texas eye aesthetics
All About Drooping Eyelids: Causes and Solutions
Drooping eyelids are a common condition that can affect both your appearance and vision. This condition occurs when the upper eyelids sag down toward the pupil, potentially obstructing your field of view.
Quick Facts About Drooping Eyelids:
When you look in the mirror, do your eyes appear tired or heavy? You might be experiencing ptosis (pronounced "toe-sis") or dermatochalasis—the medical terms for drooping eyelids. While often considered just a cosmetic concern, drooping eyelids can significantly impact your vision and quality of life.
For many, the condition develops gradually with age as the muscles that lift the eyelid (levator muscles) stretch and weaken. For others, it may be present from birth or result from medical conditions, injury, or even contact lens use.
Drooping eyelids range from barely noticeable to severe cases where the eyelid completely covers the pupil. When significant, this drooping can obstruct your upper visual field, causing you to unconsciously tilt your head back or raise your eyebrows constantly—leading to neck strain and headaches.
The good news? Whether your concern is functional or cosmetic, modern treatment options range from non-surgical approaches like special eyedrops to surgical procedures that can restore both vision and a more youthful appearance.
When your eyes don't open as wide as they once did, you're likely experiencing one of two common conditions. Drooping Eyelids aren't just a single issue—understanding exactly what's happening is the first step toward effective treatment.
Think of your eyelid as a window shade. With ptosis (pronounced "toe-sis"), the lifting mechanism—your levator muscle—has weakened or stretched out. This muscle should lift your eyelid fully when you're awake, but when it's compromised, your eyelid hangs lower than it should, sometimes partially covering your pupil.
Dermatochalasis, on the other hand, is like having too much fabric on that window shade. Years of sun exposure and aging cause skin to lose elasticity, creating excess folds that hang over your eyelid margin. This creates that heavy, hooded appearance many of us notice as we age.
"Many patients come to me completely unaware they've been compensating for their drooping eyelids for years," says Dr. David Z. Gay of Texas Eye Aesthetics. "They've been raising their eyebrows or tilting their head back unconsciously, often suffering from headaches or neck strain without connecting it to their eyelids."
These conditions can affect one eye (unilateral) or both eyes (bilateral), and in severe cases, can block up more than 30% of your visual field—significantly impacting everyday activities from reading to driving safely.
Drooping Eyelids come in several varieties, each with distinct causes:
Congenital ptosis appears at birth when levator muscles don't develop properly. Children with this condition often tilt their heads back to see under their drooping lids, a telltale sign that early intervention may be needed.
Involutional ptosis is the most common type, occurring naturally with age as the levator muscle stretches or separates from the eyelid—like an old rubber band that's lost its snap.
Neurogenic ptosis results from nerve damage affecting the muscles controlling eyelid movement, often connected to conditions like stroke or Horner syndrome, while myogenic ptosis stems from disorders affecting the muscles themselves, such as myasthenia gravis.
Mechanical ptosis happens when something physically weighs down your eyelid—excess tissue, tumors, or swelling—and pseudoptosis isn't true ptosis at all but creates a similar appearance, usually from a drooping brow or deep-set eyes.
Identifying which type you have helps determine the most appropriate treatment path. For children with congenital ptosis, prompt surgical intervention may be crucial to prevent developmental vision problems, while adults with age-related drooping might have several treatment options to consider.
While both conditions result in drooping eyelids, understanding the differences is crucial for proper treatment:
| Feature | Ptosis | Dermatochalasis |
|---|---|---|
| Primary Cause | Levator muscle weakness | Excess skin and fat |
| Eyelid Crease | Often lifted or absent | Usually present but hidden |
| Visual Field | Directly obstructed by lid margin | Obstructed by overhanging skin fold |
| Simple Test | Persists when eyebrow is held up | Improves when eyebrow is held up |
| Treatment Focus | Strengthen/tighten muscle | Remove excess tissue |
| Surgical Approach | Levator advancement or frontalis sling | Blepharoplasty |
| Insurance Coverage | Can be covered if vision is affected. Occasionally done for cosmetic reasons | Can be covered if vision is affected. Often regularly done for cosmetic reasons |
You can do a simple test at home: place your finger just below your eyebrow to hold it up. If your drooping improves significantly, you likely have dermatochalasis (excess skin). If holding your brow up doesn't help much, ptosis (muscle weakness) is more likely.
