
- A cut is created on the upper eyelid crease to access and make certain adjustments to the muscles and tissues of the eyelid.
- Removal of excess skin, fat, or muscles if needed.
- Tightening of muscles using stitches to enable the eyelid to raise and function appropriately.
- An incision is sutured closed.
Risks involved in ptosis surgery
Some risks may be present after ptosis surgery. These include:
- Asymmetry of the eyelid’s height
- Dry eyes
- Need for additional surgery in case of complications
Foods, drinks, and medications to take and avoid before and after ptosis surgery
Weeks before and following surgery, a doctor may require a patient to take and avoid certain foods, and medications.
Prior to the surgery, patients will be asked to take in the following:
- Any medicine prescribed by the doctor, especially medicines
After the surgery
- Bland food, like clear broths or soups
- Fibre-rich food into your diet
- More water and other liquids-rich in vitamins, such as fruit juices
Prior to the surgery, patients will be asked to avoid the following:
- Alcohol and wine consumption for 3 weeks before surgery
- Echinacea or St. John’s Wort herbal teas at least a week before surgery
- Caffeinated drinks 2 days before the scheduled operation
- Any food and drink past 12 midnight on the day of the surgery
- For medications, stop taking any medicine that contains aspirin or works as blood thinners
After the surgery, patients will be asked to avoid the following:
- Alcohol and wine consumption for 3 weeks after the surgery
- Eating salty and processed foods to avoid further swelling as a result of fluid retention
Ptosis surgery Singapore costs
The cost of ptosis surgery in Singapore starts at $5,000 and may reach up to $12,000. This would depend on the complexity of the patient’s case, the technique used in the surgery, and other factors contributing to cost, like:
- Anaesthesia fee
- Operating facilities’ fee
- Other medications
- Surgeon’s fee
- Suture removal fee