Ptosis vs. Blepharoplasty: Which Eyelid Condition Do You Have?
The correct diagnosis determines the treatment — and whether insurance will cover it.
Ptosis — Drooping Eyelid Margin
The eyelid edge (margin) sits too low — partially covering the pupil. Caused by weakness or disinsertion of the levator muscle. The overlying skin may look completely normal.
Treatment: muscle surgery (ptosis repair)
Blepharoplasty — Excess Eyelid Skin
The eyelid margin is in its normal position, but excess skin (dermatochalasis) hangs over it — creating a heavy, tired appearance. The lifting muscle works normally.
Treatment: skin and fat removal
A Simple Self-Assessment
Stand in front of a mirror in good lighting. Look straight ahead — do not raise your brows.
1. When looking straight ahead — without raising your brows — does the upper eyelid cover part of your pupil?
If yes: this suggests ptosis. The eyelid margin itself sits too low.