"The distinction matters tremendously," Dr. Gay explains. "I've seen many patients who were told they needed cosmetic blepharoplasty when they actually had true ptosis requiring muscle repair. Getting the diagnosis right leads to both better vision and more satisfying aesthetic results."
Understanding these differences isn't just academic—it directly impacts treatment options, potential insurance coverage, and ultimately, your satisfaction with the results. At Texas Eye Aesthetics, we evaluate each patient carefully to distinguish between these conditions before recommending any treatment plan.
Drooping eyelids rarely happen overnight (except in unusual circumstances). Most develop gradually due to several factors working together over time.
The natural aging process is the most common culprit. Think about it - your eyelids blink 15-20 times every minute, adding up to an astonishing 10 million blinks each year! Over time, this constant movement causes the levator muscle (your eyelid's lifting mechanism) to stretch and weaken. Meanwhile, your skin loses precious elasticity and collagen, creating excess tissue that weighs down your lids like a heavy curtain.
Family history plays a significant role too. If you've noticed your parents or grandparents developed droopy eyelids with age, you might be genetically predisposed to follow the same path. Certain ethnic backgrounds also have natural anatomical differences that influence eyelid position and appearance.
"Many patients are surprised when I mention their contact lenses might be contributing to their drooping eyelids," notes Dr. Gay. "But the repetitive motion of inserting and removing contacts over many years can gradually stretch the eyelid muscles." Long-term wearers often develop ptosis earlier than those who don't wear contacts.
Previous eye surgeries can sometimes lead to unexpected drooping. After cataract surgery, approximately 7-8% of patients experience some degree of eyelid ptosis due to manipulation of delicate eyelid tissues during the procedure.
Trauma to the eye area - whether from direct injury, facial surgery, or even chronic eye rubbing - can damage the levator muscle or its nerve supply. And those popular Botox injections? If the medication diffuses into nearby eyelid muscles, it can cause temporary ptosis in about 5% of cases (though this typically resolves within 1-2 months).
Several health conditions can contribute to drooping eyelids. Neurological disorders like myasthenia gravis, stroke, or Horner syndrome affect the nerves controlling eyelid muscles. Systemic diseases including diabetes and thyroid disorders can cause nerve damage and tissue changes that impact eyelid position.
Your lifestyle choices matter too. Smoking accelerates skin aging and muscle weakening around the eyes, while unprotected sun exposure breaks down collagen and elastin fibers that keep your eyelids taut.
For children with congenital ptosis, the issue typically stems from developmental problems with the levator muscle, which may be underdeveloped or replaced with fibrous tissue that doesn't contract properly.
While drooping eyelids can affect anyone, certain groups face higher risks of developing this condition.
Older adults, particularly those over 50, naturally experience age-related changes to eyelid tissues. "By our 50s and 60s, most people will notice some degree of eyelid laxity," explains Dr. Gay. "Though not everyone will develop significant functional ptosis, almost everyone sees some changes with age."
Newborns with congenital ptosis need special attention and often early intervention. Without proper treatment, their drooping eyelids can lead to amblyopia (lazy eye) and permanent vision impairment as their visual system develops.
If you're a long-term contact lens user, you might develop ptosis about 10 years earlier than non-users. Those thousands of eyelid manipulations add up over time!
Had LASIK or cataract surgery recently? You have an increased risk of developing temporary or permanent ptosis due to the manipulation of the eyelid during these procedures.
