Ptosis Repair Surgery – Recovery Time, Aftercare, Cost, & CPT Code

What is Ptosis repair Surgery? How long does it take to recover after a droopy eyelid surgery. Read this article for more on this topic. You will also learn the procedure for ptosis surgery, the cost of the procedure, and everything to do with CPT codes. Enjoy the read!

What is Ptosis?

Ptosis is basically a drooping of the upper eyelid which covering the pupil partly. It takes place when the upper eyelid of an eye drops over the eye and covers the pupil, by dropping so much or a little.

The part which is covered in the eye is the pupil which is the black part of the eye of an eye that allows light to enter in the eye. Anybody can have ptosis and this can include both children and adults.

Ptosis Repair Surgery – The Procedure

This process of ptosis is usually surgical; it is performed in adults under local anesthesia. The surgeon elects to have an anesthesiologist present, so as to administer a sedation which is intraveneous and also provide monitored care.

It is very important to do ptosis with a sedation which is minimal because it allows the surgeon to know how much to raise the eyelids.

  • When the elevation of the eyebrow is to be performed and this is prior carried out to eyelid ptosis repair and it can also be referred as blepharoplasty surgery.
  • When a local anesthetic is administered an incision is made in the upper eyelid if it is present, and the levator muscle is identified, tightened, and is reattached to the firm supporting structure of the upper lid.
  • The patient is sat in an upright position during the surgery to asses for eye lid symmetry and the adequate correction of the droopy eye lid.
  • Eye lid ptosis surgery is a technically challenging operation and it should only be performed by specialized surgeons in eyelid surgery and with a lot of experience in the area of ptosis repair

Ptosis Surgery Recovery Time

Following the surgery topical antibiotic ointment are applied for a period of three to four days and also use warm compresses. The use of eye patches is not required. There is minimal discomfort after the surgery and is typically handled by the use of acetaminophen medicine.

The patient should avoid the use of aspirin containing compounds and non steroidal anti-inflammatory products two weeks prior to surgery and up to one week following surgery.

Most patients will have swelling and some bruising that will improve gradually over the first to three weeks. Swelling may also take weeks or months to completely resolve. Patients healing vary with people as some individuals heal quicker than others.

Ptosis Surgery covered by Insurance

When the ptosis is significant enough to impair the vision, insurance companies can pick up the cost. Otherwise patients who are diagnosed with ptosis pay out of their pockets.

The cost of the treatment of ptosis surgery varies from one doctor to another. Often insurance can cover these procedures.

Ptosis Surgery Cost

The cost of ptosis surgery varies from one doctor to another. Without medical insurance the cost of ptosis surgery is approximately $3750 in U.K, U.S.A and Canada and averagely $1500 in India. This will depend on what will be found and with the test which will be done on your eyelids

Note the cost of ptosis surgery depends on the type and extent of the surgery. There are also other aspects that may affect the final cost such as: surgeons fee; facility fee; anesthesia fee; and the medication fee.

Ptosis Surgery Aftercare

Most of ptosis surgery is done with the use of local anesthetic.

  • When a patient comes out of the theater room, there is a pad placed over the operated eye. This pad is usually used for reducing swelling and keeping the eye closed. The pad is usually removed in the morning after the surgery. The eyelid will feel sore and will be red with some moderate lid swelling.
  • There will be also stitches above the eyelashes on the upper lid. These stitches will dissolve within the period of two months after surgery.
  • The patient can use some pain killers if he or she feels discomfort or pain. The surgeon will give the patient some artificial tears plus antibiotic drops to put in the eye for three to four times a day for at least two weeks. The antibiotics will help to keep the surface of the eye moist.
  • The patient can also use ice packs which are used for reduction of lid swelling and speeding up healing. The eyelids can be cleaned of excess mucous with cool boiled water on a clean piece of cotton wool. The eye is usually checked the day of surgery, then after one week then at two to three months after the surgery.

Ptosis repair without surgery

The surgeon can recommend minimal invasive treatments as a viable alternative. There are non surgical treatment options which can be used to treat the condition of ptosis, for example 10- minute eye lift method.

This method of treating drooping of eye lid does not require surgery. The procedure is very simple and quick. This procedure can be used to correct the appearance of the drooping eyelid although it can create some highly effective outcomes.

  1. The surgeon marks the redundant portion of the underside of the hooded upper eye lid; this portion is the one hidden from view and injects it with a tiny amount of local anesthetic.
  2. After the injection of local anesthetic, a heated probe is run along the marked areas until shrinkage and retraction of hooding occurs. The actual upper lid becomes exposed sufficiently
  3. After the procedure is done, the remaining wound line is treated with an antibiotic to help it heal without suturing. This technique can be used to treat both upper eyelids; an experienced eye surgeon can take about ten minutes for both upper eyelids.

