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typically fades well over several months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One surgical session; revision is uncommon and not routine."},"stages":[{"code":"surgery","label":"Eyelid surgery (ptosis repair and/or excess skin removal)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of procedure."}}],"qualifier":"Single-stage outpatient procedure per eyelid pair."},"success":{"metric":"Satisfactory eyelid height and symmetry without reoperation","value":90,"unit":"percent of patients","horizon":"6 months after surgery","population":"Adults with acquired aponeurotic ptosis and good levator function, external levator advancement","evidence_status":"limited"},"techniques":[{"name":"External levator advancement (aponeurosis repair)","suits_whom":"Most adults with acquired ptosis and good levator function","recovery":"About 1-2 weeks for social recovery."},{"name":"Internal (conjunctival) Müller muscle-conjunctival resection","suits_whom":"Mild to moderate ptosis with positive phenylephrine response","recovery":"About 1-2 weeks; no skin incision."},{"name":"Upper blepharoplasty (skin removal)","suits_whom":"Excess eyelid skin without significant ptosis, or combined with ptosis repair","recovery":"About 1-2 weeks."},{"name":"Frontalis sling","suits_whom":"Severe ptosis with poor levator function","recovery":"Variable; usually 1-2 weeks for initial recovery."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Both upper eyelids, single-session ptosis repair or upper blepharoplasty."},"initial_assessment_documents":["Front photos of face with eyes open","Front photos with eyes looking up","Side-view photos of both eyes","List of blood thinners","Prior eye surgery or eyelid injury report","Eye doctor report on dry eye (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage outpatient surgery; stay 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Result review is done remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon examines the eyelids and assesses your suitability for surgery","scope":"procedure","source":{"url":"https://www.cuh.nhs.uk/patient-information/ptosis-correction-adults/","host":"cuh.nhs.uk","quote":"The surgeon not only examines the eyelids but also assesses your eyes to determine the precise nature of the ptosis and your suitability for surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check a visual field test is done to confirm the droop affects your vision","scope":"procedure","source":{"url":"https://www.cuh.nhs.uk/patient-information/ptosis-correction-adults/","host":"cuh.nhs.uk","quote":"You will also need a visual field test to prove that your vision is affected by the droopy lid.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check the surgeon knows whether you take aspirin, blood thinners or have a bleeding problem","scope":"procedure","source":{"url":"https://www.aao.org/eye-health/diseases/what-is-ptosis","host":"aao.org","quote":"It is important for your eye surgeon to know if you take aspirin (or aspirin-containing drugs) or blood thinners, or if you have a bleeding problem.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check the surgeon has the right training, skills and insurance for the procedure","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"They should have the right training, skills and insurance to safely carry out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check the surgeon explains how likely the risks are and how they would be treated","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/cosmetic-surgery/eyelid-surgery/","host":"nhs.uk","quote":"The surgeon should explain how likely these risks and complications are, and how they would be treated if they happen.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Ask how many droopy-eyelid operations the surgeon has performed","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"how many of these procedures they've done","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Asked to pay before any consultation has taken place","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"Do not pay for a procedure until you've had a consultation to make sure it's right for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"No time offered to decide after the consultation","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"Your practitioner should give you time after your consultation to decide whether you want to go ahead with the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"Promise that the results are guaranteed","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/cosmetic-surgery/eyelid-surgery/","host":"nhs.uk","quote":"Bear in mind the cost, the risks, and the fact the results cannot be guaranteed.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"Consultation is with someone other than the person who will operate","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"Always book a consultation with the person who will do the procedure before making your final decision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F5","text":"The offer is a treatment voucher sold through a group-discount or voucher site","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"treatment vouchers sold online on group discount or voucher sites","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Inability to close the eye after surgery","urgency":"contact_clinic","general":false,"source":{"url":"https://www.moorfields.nhs.uk/eye-conditions/ptosis-droopy-eyelid/diagnosis-and-treatment","host":"moorfields.nhs.uk","quote":"Inability to close the eye after surgery (lagophthalmos) can occur, particularly after large ptosis corrections.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Eyelid sitting too high after surgery","urgency":"contact_clinic","general":false,"source":{"url":"https://www.moorfields.nhs.uk/eye-conditions/ptosis-droopy-eyelid/diagnosis-and-treatment","host":"moorfields.nhs.uk","quote":"If your eyelid is overcorrected (too high) after surgery, massaging the lid and pulling it down in a special, controlled manner can be performed to lower the lid.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Heavy bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://www.moorfields.nhs.uk/eye-conditions/ptosis-droopy-eyelid/diagnosis-and-treatment","host":"moorfields.nhs.uk","quote":"Bleeding and infection are also potential risks, but are less common.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Tells the home doctor which eye ointment and drops continue for two weeks","document":"prescribed medicines list","source":{"url":"https://www.cuh.nhs.uk/patient-information/ptosis-correction-adults/","host":"cuh.nhs.uk","quote":"You will be prescribed antibiotic ointment to apply on the stitches and lubricating drops and/ or ointment in your eye for a 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