People with autoimmune conditions like myasthenia gravis often experience a unique type of fluctuating ptosis that worsens with fatigue and improves with rest - a hallmark symptom that helps doctors identify this underlying condition.
Smokers develop more skin laxity and wrinkles around the eyes due to decreased collagen production and increased oxidative stress. Just another reason to consider quitting!
At Texas Eye Aesthetics, we see patients across all these risk categories in Central Texas and tailor our approach to each individual's specific needs and circumstances.
Several medical conditions can cause or contribute to drooping eyelids, and understanding these connections helps with proper diagnosis and treatment.
Stroke affects the nerve pathways controlling eyelid muscles, sometimes causing sudden-onset ptosis on one side. This can actually be a warning sign of stroke requiring immediate medical attention - not something to ignore or dismiss as merely cosmetic.
Though rare, brain or orbital tumors may press on nerves or directly affect eyelid muscles. This is why new-onset ptosis should always be evaluated by an experienced physician to rule out serious underlying causes.
Thyroid eye disease (often associated with Graves' disease) creates a unique pattern - it typically causes eyelid retraction initially (a "startled" appearance), but may lead to ptosis in later stages due to inflammation and tissue changes.
Myasthenia gravis, an autoimmune neuromuscular disorder, causes ptosis that typically worsens throughout the day or with prolonged use of the eyes. If your drooping becomes more pronounced when you're tired or at day's end, this condition might be worth discussing with your doctor.
Recent scientific research on oxymetazoline (the active ingredient in Upneeq eyedrops) has shown promising results for treating acquired ptosis. This medication works by stimulating receptors in Müller's muscle, a smooth muscle in the eyelid that helps temporarily improve eyelid position. Clinical trials demonstrate it can lift the upper eyelid by 1-2mm in many patients for an average of 8-10 hours, providing a non-surgical option for temporary improvement.
"What makes drooping eyelids so fascinating from a medical perspective," Dr. Gay shares, "is how they can be the first visible sign of systemic conditions. That's why a thorough evaluation is so important - sometimes we're treating more than just the eyelid."
Drooping eyelids impact much more than just your appearance – they can significantly affect how you see and experience the world around you.
When your upper eyelid sags low enough to cover part of your pupil, it creates a "curtain effect" that blocks your upper field of vision. This visual field blockage can turn everyday activities into unexpected challenges.
"I had a patient who came in because she couldn't see traffic lights while driving unless she tilted her head back," recalls Dr. Gay. "She didn't realize her drooping eyelids were the cause until we did a visual field test that showed a 50% reduction in her upper visual field."
Those constant little adjustments your body makes to compensate for drooping lids can lead to real discomfort. Many people develop headaches and eyebrow fatigue from unconsciously contracting their forehead muscles all day long, trying to lift those heavy lids. Over time, this constant tension can become a source of chronic pain.
Similarly, that habit of tilting your head back to see beneath drooping lids? It can lead to significant neck and shoulder strain. What starts as a simple adaptation can eventually contribute to lasting musculoskeletal problems.
Your eye health itself may suffer too. Drooping eyelids can interfere with normal blinking, leading to dry spots on the cornea. Paradoxically, this dryness might trigger watery eyes as your body attempts to compensate – leaving you dealing with both dry and watery eyes simultaneously.
We shouldn't underestimate the cosmetic and psychological impacts either. Many patients tell us they're tired of looking tired. They feel their appearance doesn't match their energy or how they feel inside. This disconnect can affect self-esteem and even change how you interact socially.
At Texas Eye Aesthetics, we recognize that while some concerns are primarily functional (directly affecting vision) and others mainly cosmetic (affecting appearance), these issues often overlap. Looking your best contributes to feeling your best, and both aspects deserve attention.
