Top five regular plastic hospitals for levator palpebrae superioris muscle shortening in New York City are announced!

Introduction

Ptosis, or droopy eyelids, is a common condition that can significantly impact one's appearance and even vision. Levator palpebrae superioris muscle shortening is a surgical procedure commonly used to correct ptosis. In New York City, known for its world - class medical facilities, there are several top - notch plastic hospitals that offer this procedure. In this article, we will explore the top five regular plastic hospitals for levator palpebrae superioris muscle shortening in NYC, along with a detailed understanding of ptosis and the surgery itself.

Understanding Ptosis

Definition and Prevalence

Ptosis is defined as a droopy upper eyelid. It is a very common condition, especially among Asian individuals, and can be present at birth or acquired later in life. According to research, factors such as muscle laxity due to aging or certain medical conditions that affect the eyelids and eye muscles can lead to ptosis. In some cases, it can affect one eye or both.

Causes of Ptosis

There are several factors that can cause ptosis. Three muscles are responsible for elevating the upper eyelid: the levator palpebrae superioris, the superior tarsal muscle, and the frontalis muscle in the forehead. The frontalis muscle plays a minor role, while the main culprits are the levator and the superior tarsal muscles. If the levator muscle stretches, loosens, or has limited movement, as is common among Asian patients, the eyelids may droop. Damage to the superior tarsal muscle due to nerve injury or Bell's palsy can also cause ptosis.

Symptoms of Ptosis

The most obvious sign of ptosis is a drooping upper eyelid. However, there are other associated symptoms. These include impaired vision, as the droopy eyelid may partially cover the pupil. Heavy upper eyelids are also a common complaint, and patients may experience chronic headaches due to straining the eyes and muscles to keep the eyelids open. Some people may constantly raise their eyebrows or tilt their heads to see better.

The Levator Palpebrae Superioris Muscle Shortening Surgery

Procedure Overview

Although there are many causes of ptosis, the condition is usually treated with a relatively straightforward surgery. Prior to the surgery in New York, patients need to follow a set of guidelines to prevent complications. For example, they will be advised to avoid blood - thinning medications like ibuprofen, and ensure that any chronic eye problems are properly managed in advance.

During the surgery, the surgeon will make an incision in the upper eyelid. Through this opening, excess skin and fat are removed, and the levator and superior tarsal muscles contributing to the problem are tightened. Once the condition is addressed and the eyelids are successfully elevated, the incisions are carefully closed to minimize visible scarring.

Types of Ptosis Surgery

There are different approaches to ptosis surgery, depending on the strength of the levator muscle and the patient's specific condition:

• External Approach (Levator Advancement): This is the most commonly performed surgery for ptosis patients with strong levator muscle function. The 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, which is connective tissue in the eyelid. This usually results in an elevated eyelid that improves vision and appearance. The procedure is performed using sedation, and the surgeon may ask the patient to perform certain 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 hidden.
• Internal Approach: This is also recommended for people 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 surgeon typically shortens Mueller's muscle, and the levator muscle is often shortened when more elevation is required. This procedure requires either general anesthesia or sedation.
• Frontalis Sling Fixation: If a patient has ptosis and poor muscle function, which is most often caused by congenital ptosis and occasionally neurogenic or myogenic ptosis, the eye surgeon may choose this procedure. A surgeon attaches the upper eyelid to the frontalis muscle (the muscle just above the eyebrows) typically using a small silicone rod passed through the eyelid under the skin. This allows the forehead muscles to elevate the eyelid. However, a common side effect is an inability to completely close the eye after surgery, which is usually temporary and resolves within two to three months. To prevent complications, the doctor prescribes eye drops and ointment to keep the eye lubricated.

