Table of contents

• What is Acquired Ptosis?
• Understanding the Terminology: Common Names and Synonyms
• Ptosis Correction: Surgical Procedures Explained
• Best Clinics in Korea
• Considering Ptosis Correction in South Korea
• Patient Experiences and Outcomes
• What to Expect After Surgery
• Conclusion
• References

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This report offers detailed information for those who develop droopy eyelids later in life, a condition called acquired ptosis. It explains what acquired ptosis is, the treatment options available, and important factors to consider if you’re thinking about surgical correction, especially in South Korea. By learning about the causes and treatments of acquired ptosis, patients can make well-informed decisions about their eye health and overall well-being.

What is Acquired Ptosis?

Acquired ptosis refers to the drooping of the upper eyelid that appears after childhood, usually later in life. This differs from congenital ptosis, which is present from birth. The drooping can range from mild sagging to severe cases where the eyelid covers the pupil and blocks vision. It can affect one or both eyes, with varying severity. Understanding this difference is important because the causes and treatments for acquired and congenital ptosis are not the same. The severity of acquired ptosis can impact vision and daily activities in many ways.

The most common cause of acquired ptosis is the natural stretching of the levator muscle—the main muscle that lifts the eyelid—due to aging. Other causes include frequent rubbing or pulling of the eyelids from irritation, long-term use of contact lenses, trauma or injury to the eyelid, and complications after eye surgery. Wearing rigid contact lenses over a long period can also contribute. In rare cases, acquired ptosis may signal serious medical conditions like Myasthenia Gravis, Horner syndrome, stroke, or tumors.

Symptoms often include one eyelid sitting lower than the other, difficulty keeping the eyes fully open, eye strain, and a heavy feeling in the eyelid. Severe drooping can block vision, making tasks like reading or driving difficult. Some people compensate by tilting their head back or lifting the eyelid with a finger. Other signs include increased tearing and tiredness around the eyes. Recognizing these symptoms is key to seeking medical advice. Sudden onset or neurological symptoms require urgent attention to rule out serious causes.

When the eyelid droops over the pupil, it limits the upper field of vision, affecting activities that need clear sight. Untreated ptosis can cause astigmatism by pressing on the eye’s surface and may lead to amblyopia (lazy eye), especially in children but sometimes in severe acquired cases. The cosmetic effects can also be significant, causing asymmetry or a tired look that affects confidence and daily routines like applying makeup or wearing contacts. The effort to keep the eyelid raised can cause eye fatigue and discomfort. Understanding these impacts highlights why treatment is important.

Understanding the Terminology: Common Names and Synonyms

When researching acquired ptosis, you’ll encounter various terms. Commonly, it’s called "droopy eyelids" or "sagging eyelids," which are easy to understand and widely used. "Low-lying eyelid" is another term describing the droop. The phrase "lazy eye" is sometimes used informally but more accurately refers to amblyopia, a vision development issue that can result from ptosis, especially in children.

Medically, the condition is called "ptosis" or "blepharoptosis." When it develops later in life due to aging, it’s often called "involutional ptosis." Acquired ptosis can be classified by cause: "aponeurotic ptosis" results from stretching or weakening of the levator aponeurosis (the tendon connecting the levator muscle to the eyelid); "myogenic ptosis" comes from muscle weakness often linked to systemic disorders; "neurogenic ptosis" is due to nerve problems controlling eyelid muscles; "mechanical ptosis" happens when excess skin or a mass weighs down the eyelid; and "traumatic ptosis" is caused by injury. Knowing these terms helps patients understand medical discussions and treatment options.

Ptosis Correction: Surgical Procedures Explained

The main goal of ptosis correction surgery is to lift the upper eyelid, improving vision and restoring a natural, alert look. Surgery tightens the muscle that lifts the eyelid, with the specific method chosen based on how severe the ptosis is and how strong the levator muscle remains. This approach balances functional and cosmetic benefits tailored to each patient.