While most cases of drooping eyelids develop gradually, certain situations require immediate medical attention:
Sudden drooping that develops over hours or days could signal a serious neurological issue like stroke, aneurysm, or brain tumor. This is particularly concerning when accompanied by facial weakness, speech changes, or severe headache.
Double vision occurring alongside ptosis might indicate myasthenia gravis or problems with the nerves controlling eye movement. Pain with ptosis is never normal and could point to inflammation, infection, or pressure from a growth behind the eye.
For children, untreated ptosis poses special risks. Their visual systems are developing until about age 8-9, and if a drooping eyelid blocks vision during this critical period, amblyopia (lazy eye) can develop, potentially causing permanent vision loss if not addressed promptly.
Driving safety can be significantly compromised when ptosis reduces your upper visual field. If you can't easily see traffic lights, overhead signs, and potential hazards, you're putting both yourself and others at risk.
"Never ignore a sudden change in your eyelid position," Dr. Gay emphasizes. "While most drooping develops slowly with age, rapid changes warrant an immediate evaluation to rule out serious conditions."
Congenital ptosis affects approximately 1 in 842 births. Though relatively rare, its impact on a child's development can be profound.
The primary concern is amblyopia risk. When a drooping eyelid blocks vision during critical developmental years, the brain may begin to ignore input from that eye, leading to permanent vision impairment if not addressed.
Children with ptosis may also experience developmental delays as vision problems impact their ability to engage with their environment. This can affect everything from hand-eye coordination to reading skills. You might notice your child adopting a chin-up posture, tilting their head back to see under their drooping lids – a habit that can eventually lead to neck problems and postural issues.
At Texas Eye Aesthetics, we recommend regular eye exams for children with ptosis, even mild cases, to monitor for vision development issues. Treatment approaches vary based on severity – mild cases may simply be observed if vision development isn't threatened, while moderate to severe cases often require surgical correction. Patching therapy may be recommended alongside other treatments if amblyopia has begun to develop.
"With children, we have to balance the risks of surgery against the risks of untreated ptosis," explains Dr. Gay. "The good news is that when addressed appropriately, most children with ptosis go on to develop normal vision and function."
If you suspect you have Drooping Eyelids, getting a proper diagnosis is your crucial first step toward improvement. At Texas Eye Aesthetics, we take a thorough approach to determine exactly what's happening with your eyelids before recommending any treatment.
During your initial consultation, you'll undergo a physical examination where Dr. Gay will carefully assess several aspects of your eyelids. He'll measure the margin reflex distance (MRD)—the space between your pupil and upper eyelid—which helps quantify how much drooping is present. He'll also evaluate how well your levator muscle functions by watching your eyelid movement, check your eyelid crease position and depth, and examine your skin quality to identify any excess tissue.
"Many patients come to us after being told they need cosmetic eyelid surgery, when what they actually have is true ptosis requiring muscle repair," explains Dr. Gay. "Getting the correct diagnosis is the first step toward effective treatment."
A slit-lamp examination is often part of this process. This specialized microscope provides a magnified, detailed view of your eye and eyelid structures, helping identify any contributing factors to your condition.
For many patients, visual field testing becomes a critical part of diagnosis. This objective test measures exactly how much your vision is affected by your drooping eyelid. Beyond its diagnostic value, this test often determines whether your insurance will cover treatment, as many plans require documented visual field loss before they'll approve ptosis surgery.
If Dr. Gay suspects myasthenia gravis might be causing your drooping eyelids, he may recommend a Tensilon test. This involves giving you a medication that temporarily improves muscle function to see if your ptosis improves, which would suggest this autoimmune condition as the underlying cause.
Based on your comprehensive diagnosis, we'll discuss treatment options ranging from non-invasive approaches to surgical solutions, always considering both your functional needs and aesthetic goals.
Not every case of Drooping Eyelids requires surgery. For mild to moderate cases, several non-surgical options might provide the improvement you're seeking:
Upneeq eyedrops have been a game-changer in non-surgical ptosis treatment since their FDA approval in 2020. These prescription drops work by stimulating Müller's muscle in your eyelid, temporarily lifting your upper eyelid by 1-2mm with effects lasting about 6 hours per dose.
