Ptosis Correction in New York City: A Comprehensive Guide
Introduction
Ptosis, or drooping of the upper eyelids, is a common condition that can have both functional and cosmetic implications. In New York City, there are numerous skilled medical professionals offering ptosis correction procedures. This article aims to provide a detailed overview of ptosis, its causes, symptoms, available treatments, and the top doctors in New York City who specialize in ptosis correction in 2025.
What is Ptosis?
Ptosis is the medical term for drooping upper eyelids. This condition may affect one or both upper eyelids. When the eyelid descends, it may block the upper field of vision. Ptosis can range from mild, where the lid partially covers the pupil, to severe, where the lid completely covers the pupil and obscures all vision. Ptosis that is present from birth is called congenital ptosis, while ptosis that develops later in life is known as acquired ptosis.
Causes of Ptosis
The causes of ptosis vary depending on whether it is congenital or acquired.
- Congenital Ptosis: In children, the most common cause is improper development of the levator muscle, which is the primary muscle that lifts the upper eyelid. This can result in a child being born with a droopy eyelid.
- Acquired Ptosis: In adults, ptosis may occur as a result of several factors. Aging is a common cause, as the tendon that attaches the levator muscle to the eyelid stretches over time, resulting in a low eyelid position. Trauma, such as an injury to the eye or surrounding area, can also cause ptosis. Muscular or neurological disorders, like myasthenia gravis or third nerve palsy, can affect the nerve pathways or muscles responsible for eyelid movement and lead to ptosis. Additionally, long - time contact lens use, where excessive rubbing of the eyes can stretch the lid muscles, and certain systemic disorders like muscular dystrophy can contribute to acquired ptosis.
Symptoms of Ptosis
People with ptosis often experience several symptoms. One of the most obvious is difficulty keeping the eyes open. This can lead to eye strain and headaches due to the increased effort needed to raise the eyelids. The eyes may become easily fatigued, especially when reading or performing tasks that require visual concentration. In severe cases, individuals may need to tilt their head back or lift the eyelids with their finger to see out from under the drooping eyelid.
Children with ptosis may also have additional issues. They may be at risk of developing a lazy eye (amblyopia) if the ptosis is not corrected promptly. In adults, ptosis can sometimes be the first sign of more serious neurological conditions like myasthenia gravis.
Impact of Ptosis
Functional Impact
Ptosis can significantly impact a person's daily life. Vision can be obstructed, which can make activities such as driving, reading, or using a computer difficult. This can affect a person's safety and productivity. For example, a person with severe ptosis may have trouble seeing traffic signs while driving, putting themselves and others at risk.
Cosmetic Impact
The drooping eyelids can make a person look perpetually tired or sad, even when they feel happy and energetic. It is also associated with aging, so those with this condition can appear older than their actual age. This can have a negative impact on a person's self - esteem and confidence.
Treatments for Ptosis
The treatment for ptosis depends on several factors, including the cause, severity of the condition, and the strength of the levator muscle.
Surgical Treatments
Most cases of ptosis are treated surgically, with the goal of elevating the upper eyelid to improve vision and achieve a more aesthetically pleasing appearance.
- External Approach (Levator Advancement): This is the most commonly performed surgery for ptosis in people with strong levator muscle function. An oculoplastic surgeon makes an incision in the skin of the eyelid and repositions the attachment of the levator muscle by stitching it to the tarsus, a connective tissue in the eyelid. This usually results in an elevated eyelid. The procedure is performed under sedation, and the surgeon may ask the patient to make specific eye movements during the surgery to determine the appropriate eyelid opening width. Since the incision is made in the eyelid crease, the scar is usually well - hidden.
- Internal Approach: This is also for patients with strong levator muscle function. The surgeon turns the eyelid inside out and shortens either the levator muscle or Mueller’s muscle, which also plays a role in lifting the lid. When less elevation of the eyelid is needed, the Mueller’s muscle is typically shortened, and when more elevation is required, the levator muscle is shortened. This procedure requires either general anesthesia or sedation.
- Frontalis Sling Fixation: This is used for patients with ptosis and poor muscle function, often caused by congenital ptosis, neurogenic ptosis, or myogenic ptosis. A surgeon attaches the upper eyelid to the frontalis muscle (the muscle just above the eyebrows) using a small silicone rod passed through the eyelid under the skin. This allows the forehead muscles to elevate the eyelid. The procedure is usually performed under general anesthesia. A common side effect is the inability to completely close the eye after surgery, which is often temporary and resolves within two to three months. During this time, eye drops and ointment are prescribed to keep the eye lubricated.
Non - Surgical Considerations
In some cases, non - surgical options may be considered. However, it's important to note that non - surgical treatments usually do not correct the underlying cause of ptosis but may help with some of the symptoms. For example, in cases where ptosis is related to a neuromuscular disorder like myasthenia gravis, medications may be prescribed to manage the condition and potentially improve the ptosis.