A common surgery for patients with good levator muscle function is the external approach, or levator advancement. The surgeon makes a small cut in the natural eyelid crease to access the levator muscle, which is then tightened and reattached to the tarsus (connective tissue in the eyelid) with sutures. This shortens the weakened muscle. If done under local anesthesia, the patient can open and close their eyes during surgery so the surgeon can adjust eyelid height for symmetry. The incision is closed with dissolvable stitches. This outpatient procedure usually uses local anesthesia with sedation, though general anesthesia may be used. It’s a well-established method for age-related or other causes of levator muscle stretching.

Another option for mild to moderate ptosis with good levator function is the internal approach called Müller's Muscle-Conjunctiva Resection (MMCR). Here, the surgeon flips the eyelid inside out and removes part of Müller's muscle and the conjunctiva (inner eyelid lining). This shortens the distance between the levator muscle and tarsus, improving eyelid lift. The internal approach leaves no visible skin scar and is often done under local anesthesia or sedation. Patients who respond well to phenylephrine eye drops are good candidates. This minimally invasive method is popular for its cosmetic advantage.

For patients with poor levator muscle function—due to congenital issues, nerve problems, or muscle disorders—the frontalis sling fixation is commonly recommended. This surgery connects the eyelid to the frontalis muscle in the forehead using a sling made from silicone rods, fascia lata (fibrous tissue from the patient or donor), or synthetic materials. This allows the forehead muscle to lift the eyelid. The procedure is usually done under general anesthesia. Temporary inability to fully close the eye is common after surgery but typically resolves in two to three months. During recovery, eye drops and ointments protect the eye from dryness and infection. This technique offers a functional solution for severe muscle weakness.

Other surgical methods include levator resection, which shortens or tightens the levator muscle through an external or internal incision, suitable when some muscle strength remains. Non-incisional ptosis correction uses threads inserted through tiny punctures to tighten muscles without a traditional cut, offering faster recovery and minimal scarring for mild to moderate ptosis. Whitnall's ligament suspension attaches a supportive eyelid ligament to the bone for severe muscle weakness. Müller muscle resection, done internally without skin incisions, suits patients with minimal excess skin and positive phenylephrine response. These options highlight the need for a thorough evaluation by an experienced oculoplastic surgeon to choose the best approach.

Best Clinics in Korea

Listed below are the best clinics in Korea:

Clinic Name	Key Features	Special Techniques
THEPLUS Plastic Surgery	Expert surgeons, innovative techniques, educational leadership, comprehensive care, patient-centric philosophy, global recognition, safety and satisfaction	3D implants, combining function and beauty
Made Young Plastic Surgery	Premier destination for acquired ptosis, patient safety, innovative approach, personalized care, comprehensive services	Advanced eye surgeries, ptosis correction
Okay Plastic Surgery Clinic	Expert team, individualized care, comprehensive services, cutting-edge techniques, holistic approach	Eye plastic surgery, transformative journey

THEPLUS Plastic Surgery

THE PLUS Plastic Surgery clinic, located in the vibrant Garosu-gil area of Gangnam, Seoul, is renowned for its exceptional standards in plastic surgery. The clinic is a leader in the field, offering a comprehensive range of services across its four floors, from initial consultations to surgery and post-operative care. The team of surgeons at THE PLUS are not only skilled practitioners but also respected medical researchers who contribute to academic journals and participate in international medical symposiums. This commitment to staying at the forefront of cosmetic surgery advancements ensures that patients receive the highest level of care and expertise.

Why THE PLUS Plastic Surgery is the best clinic for acquired ptosis in Korea:

• Expert Surgeons: Dr. Kim, Dr. Jeong, and Dr. Lee are all board-certified plastic surgeons with extensive experience and recognition in their respective fields. Their combined expertise ensures that patients receive top-tier care.

• Innovative Techniques: Dr. Kim's research on 3D implants and Dr. Jeong's focus on combining function and beauty highlight the clinic's commitment to innovative and effective surgical techniques.

• Educational Leadership: Both Dr. Kim and Dr. Jeong are actively involved in educating other surgeons, demonstrating their leadership and influence in the field of plastic surgery.

