Floppy Eyelid Houston

Floppy eyelids can greatly affect your quality of life, leading to discomfort and feelings of self-consciousness. We are committed to addressing floppy eyelid syndrome (FES) in Houston to restore both function and aesthetic appeal. Dr. Mirwat S. Sami at Houston Oculofacial Plastic Surgery is dedicated to providing you with exceptional care so that you can regain not only your comfort but also your confidence in your appearance.

What Is Floppy Eyelid Syndrome?

As the name implies, a “Floppy Eyelid” is a loose, easily inverted eyelid that fails to stay closely aligned with the eye, leading to irritation, redness, dryness, and excessive tearing. People with this condition often experience spontaneous eyelid turning during sleep, causing the eye to rub against pillows and sheets, which results in discharge, crusting, redness, and irritation upon waking. Left untreated, it can lead to chronic ectropion, redness, and corneal abrasions.

Floppy eyelids occur most commonly due to age-related weakening of certain eyelid muscles and laxity of eyelid tendons. Sometimes, this condition is part of a syndrome found in obese, middle-aged men with sleep apnea caused by similar laxity in the upper airway. “Floppy eyelid syndrome” is extremely important to identify due to its association with obstructive sleep apnea and sudden death.

 

 

Floppy Eyelid - BeforeBefore

Floppy Eyelid - AfterAfter

You can see more photos of our Floppy Eyelid Procedures in our Before & After Gallery

 


Causes of Floppy Eyelid Syndrome

Understanding these factors is crucial for effective management and treatment of floppy eyelid syndrome.

  • Obesity: Excess weight can contribute to the laxity of eyelids.
  • Sleep Apnea: This condition can affect eyelid support during sleep.
  • Connective Tissue Disorders: Conditions like Ehlers-Danlos syndrome may weaken eyelid structure.
  • Prolonged Irritant Exposure: Continuous exposure to allergens or irritants can worsen symptoms.
  • Excessive Eye Rubbing: Frequent rubbing of the eyes can lead to further laxity.

Candidates for Floppy Eyelid Surgery

  • Individuals with Floppy Eyelid Syndrome: Those diagnosed with FES experiencing significant symptoms.
  • Patients with Eyelid Malpositions: Individuals whose eyelids are excessively lax and affecting their daily lives.
  • Healthy Adults: Candidates should be in overall good health, without serious underlying conditions that could impede recovery.
  • Non-Smokers: Smoking can hinder healing; thus, non-smokers are preferred candidates.
  • Realistic Expectations: Candidates should have a clear understanding of the procedure and realistic expectations regarding the outcomes.

Diagnosis and Collaborative Treatment 

Diagnosis of floppy eyelid syndrome typically involves a thorough examination by Dr. Sami. She will assess the eyelid’s condition, evaluate symptoms, and may conduct tests to rule out other potential eye issues. On numerous occasions, Dr. Sami has diagnosed floppy eyelid syndrome and sleep apnea in her patients and saved them from potentially serious cardiopulmonary consequences by referring them to a sleep specialist and cardiologists. 

Dr. Sami and all of us at Houston Oculofacial Plastic Surgery work collaboratively with our patients towards creating a personalized plan that is tailored to fit each patient’s unique needs.

We encourage you to take a few minutes to learn more about other conditions listed in the Eyelid Malpositions section.

The Procedure

“Floppy eyelids” can be surgically repaired, and the surgical technique depends on the presentation’s severity and chronicity. The most common surgical procedure involves tightening the eyelid and its attachments in order to restore the eyelid to its normal position. The surgery can be performed in an outpatient setting under local anesthesia. Patients typically recover quickly and experience excellent resolution of the condition following surgery.

“Floppy eyelid” repair, just like any eyelid procedure, begins with a thorough knowledge of periorbital structures together with a unique and customized approach to each individual patient. Remember, no two eyes, let alone any two faces, are the same.

Dr. Sami carefully customizes her operative plan for each patient, taking into account their unique features such as facial symmetry, the shape of the eye, the position of fat pads, skin quality, muscle tone, dry eye problems, and position of the eyeball in relation to the facial bones. Based on her preoperative assessment and the needs and expectations of each patient, she ensures her surgical plan is carried out with compassionate care to yield fantastic results.

At Houston Oculofacial Plastic Surgery, we pride ourselves on our compassionate patient care, our sensitivity and understanding of each patient’s needs and expectations, and our drive for excellence. Our goal is to help you and your loved ones feel welcome, comfortable, and 100% satisfied with your experience.

What to Expect After the Procedure / Recovery

After the procedure, patients may experience swelling, bruising, and mild discomfort during the initial days of recovery. It is important to avoid strenuous activities and heavy lifting for at least one to two weeks following the surgery to promote healing. While many patients can return to normal activities within a week, complete healing may take several weeks. 

Benefits of Floppy Eyelid Surgery

  • Improved Comfort: Alleviates irritation and discomfort associated with floppy eyelids.
  • Enhanced Aesthetics: Restores a more youthful and alert appearance by correcting eyelid laxity.
  • Better Vision Protection: Reduces the risk of corneal exposure and related complications.
  • Increased Confidence: Many patients report a boost in self-esteem and confidence following the procedure.
  • Long-Lasting Results: Provides a durable solution to floppy eyelid syndrome, improving quality of life.

Cost of Floppy Eyelid Surgery

The cost of floppy eyelid surgery can vary based on several factors, including the complexity of the procedure and any necessary preoperative assessments. During your consultation, we will provide a detailed breakdown of the costs involved for transparency and clarity

FAQs

What are the symptoms of floppy eyelid syndrome?

Symptoms of floppy eyelid syndrome typically include eye irritation, dryness, redness, and a tendency for the eyelids to flip outward during sleep. These symptoms can be bothersome and may impact daily activities.

Is floppy eyelid surgery permanent?

Floppy eyelid surgery is designed to provide long-lasting results by tightening the eyelids and restoring their proper position. However, individual results may vary based on factors such as age and the underlying cause of the condition.

Can floppy eyelid syndrome affect vision?

Yes, floppy eyelid syndrome can potentially lead to vision problems if the eyelids do not close properly, resulting in exposure of the cornea. This makes early diagnosis and treatment crucial to prevent complications.

Can floppy eyelid syndrome be caused by other conditions? 

Yes, floppy eyelid syndrome may be associated with other medical conditions, particularly those affecting connective tissues or causing sleep apnea. 

What lifestyle changes can help manage the symptoms of floppy eyelid syndrome? 

Managing symptoms of floppy eyelid syndrome may involve lifestyle changes such as maintaining good eyelid hygiene, using lubricating eye drops to relieve dryness, and getting adequate sleep. Avoiding irritants such as smoke or allergens can also help reduce irritation and discomfort.

Contact Us for a Floppy Eyelid Consultation

If you are experiencing symptoms of floppy eyelid syndrome, don’t hesitate to reach out to the Houston Oculofacial Plastic Surgery team. We are here to provide expert care and discuss your treatment options. Contact the Houston Oculofacial Plastic Surgery team today to schedule your consultation with Dr. Sami.