Lip raise muscle reconstruction

Surgery timeApproximately 2.5 hours

Anesthesia methodsLocal anesthesia

Suture removal timeAbout 7 days after surgery

Postoperative recoveryApproximately 2-3 months

What is levator palpebrae superioris muscle reconstruction?



Ptosis surgery primarily improves problems such as ptosis, pupil obstruction, or uneven eye opening by adjusting the lifting structure of the upper eyelid. However, whether the eyes look natural and bright depends not only on whether the eyelids are lifted, but also on factors such as overall height, upper eyelid curvature, pupil exposure ratio, double eyelid crease, and eye closure function.

If you have previously undergone levator palpebrae superioris muscle surgery and symptoms persist even after the surgery has stabilized...Insufficient correction, asymmetry between the left and right eyes, overcorrection, uneven upper eyelid curvature, or incomplete eyelid closure.In cases like these, after evaluation by a physician, further consideration may be given to levator palpebrae superioris muscle reconstruction.

Do I need to have my levator palpebrae superioris muscle repaired?



After levator palpebrae superioris surgery, the swelling may subside at different rates in the left and right eyes, making them appear different. This does not necessarily indicate an abnormal surgical outcome. Therefore, whether revision surgery is needed cannot be determined solely based on the initial postoperative appearance; a comprehensive assessment of recovery time, levator palpebrae superioris muscle function, and changes in both eyes is required.

Generally, doctors will assess patients from the following aspects:

Pupil exposure levelAssess whether the upper eyelid is positioned too low or too high, and whether it obstructs the pupil or causes excessive exposure of the sclera.
Binocular symmetryObserve the height of the left and right eyelids, the degree of eye opening, and the proportion of the eye shape to confirm whether there is any obvious asymmetry.
upper eyelid curvatureCheck whether the eyelid edges are natural and smooth, and whether there are any problems such as excessively high or sunken areas, uneven curvature, or triangular eyes.
eye muscle lifting functionAssess the activity of the levator palpebrae superioris muscle, the degree of eyelid elevation, and the coordination of movement to determine whether there is undercorrection or overcorrection.
double eyelid creaseObserve the height, depth, and naturalness of the double eyelid lines, as well as whether they are affected by the position of the levator palpebrae superioris muscle or tissue adhesion.
Eyelid closure functionCheck if the eyes are completely closed, whether the eyelids move normally when looking down, and whether there are any problems such as eyelid lag.
Ocular surface and corneal healthAssess whether there is accompanying dry eyes, foreign body sensation, corneal exposure, or other ocular surface discomfort to prevent further impact on eye function.
Eyelid tissue conditionsExamine the eyelid thickness, scar adhesion, and remaining tissue condition to assess whether tissue release or other repair procedures are needed.
Previous surgical recordsUnderstanding the methods, number of previous eye surgeries and postoperative recovery is an important reference for determining the type and timing of revision surgery.

Since the levator muscles of both eyes do not operate independently, when re-examining, it is usually not possible to only look at the "higher eye" or the "lower eye". Both eyes need to be evaluated together and then appropriate treatment is carried out.

Applicable to

Suitable candidates for levator palpebrae superioris muscle reconstruction

    • Insufficient correction of levator palpebrae superiorisPostoperative symptoms may include ptosis, difficulty in closing the pupil, or difficulty opening the eyes.
    • The left and right eyes are obviously asymmetricalEven after the surgery, the patient still has uneven eyes and different degrees of pupil exposure.
    • Overcorrection of levator palpebrae superiorisThe upper eyelid is positioned too high, and the whites of the eyes are visible above the pupils, making the eyes look sharp or unnatural.
    • Uneven upper eyelid curvatureUneven eyelid height, with some areas being too high or too low, or uneven eye shape lines.
    • Double eyelids are affected by the levator palpebrae superioris muscle.The double eyelid crease is too deep, too shallow, or asymmetrical, or the eyelid line is not coordinated with the eye opening movement.
    • Incomplete eyelid closurePostoperative symptoms include difficulty closing the eyes, accompanied by dryness, a foreign body sensation, and other discomfort.
    • He has undergone multiple eye surgeries.Due to scarring, tissue adhesions, or previous surgical adjustments, the position of the eyelids and the ability to lift the eyes need to be reassessed.
    • Ptosis reappears: I had previously undergone corrective surgery, but after a period of time, I gradually developed ptosis or a difference between my eyes.
The appropriate revision surgery method still needs to be comprehensively evaluated based on factors such as the current levator palpebrae superioris muscle function, eyelid height, bilateral symmetry, eyelid tissue condition, and previous eye surgery methods and the degree of tissue adhesion. Different cases of undercorrection, overcorrection, or bilateral asymmetry require different treatments, and a doctor must conduct a detailed evaluation to plan the appropriate revision surgery method according to the individual's eye condition.