• Comprehensive Care: The clinic offers a full spectrum of services, ensuring that patients receive thorough care from consultation to post-operative follow-up.

• Patient-Centric Philosophy: The clinic emphasizes personalized patient communication and strives to achieve a harmonious balance of facial features, enhancing natural beauty.

• Global Recognition: The surgeons' participation in international forums and societies underscores their global reputation and dedication to advancing the field of plastic surgery.

• Safety and Satisfaction: With a focus on safety and patient satisfaction, THE PLUS Plastic Surgery is committed to delivering exceptional results through the hands of skilled and esteemed surgeons.

You can check out their website here: THEPLUS Plastic Surgery Website

Made Young Plastic Surgery

Made Young Plastic Surgery Clinic, located in Seoul's renowned Gangnam district, is widely regarded as the premier destination for acquired ptosis treatment in Korea. The clinic's reputation is built on its unwavering commitment to patient safety and its innovative approach that seamlessly blends traditional beauty ideals with the latest surgical techniques. At Made Young, a team of highly skilled plastic surgeons, anesthesiologists, and medical staff work collaboratively to provide personalized care, ensuring each procedure is tailored to the specific needs and desires of the patient. The clinic offers a comprehensive range of services, including advanced eye surgeries such as ptosis correction, which repairs drooping eyelids to enhance both function and appearance. By focusing on delivering exceptional results and fostering a supportive environment, Made Young empowers patients to achieve not only aesthetic improvements but also a renewed sense of confidence and well-being.

You can check out their website here: Made Young Plastic Surgery Website

Okay Plastic Surgery Clinic

Okay Plastic Surgery Clinic is a premier destination for those seeking transformative aesthetic care in Korea, particularly for acquired ptosis. The clinic is renowned for its commitment to sincerity, precision, and individualized treatment, ensuring that each patient receives a solution tailored to their unique needs and aspirations. Led by a team of specialized professionals, including a highly experienced female plastic surgeon, Okay Plastic Surgery Clinic offers a comprehensive journey of personal transformation. The clinic combines expertise, empathy, and cutting-edge medical techniques to provide more than just medical procedures, but a holistic approach to aesthetic enhancement.

• Expert Team: Led by a renowned female plastic surgeon with extensive experience in acquired ptosis and other aesthetic procedures.
• Individualized Care: Each treatment plan is tailored to meet the unique needs and aspirations of the patient.
• Comprehensive Services: Offers a wide range of specialized aesthetic services, including eye plastic surgery, which is crucial for treating acquired ptosis.
• Cutting-Edge Techniques: Utilizes the latest medical techniques and technologies to ensure optimal outcomes.
• Holistic Approach: Focuses on a transformative journey rather than just simple procedures, ensuring a comprehensive aesthetic enhancement experience.

You can check out their website here: Okay Plastic Surgery Clinic Website

Considering Ptosis Correction in South Korea

South Korea is a popular choice for ptosis correction surgery, especially among international patients. Knowing the process can ease concerns and help with planning. It usually starts with an initial consultation, often available online, where patients discuss their condition, medical history, goals, and risks. Photos of the eyelids are typically requested to assist the surgeon’s assessment.

Next comes travel and accommodation planning. It’s important to select a reputable clinic and surgeon experienced in ptosis correction and international patient care, including language support. Staying near the clinic is recommended for convenience during appointments and recovery. Many clinics and medical tourism agencies assist with booking accommodations and transportation.

Upon arrival, patients undergo pre-operative evaluations, including a detailed face-to-face exam, photos, and sometimes imaging tests like MRI or CT scans to assess muscle weakness and plan surgery. Pre-surgery instructions may include medication restrictions and fasting.

Surgery usually takes one to two hours and is often done under local anesthesia with sedation, though general anesthesia may be used depending on the case. The surgical technique is chosen based on the pre-op assessment. After surgery, patients are monitored briefly before returning to their accommodation. Post-op care includes cold compresses, head elevation, and prescribed eye drops or ointments to reduce swelling and prevent infection.

