Ptosis Correction Surgery: Incisional vs Non-Incisional

Ptosis Correction Surgery: Incisional vs Non-Incisional (Clear Comparison)

When correcting droopy eyelids (ptosis), surgeons choose between a non-incisional (suture) method and a traditional incisional (open) approach. Both aim to lift the upper eyelids and improve eye openness and appearance, but the approach, indications, and outcomes differ.

🧠 What Each Technique Means

🔹 Non-Incisional Ptosis Correction

• Uses fine sutures inserted through tiny punctures to adjust and lift the eyelid-opening muscles without cutting major skin or tissue.
• Skin isn’t cut, so scarring is minimal to none and recovery is faster.

🔹 Incisional Ptosis Correction

• Involves a small surgical incision along the natural eyelid crease.
• The surgeon has direct access to the levator muscle, can remove excess skin or fat, and tighten or reposition tissues precisely.

👁️ When Each Method Is Recommended

Best Candidates for Non-Incisional Ptosis Correction

• Mild to moderate droopy lids
• Good skin elasticity and minimal excess fat
• Thin eyelids with less tissue burden
• Patients who want fast recovery and minimal scars

Best Candidates for Incisional Ptosis Correction

• Moderate to severe ptosis
• Thicker eyelids with excess fat or skin folding
• Patients seeking precise, long-lasting lift
• When tissue removal or direct muscle tightening is needed

📈 Pros & Cons (Quick Overview)

✅ Non-Incisional

• Minimal scarring
• Shorter recovery
• Natural appearance
• Good for early/mild ptosis

❌ Non-Incisional

• Not suitable for severe cases
• Slightly higher chance of crease loosening over time

✅ Incisional

• Strong, reliable lift
• Customizable (remove tissue, adjust muscle directly)
• Better for complex anatomy

❌ Incisional

• Longer recovery and swelling

Small incision-line scar (usually well hidden)

• Non-incisional ptosis correction is great for mild cases and faster healing with minimal scarring.
• Incisional ptosis correction is stronger and more precise for moderate to severe drooping, especially when excess skin or fat also needs addressing.

Your best choice depends on how severe your eyelid droop is, eyelid thickness, excess skin/fat, and long-term goals. A specialist evaluation is essential.