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If many people wonder why you look sleepy, you probably do not look sleepy, but you probably have ptosis. Ptosis describes an abnormally low upper eyelid in the relaxed primary...

If many people wonder why you look sleepy, you probably do not look sleepy, but you probably have ptosis. Ptosis describes an abnormally low upper eyelid in the relaxed primary position, resulting in a very sleepy eyed look. While in the initial stages, you may just look less alert, in the later stage this may lead to tired eyes, more watering from eyes and even obstruction to sight as the opaque eyelid obstructs light by coming in the line of your sight./nPtosis can be classified in several ways. The common way is to classify as congenital or acquired and as (1) aponeurotic, (2) myogenic, (3) neurogenic, or (4) mechanical. This is important as even though adults as well as children can have this eyelid abnormality, treating this can require completely different surgeries and can have completely different results, hence diagnosing the aetiology is important./nPtosis surgery is amongst the most unforgiving of aesthetic procedures, as everyone, I repeat everyone, can tell if one eyelid is even half a mm over or under the other. Ptosis surgery requires much skill and is best performed by an expert in facial and oculo-plastic surgery, since performing surgery is just one part of the problem, but more importantly given the dynamics of the eyelid and the critical role it plays in protecting the eye from dust and injury, the after-care can be substantially more important than even the surgery itself./nAll in all, ptosis surgery is complicated and needs considerable time, effort and dedication to master the skills. This video demonstrates three different types of ptosis surgeries, in patients with three different aetiologies for the ptosis, resulting in excellent outcomes in all three patients./nThis patient was treated at The Esthetic Clinic, one of India's top most centers (http://www.theestheticclinic.com). The surgery is performed by and licensed to Dr. Debraj Shome (http://www.facialplasticsurgeonindia.co­m), Director of The Esthetic Clinic, Apollo Hospitals, Hyderabad, India. The narration is in Dr. Debraj Shome's voice.