"Upneeq has been transformative for patients with mild ptosis who aren't ready for surgery," shares Dr. Gay. "It's also wonderful for those who have slight residual drooping after surgery or who simply aren't good surgical candidates."
Those seeking subtle improvement might benefit from a Botox brow lift, which can indirectly improve the appearance of drooping eyelids by elevating the eyebrows, which pulls up some of the excess upper eyelid skin. This approach works best for mild dermatochalasis rather than true ptosis.
At Texas Eye Aesthetics, we evaluate each person individually to determine which non-surgical approaches might benefit you before considering surgical intervention.
When non-surgical treatments can't adequately address your Drooping Eyelids, several surgical options can provide long-lasting correction:
Blepharoplasty specifically addresses dermatochalasis by removing excess skin and fat from the upper eyelid. This short procedure is typically performed under local anesthesia with sedation. The surgeon makes incisions hidden in your natural eyelid crease, removes precise amounts of skin and fat while preserving function, and may reposition fat to prevent a hollow appearance. The result is a more refreshed, open look with improved field of vision.
For true ptosis, levator advancement is the most common surgical approach. This procedure involves tightening or shortening the levator muscle and adjusting the height of your eyelid during surgery to achieve symmetry. The surgeon will also create or refine your eyelid crease for a natural appearance, and may combine this with blepharoplasty when excess skin is also present. For more mild ptosis, unilateral ptosis, or when skin doesn't need to be removed an incision inside the eyelid can be used to lift the eyelid. This hides the scar and is a great approach to those who qualify.
In severe ptosis cases with poor levator function, particularly in children with congenital ptosis, a frontalis sling might be recommended. This technique creates a connection between the eyelid and the frontalis (forehead) muscle, allowing you to use your forehead muscles to help lift the eyelid. Various materials may be used for the sling, including silicone, Gore-Tex, or your own tissue.
"At Texas Eye Aesthetics, we frequently perform combination surgery that addresses both muscle weakness and excess skin," Dr. Gay explains. "This comprehensive approach improves both function and appearance, giving patients the best possible outcome."
Most eyelid surgeries are outpatient procedures, meaning you'll go home the same day. Your surgical day typically involves:
"We take special care to create natural-looking results," emphasizes Dr. Gay. "The goal isn't just to open the eyes wider, but to restore a rested, harmonious appearance while improving vision."
You can see examples of Dr. Gay's work on our Eyelid Surgery Before & After page, which showcases the natural results our patients achieve.
Like any surgical procedure, treatments for Drooping Eyelids come with potential risks and a recovery period you should understand before proceeding.
Bruising and swelling are normal and expected after eyelid surgery. Bruising typically peaks at 2-3 days and resolves within two weeks. Swelling follows a longer timeline—most resolves within 4-6 weeks, but subtle swelling can persist for 3-6 months. This gradual resolution is why your final results take time to fully reveal themselves.
Over or under-correction occurs in approximately 5-10% of cases. Knowing some relaxation will happen during healing, surgeons often aim for slight overcorrection initially. If significant asymmetry persists after complete healing, Dr. Gay may recommend a minor adjustment procedure.
While infection is rare (less than 1%), it remains a possibility. To minimize this risk, patients receive preventive antibiotics and detailed wound care instructions.
Many patients experience temporary dry eyes after surgery as swelling affects the normal blink mechanism. This typically improves as healing progresses, though patients with pre-existing dry eye may need additional management during recovery.
Vision loss is extremely rare, with an estimated risk of approximately 1 in 40,000 cases. This serious complication usually results from bleeding behind the eye (retrobulbar hemorrhage) and requires immediate intervention—which is why following post-operative instructions is so important.
