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Ptosis is the medical term for drooping of the upper eyelid, which can affect one or both eyes. It occurs when the muscles responsible for lifting the eyelid weaken, stretch, or become disconnected from their normal position. The result can range from a mild cosmetic concern to a significant obstruction of vision, making it difficult to read, drive, or perform everyday tasks. Ptosis can be present from birth (congenital) or develop later in life due to ageing, injury, or neurological causes.
At My-iClinic, we offer specialist assessment and tailored treatment for all forms of ptosis. Using advanced diagnostic imaging and eyelid function tests, our surgeons determine the exact cause and severity before planning a precise corrective procedure. Modern ptosis surgery is typically performed under local anaesthetic and focuses on restoring natural eyelid height, symmetry, and mobility, improving both appearance and vision with minimal downtime.
Diagnosing ptosis involves a detailed examination of the eyelid muscles, tendon strength, and overall eye function. Our specialists measure eyelid position, movement, and symmetry using precise visual field testing and photographic analysis. This helps determine whether the ptosis is caused by age-related changes, nerve dysfunction, previous surgery, or trauma. In some cases, additional neurological or imaging tests may be recommended to rule out underlying causes.
Treatment depends on both the severity and the impact on your vision. Mild cases may only require monitoring or non-surgical approaches such as eyelid exercises or prescription glasses with a built-in “crutch” to hold the lid open. However, most moderate to advanced cases are best treated with ptosis surgery; a refined procedure that reattaches or tightens the muscle responsible for lifting the eyelid. The surgery is typically completed under local anaesthetic, offering immediate visual improvement and natural, symmetrical results.
Your trusted clinic for ptosis eyelid treatment in North London.
A private consultation with our ophthalmologist is £300. This excludes any scans required.
This includes:
Ptosis can develop gradually or appear suddenly, and while it often affects appearance, it can also interfere with everyday vision. Recognising the signs early allows for accurate diagnosis and timely treatment to prevent strain and maintain healthy eye function.
A drooping eyelid can affect both your vision and confidence. The table below explains what your symptoms might mean, how to tell if they need urgent attention, and when to book an appointment for safe, effective correction.
Use this quick matrix to understand what your drooping eyelid may mean, how urgent it is, and the safest next step from routine review to urgent specialist assessment.
Ptosis, or drooping of the upper eyelid, can affect both the way you see and how you feel about your appearance. It’s a common condition that ranges from mild cosmetic concern to significant visual obstruction. These frequently asked questions explain what causes ptosis, how it’s diagnosed, and the safe, effective treatments available at My-iClinic to restore natural eyelid position and clear vision.
Ptosis occurs when the upper eyelid droops lower than normal, partially covering the eye. It can affect one or both eyelids and may be present from birth (congenital) or develop later in life. In some cases, it’s purely cosmetic, but in others, it can restrict vision and cause eye strain.
The most common cause is weakening or stretching of the levator muscle, the muscle that lifts the eyelid often due to ageing. Other causes include previous eye surgery, injury, nerve damage, or medical conditions that affect muscle control. In children, ptosis may be related to improper muscle development before birth.
Typical signs include one eyelid sitting lower than the other, difficulty keeping the eyes open, or needing to raise your eyebrows to see clearly. Some people experience tired eyes or a heavy sensation by the end of the day. If your eyelid droop affects your vision, a specialist assessment is recommended.
Diagnosis begins with a detailed eye examination, including measurements of eyelid position, muscle strength, and visual field testing. High-resolution photography and, if necessary, neurological checks help determine whether the cause is muscular, mechanical, or nerve-related guiding the best treatment plan.
Mild cases may not require immediate treatment, but when ptosis interferes with vision or appearance, surgery is often the most effective option. Ptosis repair involves tightening or reattaching the eyelid-lifting muscle to restore its natural height and contour. The procedure is typically performed under local anaesthetic with minimal recovery time
Most patients notice an immediate improvement in both appearance and visual clarity. The results are long-lasting, and the eyelids usually appear symmetrical and natural. Recovery is quick, with mild swelling that settles within days. Follow-up appointments ensure healing progresses smoothly and results remain balanced.
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Consultant Ophthalmologist
Consultant and Surgeon
