Palpebral ptosis corresponds to the abnormal drooping of the upper eyelid. Present from birth (congenital ptosis) or acquired during life, it can be more than just a cosmetic issue: when the eyelid partially covers the pupil, it reduces the visual field and impairs vision.
At Excellence Clinique, ptosis is managed by Dr. Ichrek Benouaa, FRCS, FICO, an oculoplastic surgeon and a nationally recognized specialist for this intervention.
What are the Causes of Ptosis?
Ptosis can have several origins:
- Congenital Ptosis
- Defective development of the levator muscle
- Can lead to amblyopia if left untreated
- Acquired Ptosis
- Involutional: Age-related relaxation/stretching
- Traumatic
- Neurological (IIIrd nerve palsy, myasthenia gravis…)
- Muscular
In some cases, ptosis may be the first sign of a systemic disease requiring precise diagnosis.
Symptoms of Ptosis
- Drooping eyelid, often asymmetric
- Reduction of the superior visual field
- Eye fatigue, headaches
- Compensatory posture (chin up, furrowed brows)
- Aesthetic and psychosocial impact
What are the Surgical Treatments for Ptosis?
The treatment for ptosis is surgical. The technique depends on the severity and the function of the levator muscle.
1. Levator Muscle Resection or Advancement
- Indicated when the muscle is still partially functional.
- Allows the eyelid to be raised naturally and durably.
2. Frontalis Suspension (Forehead Sling) – Exclusive Technique
- The reference technique for:
- Severe ptosis
- Congenital ptosis
- Levator muscle with little or no function
- Principle:
- Connecting the eyelid to the frontalis muscle via thin slings (synthetic material or fascia)
- The frontalis muscle then replaces the levator to elevate the eyelid.
At Excellence Clinique, this technique is mastered by Dr. Ichrek Benouaa, one of the few specialists to perform this advanced surgery in the country.
- Advantages:
- Restoration of the visual field
- More harmonious aesthetic correction
- High precision thanks to oculoplastic expertise
3. Complementary Techniques
- Fasanella-Servat: Suitable for moderate ptosis
- Combined Techniques: Fine adjustment of height and symmetry
Results and Post-Operative Follow-up
- Immediate improvement in vision and visual field
- Optimized eyelid symmetry
- Essential post-operative follow-up to prevent corneal dryness or exposure
- Durable results and a notable improvement in the quality of life
Why Choose Excellence Clinique?
By choosing Excellence Clinique, you benefit from:
- The expertise of Dr. Ichrek Benouaa, FRCS, FICO, a specialist in oculoplastic surgery
- Exclusive techniques, including frontalis suspension
- A comprehensive diagnosis and personalized treatment
- An approach combining vision, function, and facial aesthetics
Conclusion
Palpebral ptosis is a condition that can impair vision and quality of life. Thanks to modern techniques, particularly frontalis suspension, it is possible to effectively correct eyelid drooping.
For a specialized evaluation, book an appointment at Excellence Clinique with Dr. Ichrek Benouaa, FRCS, FICO.