How to Tell if You Have Ptosis vs. Dermatochalasis

Woman pulling at her eyelid skin If you’ve noticed that your eyelids seem to droop or feel heavier than they used to, it can be hard to tell what’s really causing it. Two of the most common reasons are ptosis and dermatochalasis. While they can look similar, they’re actually very different conditions. 

At Richens Eye Center in St. George, Utah, and Mesquite, Nevada, Dr. Sharon Richens, MD, FACS, and her team of board-certified ophthalmologists and optometrists can help you understand what’s happening and what treatment options make sense for you.

What Is Ptosis?

Ptosis occurs when the upper eyelid droops lower than it should. This often happens because the muscles that lift the eyelid weaken over time, or the nerves that control those muscles are affected. 

Ptosis can develop gradually with age, or it can appear suddenly due to injury, nerve conditions, or other medical issues. In some cases, ptosis can even block part of your vision. 

Treatment usually involves a minor surgical procedure to tighten or repair the eyelid muscles.

What Is Dermatochalasis?

Dermatochalasis is caused by excess eyelid skin that becomes loose and folds over the eyelid margin. It’s often related to aging, genetics, or loss of skin elasticity. 

While it doesn’t usually affect the eyelid muscles, it can make your eyes feel heavy, tired, or create a hooded appearance. When the skin starts to obstruct vision, eyelid surgery (blepharoplasty) may be recommended to remove the extra tissue.

How to Tell the Difference

Although both ptosis and dermatochalasis cause drooping eyelids, the reasons behind them are different. Ptosis happens when the eyelid muscle weakens. You might notice that one eyelid looks heavier or lower than the other, or that your eyes seem uneven in photos. 

Dermatochalasis is related to the skin rather than the muscle. The eyelid is in the right position, but loose skin folds hang down and create a hooded appearance. 

Since these two conditions can look similar, only an experienced ophthalmologist can determine which one is affecting you. 

Seek Care at Richens Eye Center

During an eye exam, Dr. Richens or one of her team members will check eyelid position, muscle strength, and skin laxity to recommend the best treatment plan. 

Call 435-986-2020 (Downtown St. George), 435-628-1112 (Sunset St. George), 702-346-2950 (Mesquite), or 435-900-3937 (Little Valley) to schedule your consultation today.

Contact Our Practice

Richens Eye Center
St. George/Downtown

Office Hours

Mon-Thurs: 8am-5pm
Fri: 8am-12pm
Sat-Sun: Closed

Richens Eye Center
St. George/Sunset

Office Hours

Mon-Thurs: 8am-5pm
Fri: 8am-2pm
Sat-Sun: Closed

Richens Eye Center
Mesquite

Office Hours

Mon-Thurs: 8am-5pm
Fri: 8am-2pm
Sat-Sun: Closed

Accessibility Toolbar

vote for us best of southern utah 2024
Close
Scroll to Top