Follow-up is crucial. Stitches are removed about a week after surgery. Swelling and bruising typically last one to two weeks, but full recovery and final results may take months. Patients attend follow-ups to monitor healing and address concerns. For international patients, staying at least eight days in South Korea is advised to cover surgery, initial recovery, and follow-up before traveling home. Understanding these steps helps patients prepare for their medical journey.

South Korea offers many advantages: advanced medical technology, highly skilled surgeons specializing in eyelid surgery, and cost-effective treatment—often 30% to 50% less expensive than in Western countries like the US, UK, or Australia. Many clinics provide all-inclusive pricing, simplifying financial planning. Korean surgeons emphasize natural-looking, aesthetically balanced results, considering the harmony of the eyes with the face. Clinics also offer comprehensive care for international patients, including interpreters, airport transfers, accommodation help, and assistance with medical visas. High patient satisfaction rates further enhance South Korea’s appeal for ptosis correction surgery.

Here’s a cost comparison for ptosis correction surgery:

Country	Estimated Cost (USD)
South Korea	$2,000 - $4,000
USA	$3,000 - $7,000+
UK	$3,000 - $6,000+
Australia	$2,200 - $4,700+

Note: Costs vary by clinic, surgeon experience, and procedure complexity.

This table shows the potential savings when choosing South Korea without compromising quality.

Patient Experiences and Outcomes

Patients who have had ptosis correction surgery often report major improvements in vision and appearance. Restoring the visual field reduces the need to raise eyebrows or tilt the head to see clearly. Many notice less eye strain and fatigue from trying to keep their eyelids open.

Cosmetically, patients appreciate a more youthful, refreshed, and alert look. The surgery can reduce self-consciousness about looking tired and improve facial symmetry, boosting confidence. Tasks like applying makeup or wearing contact lenses often become easier. Before-and-after photos and testimonials highlight these positive changes. Many patients combine ptosis surgery with upper blepharoplasty (eyelid lift) to remove excess skin and fat, enhancing both function and appearance.

Research shows ptosis surgery improves quality of life by reducing appearance-related distress and anxiety. Patients report greater well-being and confidence. Objective vision tests confirm better visual performance, matching patients’ experiences of easier daily activities. Satisfaction rates are high, with many willing to have the surgery again if needed. The combined benefits of improved vision, appearance, and quality of life demonstrate the positive impact of ptosis correction.

What to Expect After Surgery

Recovery after ptosis correction is key to good results. Swelling and bruising around the eyes and cheeks are common right after surgery. Using cold compresses for the first few days helps reduce these effects. Patients are advised to sleep with their head elevated for about a week to minimize swelling.

For several days, it’s important to keep the eyelid dry and avoid strenuous activities, heavy lifting, and bending over. Wearing eye makeup and drinking alcohol are usually discouraged for a few weeks. Surgeons often prescribe antibiotic eye drops or ointments to prevent infection and may recommend pain relief for mild discomfort. Stitches are generally removed about a week after surgery.

Possible complications include over-correction (eyelid lifted too high), under-correction (not lifted enough), bleeding in the eye socket, infection, corneal abrasion, or temporary difficulty closing the eyelid, which can cause dry eye. Initial asymmetry may occur but often improves over time. Some cases may require additional surgery. Overall, most surgeries successfully improve eyelid position and vision. Regular follow-ups help monitor healing and address any issues. Following post-op care instructions and staying in close contact with the surgical team usually leads to satisfying, long-lasting results.

Conclusion

Acquired ptosis causes drooping eyelids that can affect vision and appearance. Understanding its causes, symptoms, and surgical options is essential for finding the right treatment. Various surgical techniques aim to lift the eyelid, improve vision, and restore a natural, youthful look. South Korea stands out as a top choice for surgery due to advanced technology, expert surgeons, cost savings, and excellent care for international patients. This information empowers patients to explore their options and make informed decisions about managing acquired ptosis.

References

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