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A 24-year-old gentleman has had a drooping left eyelid since he was a child. However, up until now, it didn't bother him other than cosmetic. Recently, he has been having headaches, discomfort and a puffy feeling on that eyelid. He asks if his condition can be corrected with surgery. Congenital ptosis is a condition where people are born with a drooping eyelid. In this condition, the muscle that lifts the eyelid did not develop and the muscle doesn't contract nor relax. If the child has no significant ptosis that affects the vision before the age of 6, then correction can be done at a later time. Unfortunately, congenital ptosis can get worse as people get older as facial structure changes. Sometimes people with ptosis compensate by raising their eyebrows. However, as one ages, this compensatory action no longer works. In Dr. Amiya Prasad's experience, people with ptosis are particularly bothered if the eye affected is the dominant eye, or the preferred eye, where the brain wants to see out of - it's often referred to as ocular dominance. It is possible that the source of the headaches is related to the activity of the muscle that raises the eyebrow called the frontalis muscle which causes one to have tension and spasms. If the patient has decided to have eyelid surgery for congenital ptosis, then the surgeon would do some type of surgery on the levator muscle. This muscle is responsible for lifting the eyelid. In Dr. Prasad's practice, he deals with congenital ptosis in adult patients with a procedure called levator advancement. This procedure allows him to move the muscle forward but not sacrifice any of the muscle and avoid any resection. The eyelid would be in a more appropriate level seen in social interaction. However, this procedure is variable from patient to patient. 95% of the time, it may work out great while 5% of the patients may need enhancement surgery. For more information visit our website: http://prasadcosmeticsurgery.com/pras...