For a smooth recovery, Texas Eye Aesthetics recommends:
"Most patients are pleasantly surprised by how manageable the recovery is," notes Dr. Gay. "While you'll need to take it easy for a couple of weeks, many people feel comfortable being seen in public with minimal makeup after 7-10 days."
Understanding the financial aspects of Drooping Eyelids treatment helps you plan appropriately for your care.
For insurance to cover ptosis repair or blepharoplasty, you'll need to meet specific medical necessity criteria, which typically include:
Visual field testing plays a crucial role in insurance coverage. Most insurance companies require objective evidence that your ptosis is affecting your vision, not just your appearance. The test must demonstrate measurable improvement when your eyelid is held in a normal position.
Be aware that cosmetic exclusions are common in insurance policies. Procedures performed solely for aesthetic improvement without functional impairment are typically not covered. However, at Texas Eye Aesthetics, we work with patients to determine if there are functional components that may qualify for coverage.
Understanding coding basics can help you steer insurance:
"We have extensive experience working with insurance companies and can help guide you through the process," Dr. Gay emphasizes. "Our team will provide the necessary documentation and advocate for coverage when appropriate."
For procedures not covered by insurance, Texas Eye Aesthetics offers various payment options to make treatment accessible for all patients. You can learn more about eyelid surgery on our Ptosis Info page.
While we can't prevent all causes of Drooping Eyelids, there's plenty you can do to protect your eyelid health and slow down those age-related changes that make your eyes look tired.
Think of your eyelids like any other skin on your body—they need protection from the elements. UV protection is absolutely essential since sun damage speeds up skin aging around the eyes. Make wearing sunglasses that block 100% of UV rays part of your daily routine, even on cloudy days. Add a wide-brimmed hat for extra protection, and don't forget to apply SPF 30 or higher sunscreen specially formulated for the delicate eye area.
"I tell my patients that sunglasses aren't just a fashion statement—they're preventive medicine for your eyelids," says Dr. Gay. "The skin around your eyes is some of the thinnest on your body, making it especially vulnerable to UV damage."
What you eat matters too. A balanced nutrition plan rich in antioxidants from colorful fruits and vegetables helps fight the free radicals that break down collagen. Omega-3 fatty acids from fish, flaxseeds, and walnuts reduce inflammation, while adequate protein provides the building blocks for tissue repair. And don't forget to stay hydrated—proper water intake keeps skin plump and elastic.
Your mother was right about the importance of quality sleep. Those 7+ hours of shut-eye each night allow your tissues to repair themselves and reduce strain on eyelid muscles. Try sleeping with your head slightly liftd to minimize fluid accumulation around the eyes.
In our digital world, screen breaks are non-negotiable. Follow the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds. This simple habit reduces eye strain and prevents the unconscious squinting that contributes to muscle fatigue.
If you're a smoker, here's yet another reason to quit: smoking cessation is one of the most effective ways to preserve skin elasticity and prevent premature aging around the eyes. The chemicals in cigarettes damage collagen and constrict blood vessels that nourish delicate eyelid tissues.
Don't skip those annual checkups. Regular eye exams can catch early signs of ptosis and address contributing factors before they worsen. This is especially important if you have risk factors like diabetes or a family history of eyelid disorders.
The good news? The prognosis for patients with Drooping Eyelids is generally excellent with appropriate treatment. Surgical results typically last a decade or more before any touch-up might be needed, though natural aging continues.
How long your results last depends on the treatment type:
1. What's the difference between ptosis surgery and blepharoplasty?
Think of it this way: ptosis surgery fixes the "engine" (the levator muscle) that lifts your eyelid by tightening or reattaching it. Blepharoplasty, on the other hand, removes the "excess baggage" (extra skin and fat) without touching the lifting mechanism. At Texas Eye Aesthetics, we often recommend a combined approach that addresses both issues simultaneously for the best functional and cosmetic results.
