09/10/2025
3 Key Things I Look For in Patients with Upper Eyelid Droop
Not all “droopy eyelids” are the same. When patients come to me for an evaluation, I focus on 3 specific issues:
1️⃣ Ptosis (true eyelid droop) – This happens when the eyelid muscle is weak or stretched, causing the lid itself to sit too low over the eye.
2️⃣ Dermatochalasis (excess eyelid skin) – Loose or redundant skin that hangs over the crease, sometimes resting on the lashes and creating heaviness.
3️⃣ Brow Ptosis (low-set eyebrows) – When the brows drop, they push skin down onto the eyelids, making them look even heavier.
Why does this matter? Because treatment isn’t one-size-fits-all. Some patients need eyelid surgery, others benefit from brow lifting, and often it’s a combination to achieve the most natural result.
The key is knowing which factor is causing the droop, and addressing the right one.
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📍 Oculofacial Surgical Arts - Del Mar, CA