Ptosis surgery pictures

Ptosis surgery is meant to correct droopy eyes. As shown in the picture, this surgery tightens the muscle to lift up the upper eyelid. However, it is vital to look out for good and qualified doctors to correct your droopy eyes.  There are many professional doctors with necessary expertise to perform this surgery.
Ptosis repair before and after

These pictures reveal how the droopy eye looks before and after surgery.

Ptosis repair gone wrong

Ptosis repair surgery can fail after the surgery is done. There are patients who undergo ptosis repair and their final end result is not as good as required. Ptosis repair is not always resolved the first time and may need more than one operation.

Ptosis repair can fail when surgeon places the lid too high or too low or end up creating unnatural looking lid crease or shape.

Ptosis Surgery in Babies

Ptosis is caused by the weakening of muscles that are used to lift the upper eye lid. Ptosis in babies can be caused by the congenital abnormality present before birth or a disease or an injury.

If a child is born with ptosis which is severe, then treatment is necessary to allow for normal vision development. Repairing ptosis in babies can be a bit challenging because the younger the child the difficult the ptosis repair is.

In the cases of children, anesthesia must be used but it becomes more difficult to adjust the sutures correctly. Note children cannot follow instruction like adults because the surgeon cannot ask them to look up or down to test how tight the sutures should be.

Where the baby is born with ptosis, it is advisable to wait until the child is at least one or two years of age to perform ptosis surgery. According to surgeons anesthesia is safer to be used in babies at this age than in infancy.

Droopy Eyelid Surgery near me

There are many experienced surgeons capable of correcting a droopy eyelid. However, you have to be weary of the risks and costs involved and also note that results are not always guaranteed.

Ptosis repair CPT Code

The following are CPT codes for ptosis repair with brackets showing more clarification of respective codes

  • 67900- Refers to repair of brow ptosis (coronal approach or mid forehead)
  • 67901- Repair of blepharoptosis using frontalis muscle technique with suture
  • 67902- Frontalis muscle technique  with autologous fascial sling including obtaining fascia
  • 67903-advancement of levator resection or tarso, internal approach
  • 67904- Advancement of levator , internal approach
  • 67906-  superior rectus technique with fascial sling including obtaining fascia
  • 67908-Resection of conjuctivo tarso muller’s muscles
  • 67909-reduction of overcorrection of ptosis.

Droopy eyelid surgery U.K

For those in U.K, surgery of droopy eyelid can be corrected in hospitals, medical centers and clinics providing cosmetic surgery in the country. These hospitals are usually registered with CQC which also publish their performance ratings in inspection reports to inform the public.

Besides, look out for specific surgeon that will perform the procedure to ensure they are registered and have minimum requirements to carry out the surgery.

Ptosis Surgery Toronto

The average cost of ptosis surgery is $3,750 in most medical facilities in Toronto. However, this cost may vary by surgeon, complexity of the condition and geographic region. This procedure is done by qualified doctors in registered facilities that provide cosmetic surgery.

Ptosis surgery NYC

There are many experienced oculoplastic surgeons in the city of New York. But my suggestion is that you should go for a number of consultations with surgeons accredited with ASOPRS before settling on one.

Drooping Eyelid in India

Many hospitals, clinics and medical centers in India are offering affordable surgical services to correct drooping eyelid. Unlike in Toronto, Vancouver and New York, the cost is relatively low at an average of $1500. These health facilities include Apollo Spectra Hospital, Columbia Asia Hospital, Fortis Malar Hospital and Moolchand medcity among others.

Ptosis Surgery Vancouver

The cost of ptosis surgery in Vancouver is relatively higher than in India. However, this cost may vary by surgeon, complexity of the condition and geographic region. This procedure is done by qualified doctors in registered facilities that provide cosmetic surgery.

Ptosis surgery YouTube video

This video describes entire ptosis surgery process.

Video

Ptosis Repair and Blepharoplasty – Difference

The table below shows the difference between ptosis repair and blepharoplasty

Blepharoplasty

Ptosis Repair

Blepharoplasy is done to remove excess skin so as to make the eye lid crease and space between the bottom of the eye brow and the upper eyelid more visible

Ptosis repair is performed to correct a hanging eye lid that hangs too much over the iris or colored part above the pupil

Blepharoplasty does not work on the eye lid muscles

It works on the eyelid muscles

 

References on Ptosis (Droopy Eyelid) Repair Surgery

  1. http://www.aetna.com/cpb/medical/data/1_99/0084.html
  2. http://www.nhs.uk/Conditions/cosmetic-treatments-guide/Pages/eyelid-surgery.aspx

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