2. How long before I can drive or return to work after surgery?
Most patients can get back behind the wheel once they're off pain medication and feel comfortable with their vision—typically within 5-7 days. As for work, it depends on what you do. If you're at a desk job, you'll likely be back in 7-10 days. More physically demanding work? Plan for 2 weeks off. We provide personalized guidance based on your specific procedure and lifestyle needs.
3. Can drooping eyelids come back after treatment?
While surgical correction provides long-lasting improvement, Mother Nature doesn't stop the aging process. Some patients may notice mild recurrence after many years as tissues naturally continue to age. Non-surgical options like Upneeq drops or Botox require regular maintenance to keep those eyes looking fresh and open.
4. Will insurance cover my eyelid surgery?
This depends on whether your Drooping Eyelids are causing functional vision problems. If visual field testing shows significant obstruction that improves when your eyelid is lifted, many insurance plans will cover ptosis repair. Purely cosmetic procedures typically aren't covered. Our team at Texas Eye Aesthetics will help determine your eligibility and steer the insurance process.
5. How do I know if I have ptosis or just excess skin?
Here's a simple home test: gently lift your eyebrows with your fingers. If the drooping improves significantly, you likely have excess skin (dermatochalasis). If lifting your brow doesn't change your eyelid position, true ptosis is more likely. That said, many patients have both conditions, so a professional evaluation is necessary for an accurate diagnosis and treatment plan.
6. Are the results from eyelid surgery permanent?
Think of eyelid surgery as turning back the clock, not stopping it entirely. The results are long-lasting but not permanent because the natural aging process continues. Factors like sun exposure, genetics, and lifestyle choices influence how long your results last. Most patients enjoy their improved eyelid position for 10-15 years or longer before considering any touch-up procedures.
"The key to long-lasting results is good sun protection and a healthy lifestyle," notes Dr. Gay. "I've had patients whose results still look fantastic 15+ years after surgery because they've been diligent about these preventive measures."
Drooping eyelids affect both how you see the world and how the world sees you. Throughout this guide, we've explored how this common condition impacts vision, comfort, and appearance—and the good news is that effective solutions exist for every situation.
At Texas Eye Aesthetics, we understand that eyes are uniquely personal. Dr. David Z. Gay brings specialized expertise in oculoplastic surgery to every patient, focusing on both the functional improvements that help you see better and the aesthetic improvements that help you look refreshed and vibrant.
When you visit us for a consultation, you'll experience care that's as individual as your eyes. We'll take time to understand your specific concerns, thoroughly evaluate your eyelid position, and discuss how your symptoms affect your daily activities. Rather than a one-size-fits-all approach, we'll create a personalized treatment plan that might include non-surgical options like Upneeq drops, ptosis crutches, or surgical intervention depending on your needs.
"What I find most rewarding," says Dr. Gay, "is seeing patients return after treatment with not just better vision, but renewed confidence. Many don't realize how much they've been compensating for their drooping lids until that burden is lifted."
Our team works with you every step of the way—from initial diagnosis through treatment selection, insurance navigation, and recovery support. We're committed to clear communication, answering all your questions so you can make confident decisions about your care.
With locations throughout the Hill Country region, including Kyle, Dripping Springs, Temple, Buda, San Marcos, and Salado, we've made expert oculoplastic care convenient and accessible for patients across Central Texas.
Drooping eyelids don't have to define how you look or limit what you see. The window to your soul deserves a frame that functions beautifully and looks naturally refreshed. We're here to help you achieve both.
Ready to take the first step? Schedule your consultation with Texas Eye Aesthetics today and find how addressing your drooping eyelids can brighten both your vision and your outlook.
For more detailed information about our approach to eyelid surgery and to see before-and-after results, visit our eyelid surgery page.
4282 Farm to Market 1626
Suite 200
Kyle, TX 78640
13830 Sawyer Ranch Road
Suite 201 Dripping Springs,
TX 78620