Recovery Process

Recovery from the surgery varies from person to person. In general, patients can expect some swelling and bruising around the eye and cheek area, as well as temporary dry eye. To manage these effects, they will be advised to apply cold compresses and keep their eyes well - lubricated in the weeks after surgery. About seven days after the procedure, patients will have a follow - up appointment where the surgeon will remove any sutures and assess their progress. Most patients need to stay home from work for about one week, but the exact timeline depends on individual factors. The results usually continue to improve during the first year following the procedure, at which point the final new look becomes apparent.

Top Five Regular Plastic Hospitals for Levator Palpebrae Superioris Muscle Shortening in New York City

1. Practice of Dr. Edward S. Kwak

Dr. Edward S. Kwak is well - known for his expertise in Asian ptosis surgery. He offers a specialized surgery that has the potential to fix the ptosis condition, creating a more open and balanced expression. In addition to the Asian ptosis procedure, he also provides a primary Asian eyelid surgery in New York that maintains the natural form while beautifying the eye area. Dr. Kwak thoroughly reviews the patient's medical history before the surgery to identify any potential issues and minimize risks. His approach is personalized, taking into account the unique needs of each patient.

2. NYU Langone Health

NYU Langone doctors are experienced in ptosis surgery. They may recommend surgery if a droopy eyelid is significantly affecting a patient's ability to see or for cosmetic reasons. Physicians at Hassenfeld Children's Hospital at NYU Langone, who treat children with ptosis, may also recommend surgery to prevent further vision complications such as amblyopia or astigmatism. NYU Langone surgeons offer several corrective outpatient procedures, and they choose the most appropriate surgery based on the results of diagnostic tests that reveal the strength of the levator muscle.

3. Office of Edmund Kwan, MD

Dr. Edmund Kwan is a board - certified plastic and reconstructive surgeon with experience in eyelid ptosis surgery in NYC at his AAAASF - certified ambulatory surgical facility. He has treated a diverse range of patients with droopy eyelids, including those caused by the natural aging process, previous ocular surgeries, or specific medical conditions. Dr. Kwan uses the advanced Vectra imaging system during the consultation to show patients a 3 - dimensional image of their face before and after surgery, allowing them to visualize the results. His surgical approach aims to restore healthy vision and a youthful appearance while minimizing visible scarring.

4. Columbia University Plastic & Reconstructive Surgery

As one of New York's best hospitals and a world - renowned medical center, Columbia University offers high - quality plastic surgery services. Their plastic surgeons are proficient in multiple areas of specialization, including eyelid surgery. The division is at the forefront of clinical and laboratory research in plastic surgery. They have a team of highly skilled board - certified surgeons who are dedicated to providing personalized care and achieving excellent results. For ptosis surgery, they combine the latest techniques with their in - depth knowledge of anatomy to ensure the best possible outcome for patients.

5. Mount Sinai Plastic & Reconstructive Surgery

Mount Sinai's plastic surgery practice is known for its natural - looking improvements. Their board - certified plastic surgeons have extensive experience in both aesthetic and reconstructive plastic surgery. They understand the patients' desires to improve their appearance and self - confidence. The hospital offers a full range of options, including the latest technology in plastic surgery. The newly designed plastic surgery suite at the Mount Sinai Hospital campus provides a comfortable and private environment for patients. Their surgeons use a patient - centered approach, taking the time to listen to the patients' concerns and goals before recommending a treatment plan.

Comparing the Top Hospitals

Conclusion

Levator palpebrae superioris muscle shortening is an effective solution for ptosis, and in New York City, patients have access to some of the best plastic hospitals in the world. The top five hospitals mentioned - Dr. Edward S. Kwak's Practice, NYU Langone Health, the Office of Edmund Kwan, MD, Columbia University Plastic & Reconstructive Surgery, and Mount Sinai Plastic & Reconstructive Surgery - each offer unique advantages in terms of expertise, technology, and patient - centered care. Whether you are dealing with congenital ptosis or acquired ptosis due to aging or other factors, these hospitals can provide the high - quality treatment you need. If you or someone you know is considering this surgery, it is advisable to schedule a consultation with one of these top hospitals to explore your options and take the first step towards improving your appearance and vision.