The eyes are the window of the soul, I believe there is absolutely no dispute. Eyelids are thinner than other facial skins and are more prone to loss of collagen. When they lose their elasticity, fine lines and sagging appear. Drooping eyelids can make people feel tired. In severe cases, it can make the eyes look small and even affect vision. It turns out that ptosis and eyelids sagging are different, and the treatment methods are also different.
The definition of ptosis is that the lower border of the upper eyelid is at 1 to 1.5 mm above the upper edge of the black pupil. If the lower border of upper eyelid is more than 1.5 mm or more than the black pupil, it is called ptosis. The reasons are divided into congenital and acquired, and acquired can be due to disease or old age. Old age may cause rupture or relaxation of the levator muscle aponeurosis, or the relaxation of nearby structures. Usually, in order to see things clearly, people with droopy eyelids will force their forehead muscles to lift their eyelids, but over time, deep train lines will appear on their foreheads.
For eyelid sagging (flabby eyelids), the scientific name is called dermatochalasis and it refers to loose eyelid skin but normal eyelid position and levator muscle function. If you have sagging eyelids or drooping eyelids, you can gently lift the upper eyelid skin with your fingers. If the condition improves, it means sagging eyelids, and if there is no improvement, it means ptosis. Eyelid sagging is caused by the loss of collagen and elastin in the skin and subcutaneous tissue of the eyelid, which makes the skin loose and droop gradually due to the gravity. In the early stage, it will affect the appearance, but in severe cases, the loose skin will block the vision and affect the vision.
Eyelid sagging and ptosis often occur at the same time, but the causation should be distinguished and treated appropriately during treatment. Treatment depends on the serious condition. Mild conditions can be treated non-surgically, such as using monopolar radiofrequency, a fractional laser, or monopolar radiofrequency. The monopolar radio frequency Thermage fourth-generation FLX is approved by the US FDA to stimulate the dermal layer through heat and increase collagen in the dermis. This type of collagen reorganization improves skin sagging and improves eye wrinkles and sagging eyes. Doctors can also try to inject botulinum toxin to the corner of the eye to lift the tail of the eye and improve sagging eyelids. If the condition is serious, surgery is recommended.