Top Ptosis Correction Doctors in New York City in 2025
There are many experienced doctors in New York City who specialize in ptosis correction. Here are some of them:
| Doctor's Name | Specialty | Experience (Years) | Location | Patient Reviews |
|---|---|---|---|---|
| Dr. Brian Brazzo | Oculoplastic Surgeon | - | - | He has extensive training in ophthalmic plastic surgery and has completed several thousand ptosis repairs. He uses absorbable sutures, and patients experience minimal discomfort after surgery. |
| Dr. Joseph Rousso | Facial Plastic Surgeon | - | Manhattan | His extensive knowledge and experience in facial cosmetic and reconstruction surgery allow him to achieve a balance of beauty and function in ptosis repair surgeries. |
| Dr. Jessica Lattman | Oculoplastic Surgeon, Board Certified in Ophthalmology | 26 | 115 E. 61st St., New York, New York | Patients report natural - looking results and excellent care from her and her staff. For example, one patient with mild ptosis had a very satisfactory outcome with only minor bruising. |
| Dr. Samuel Baharestani | Oculoplastic Surgeon, Board Certified in Ophthalmology | 16 | 520 Franklin Ave., Garden City, New York | Patients have had wonderful experiences with him and his staff. |
| Dr. Brett S. Kotlus | Oculoplastic Surgeon, Board Certified in Ophthalmology | 19 | 20 E. 66th St., New York, New York | He is highly trusted by patients for his skill and expertise. |
| Dr. Amiya Prasad | Oculoplastic Surgeon, Board Certified in Ophthalmology | 29 | 633 3rd Ave. (between 40th and 41st st.), New York, New York | He has a high success rate in ptosis surgery and has treated many patients with different types of ptosis, including congenital cases. He sits patients up during surgery to ensure correct eyelid height. |
| Dr. David A. Schlessinger | Oculoplastic Surgeon, Board Certified in Ophthalmology | 31 | 75 Froehlich Farm Blvd., Woodbury, New York | Patients have been extremely happy with the results of his upper lid surgeries, which often involve ptosis correction. |
| Dr. Robert L. Kraft | Board Certified Plastic Surgeon | 40 | 112 - 03 Queens Blvd., Forest Hills, New York | He is patient, kind, and caring, which helps to ease patients' fears during the ptosis correction process. |
| Dr. Debra M. Kroll | Oculoplastic Surgeon, Board Certified in Ophthalmology | 20 | 40 West 72nd st., New York, New York | Patients have had successful ptosis surgeries with her, such as mullerectomy for ptosis correction. |
| Dr. Kenneth R. Francis | Board Certified Plastic Surgeon | 30 | 114 E. 71st st., New York, New York | Patients have had amazing experiences with him, from the initial consultation to the post - surgery care. |
| Dr. Basil Pakeman | Oculoplastic Surgeon, Board Certified in Ophthalmology | 28 | 240 E. 64th st., New York, New York | He is a dedicated doctor, and patients have had wonderful experiences with their eyelid surgeries. |
Choosing the Right Doctor for Ptosis Correction
When choosing a doctor for ptosis correction in New York City, there are several factors to consider:
- Specialty and Certification: Look for oculoplastic surgeons or board - certified ophthalmologists with experience in ptosis correction. These professionals have the specialized training and knowledge required for this delicate procedure.
- Experience: Consider the doctor's number of years in practice and the number of ptosis surgeries they have performed. A doctor with more experience is likely to have better skills and a higher success rate.
- Patient Reviews: Read reviews from previous patients to get an idea of the doctor's bedside manner, the quality of their work, and the patient's overall experience. Positive reviews can be a good indicator of a doctor's competence and trustworthiness.
- Before - and - After Photos: Ask to see before - and - after photos of the doctor's ptosis correction cases. This can help you assess the doctor's aesthetic skills and the results they are able to achieve.
- Consultation: Schedule a consultation with the doctor. During the consultation, you can ask questions about the procedure, the risks and benefits, and what to expect during the recovery process. Pay attention to how the doctor communicates with you and whether they address your concerns.
Recovery from Ptosis Surgery
Recovery from ptosis surgery varies depending on the type of procedure performed.
Immediate Post - Surgery
After surgery, there is usually minor bruising and swelling of the eyelid, which can last for up to one week. The surgeon may recommend limiting activities for up to a week while the eye heals and avoiding rubbing the eye or doing anything that could irritate it. Bandages are typically not necessary.
Managing Discomfort
Discomfort is usually minimal and can be managed with a single dose of Tylenol on the evening after surgery. Some surgeons may prescribe pain medications if needed.
Swelling and Bruising
To minimize swelling initially, frequent application of ice compresses (using zip - lock bags) is recommended. After two days, switching to warm compresses can help accelerate the resolution of bruises.
Suture Removal
If non - absorbable sutures are used, they are typically removed 5 - 7 days following surgery.
Dry Eye Syndrome
Since ptosis surgery exposes a larger surface area of the eye, dry eye syndrome may develop or worsen in the few weeks after surgery. The eye surgeon may recommend medications or other treatments to keep the eye properly lubricated.
Cost and Insurance Coverage
The cost of ptosis correction in New York City can vary depending on the doctor, the type of procedure, and the complexity of the case. Some insurance carriers may cover ptosis repair if it is considered a functional impairment, as the drooped eyelids can obstruct vision and impede daily activities. However, it's important to note that the cosmetic component of the procedure may not be covered. For example, if ptosis is present along with excessive laxity of upper eyelid skin, and both a ptosis repair and a cosmetic blepharoplasty are performed, the insurance may only cover the ptosis repair portion.
Conclusion
Ptosis is a common condition that can have a significant impact on both vision and appearance. In New York City, there are many skilled doctors who specialize in ptosis correction, offering a variety of surgical treatments to address the condition. Whether you are dealing with congenital ptosis or acquired ptosis later in life, it is important to consult with a qualified professional to determine the best treatment option for you. By considering factors such as the doctor's specialty, experience, and patient reviews, you can make an informed decision about your ptosis correction journey.
If you are experiencing symptoms of ptosis or are interested in improving your eyelid appearance and vision, we encourage you to reach out to one of the top doctors in New York City mentioned in this article. Schedule a consultation to learn more about the treatment options available to you and take the first step towards a brighter, more confident you.