Arsty Clinic眼整形醫療團隊

Plastic surgeons customize exclusive electro-eye

Arsty Clinic醫師團隊皆為整形外科專業出身，具有完整的訓練及豐富臨床經驗，在手術中能針對不同問題情況做出適當的處理，且不定時參與日本、韓國、美國等臨床研習進修，與時俱進新的技術及美感。

Dr. Liu Chunxi

Bachelor of Medicine, Sun Yat-sen Medical University
Master's Program in Clinical Medicine, Chang Gung University
Ophthalmology Resident Physician at Chang Gung Memorial Hospital
Researcher Training in the Department of Oculoplastic Surgery, Chang Gung Memorial Hospital
Former attending physician of oculoplastic surgery at Chang Gung Memorial Hospital
Researcher in the Department of Oculoplastic Surgery at Manhattan Eye and Ear Hospital, USA
Graduated from UCLA Facial Plastic Surgery Program
Ophthalmologists of the Republic of China

Dr. Wei-Cheng Ching

前長庚顱顏Orthognathic Surgery中心主治醫師
一二代VASER Liposuction原廠雙認證
Certification for Facelift Surgery Training in the United States, South Korea, and Japan
Japanese | Korean | Taiwanese Facial Plastic Surgery Training and Certification
Japan | South Korea | Taiwan Secondary Reconstructive Surgery Training and Certification

Dr. Hsin-Yu Chen

  • 眼整形(雙眼皮手術、Ptosis Correction Surgery、眼袋手術等）、耳整形(招風耳手術)
  • 視覺年輕化項目(Endoscopic Forehead Lift、法令紋澎澎術、消除頸紋、自體脂肪臉雕…）
  • Vaginal cosmetic surgery (vaginal laser, radiofrequency ablation, G-spot augmentation, labia minora reduction, labia majora augmentation, etc.)
  • 產後醫美門診(VASER Liposuction、Abdominoplasty、腹直肌縫合、肚臍整形…）
  • Anti-aging regenerative medicine

Frequently Asked Questions

Q: How long after levator palpebrae superioris muscle repair surgery can an evaluation be performed?
A: It is generally recommended to wait until the postoperative swelling and tissues have gradually stabilized before reassessing, usually about 6 months. If there is significant overcorrection, incomplete eyelid closure, persistent dryness, or other conditions affecting eye function, you should return for a follow-up appointment so that your doctor can assess whether treatment is necessary.
A: Revision surgery is usually more complex because the previous surgery may have left scars, tissue adhesions, or altered the original eyelid structure. The doctor needs to understand the previous surgical methods and the current function of the levator palpebrae superioris muscle before planning a suitable adjustment method.
A: It can be evaluated together depending on the situation. Adjustment of the levator palpebrae superioris muscle may affect the double eyelid crease, height, and eye shape. Therefore, if there are problems such as double eyelids that are too wide, too narrow, asymmetrical, or have uneven lines, the doctor can conduct a comprehensive evaluation to determine whether it is suitable to make adjustments during revision surgery.

Pre- and post-operative care for levator palpebrae superioris muscle reconstruction

Preoperative preparation
  1. A complete eye assessment is required before surgery.Ptosis surgery is mainly used to improve problems such as ptosis, pupil obstruction, uneven eye size, or difficulty opening the eyes. Preoperative assessment includes eyelid height, ptosis muscle function, bilateral symmetry, eye movement, and existing eye shape. If you have previously undergone double eyelid surgery, ptosis surgery, or other eye surgeries, you should inform your doctor as this is an important factor in surgical planning.
  2. Try to maintain your original eye condition during the consultation.It is recommended to avoid eye makeup, double eyelid tape or glue, and also not to wear colored contact lenses, magnifying lenses or tinted contact lenses, so as not to affect the doctor's observation of the original eyelid position, the degree of pupil exposure and the symmetry of the eyes.
  3. Actively inform about your health status and medication.If you have dry eyes, thyroid-related diseases, eye diseases, coagulation problems, a history of drug allergies, or are currently taking medications or health supplements, you should inform your doctor before the procedure so that the doctor can assess whether adjustments are needed.
  4. Avoid wearing makeup and contact lenses on the day of surgery.Keep the area around your eyes clean and avoid applying eye makeup, false eyelashes, or other eye products. If you require glasses, you can bring them with you and follow the instructions of the medical staff for pre-operative preparation.
Postoperative repair
  1. Swelling and bruising are common during the initial postoperative recovery process.The swelling may subside at different rates in the two eyes. In the short term, there may be issues with eyelid height, double eyelid creases, or asymmetry between the left and right eyes. These issues usually improve gradually as the body recovers.
  2. Follow the doctor's instructions for wound care.After surgery, keep the wound clean and dry, avoid rubbing your eyes, pulling your eyelids or picking at the scabs, and use medication and follow your doctor's instructions for follow-up visits.
  3. Avoid putting extra strain on your eyes during recovery.In the early postoperative period, strenuous exercise, lifting heavy objects, prolonged bending over, bathing, sauna, and other similar activities should be avoided. It is recommended to use eye makeup and contact lenses after the wound has healed, as directed by your doctor.
  4. Pay attention to eye closure function and dryness of the eyes.After levator palpebrae superioris muscle adjustment, some patients may experience incomplete eyelid closure, dryness, or a foreign body sensation in the initial stages. Artificial tears or eye ointment can be used as directed by the doctor. If symptoms are significant or persistent, a follow-up evaluation is recommended.
  5. Follow up with your doctor regularly.Eyelid levator muscle surgery requires time for swelling to subside and for the muscles to stabilize. Post-operatively, patients should return for follow-up appointments as scheduled to monitor eyelid height, symmetry between the two eyes, and eyelid lifting function. If significant pain, visual abnormalities, persistent bleeding, or other abnormal conditions occur, medical attention should be sought as soon as possible.
* If you have cardiovascular disease, coagulation disorders, respiratory diseases, liver or kidney dysfunction, autoimmune diseases, psychosomatic medical history, infectious diseases, or are pregnant or breastfeeding, please inform us before the procedure so that we can fully understand your health condition and assess the suitability and safety of the treatment.
*The images and text are shared with the consent of the individuals involved. The pre- and post-operative photos are for educational purposes only. All rights reserved. Reproduction is prohibited. Results vary depending on individual constitution and should be based on a doctor's diagnosis.