Yes, upper eyelid ptosis can be improved in patients without any modification of the eyelid crease, either by:
- doing a posterior approach ptosis correction (where incisions are made on the inner surface of the upper eyelid), or
- by making the incision on an existing crease.
However, crease modification is often useful in ptosis repair, particularly in Asian patients with absent creases, as it would significantly enhance the result, by correcting the pseudoptosis that often occurs with absent eyelid creases.
