Internal Ptosis Surgery vs External Ptosis Surgery: Why Internal Ptosis Surgery is the Right Choice
Ptosis, characterized by drooping or sagging of the upper eyelid, can not only affect one's appearance but also impair vision. Fortunately, advancements in oculoplastic surgery have led to the development of various techniques to address ptosis effectively. Two primary approaches include internal ptosis surgery and external ptosis surgery. In this blog post, we'll delve into why internal ptosis is the right choice for your eyelids.
Understanding Ptosis Surgery:
Before getting into the specifics of internal and external ptosis surgery, it's essential to grasp the common goal of both procedures: to lift and reposition drooping upper eyelids to restore normal visual field and aesthetics. Dr. Mettu prefers internal ptosis surgery that helps elevate eyelid function while not compromising on aesthetics.
Internal Ptosis Surgery:
Internal ptosis surgery or Müller's muscle-conjunctival resection (MMCR), involves making an incision on the inside of the eyelid to access the Müller's muscle. This technique aims to tighten and elevate the eyelid by shortening the muscle responsible for eyelid elevation.
Pros of Internal Ptosis Surgery:
Hidden incision, resulting in no visible scar
Minimally invasive approach with faster recovery compared to external ptosis surgery
Better success rates and lowers chance of needing revisions
More natural look with preservation of the eyelid contour and mobility
Cons of Internal Ptosis Surgery:
May not be a viable option in patients with a history of glaucoma surgery (bleb)
External Ptosis Surgery:
External ptosis surgery, also known as anterior approach ptosis repair, involves making an incision on the outside of the eyelid to access and adjust the levator muscle responsible for lifting the eyelid. Historically, this was a more common ptosis surgery as it is a much older technique.
Pros of External Ptosis Surgery:
May be a better option for patients with a history of glaucoma surgery (bleb)
Cons of External Ptosis Surgery
Higher revision rate due to unpredictable height and contour
Creates a skin incision which is unnecessary unless being done at the same time as upper blepharoplasty
May result in decreased eyelid mobility and dry eye symptoms
Ptosis surgery, whether internal or external, offers an effective solution for individuals seeking to address drooping eyelids and improve both function and appearance. Internal ptosis surgery provides better outcomes for patients and has a more natural preservation of the eyelid contour and mobility than external ptosis surgery. Schedule a consultation with Dr. Mettu to learn more on how internal ptosis surgery can help revitalize your look. Check out our ptosis surgery gallery to see real results from our patients.
