Ptosis, When Weak Eyelid Muscles Make Your Eyes Look Tired
Your eyes are one of the first things people notice. They express emotion and feeling, and help convey charm and confidence, so bright eyes often leave a good impression on the people you meet.
Tired-looking or weary eyes, droopy eyelids and small-looking eyes are reasons many people choose eye reshaping, so that their eyes look larger and more open.
In psychology, what makes speech persuasive includes not only tone of voice, pace, storytelling and personality, but also the eyes. For example, when we talk to someone who wears dark glasses the whole time, we often feel uncomfortable and uneasy, and may not trust the speaker very much. This is one reason people choose eye reshaping or eyelid surgery to reduce these concerns.
“Pupil dilation and constriction happen instinctively, as an automatic emotional response without prior thought”
Olivia Kang and Thalia Wheatley, American Psychological Association
If your upper eyelids droop, your eyes look half-closed even when open, or you have double vision, this may be a health signal that you are developing weak eyelid muscles or a muscle weakness condition, which is common in working-age adults. It can affect your work and daily life without you realising.
Weak eyelid muscles are not usually a dangerous or serious condition, but they can affect your appearance, self-confidence and vision, especially in grade 3 ptosis, where the eyelid covers the eye so that you cannot see clearly. You may also need to raise your eyebrows and forehead often to see more clearly, which can cause forehead lines and make the face look older.
What Is Ptosis
Myasthenia gravis (MG) is a condition in which muscle weakness may also affect other parts of the body, and it is caused by a problem with the nerves and muscles. Ptosis (weak eyelid muscles) is when you cannot fully open your eyes, and your eyes look tired and heavy, as if you are sleepy all the time.
It can come from the way the body works, with clear signs in the eye muscles over a period of 2 years or more. It is common in women aged 20 to 40 and in men aged 50 and over.
Signs That You May Be at Risk of Ptosis
- your eyes look different at different times of day, for example bright in the morning but with eyelids starting to droop by the afternoon, which may affect one or both eyes
- you cannot fully open your eyes, and they look heavy
- the eyelid covers the iris, or you cannot see the whole iris
Causes of Ptosis
- ageing
- injury or complications from double eyelid surgery
- rubbing your eyes often
- allergies and itching around the eyes
- wearing contact lenses
- other causes
Can Double Eyelid Surgery or Eyelid Surgery Treat Ptosis
Many people now have eye surgery to reduce this problem. Most people who come for eye correction are concerned about uneven eyelid creases caused by ptosis.
Double eyelid surgery can help reduce ptosis to some extent, but treating ptosis also needs correction of the eyelid muscle by tightening and adjusting it, together with eyelid surgery to make both eyes more even
If you have excess eyelid skin, the surgeon will adjust the tissue in that area so that it does not cover the eye. The procedure depends on the surgeon’s assessment, to find the treatment that suits each person and the severity of the ptosis.
Eye reshaping to create a 2-layer (double) eyelid, Eyes Surgery, for droopy eyelids and eyes that look less defined, using the Charming Eyes and Nano Liner techniques.
At S45 Clinic, each case is assessed individually, with eyelid surgery by a plastic surgeon to help the eyes look brighter, depending on each person

