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Eyelid drooping: Causes and treatment

by Alivia Nyhan
Published: Last Updated on

The eyelids are structures that protect the eyes, and, if damaged, the eyeballs can be affected. For this reason, it is essential to know what is happening and try to solve it as quickly as possible.

If only one eyelid is or appears to be more drooping than the other, it may be thought to be an infection, facial paralysis, or muscle weakness in the area. In this FastlyHealarticle, we give you all the information about why you have a droopy eyelid and the other does not.

What is eyelid ptosis?

Eyelid ptosis is the medical term for drooping eyelids. It can be due to a variety of causes, among which the following stand out:

  • Loss of elasticity of tissues with age.
  • Dry skin and loss of elasticity.
  • Birth problems.
  • Facial paralysis with the absence of nerve stimulation on the palpebral muscle.

Ectropion: drooping and flipped eyelid

This problem consists of one of the eyelids or a part of it being everted and more drooping than the other eyelid. Among the annoyances you may notice are:

  • Redness of the eye.
  • Dry eye sensation.
  • I felt something scratch my eye.
  • Tearing
  • Excessive sensitivity
  • Discomfort in the light.

Ectropion can be caused by different problems such as:

Facial paralysis

The facial nerve is the one that allows the movements of the muscles of the face. It may become paralyzed and prevents some regular activities or alters the tone of some muscles. If the levator eyelid muscle is among the affected muscles, it will fall off.

Facial paralysis usually alters one-half of the face, so other symptoms will also appear, such as difficulty moving on that side or drooling.

It is an urgency. If the condition starts suddenly, it is essential to go for a medical consultation. The cause will be determined based on the questioning carried out by the medical professional, their examination, and the studies that they deem appropriate to request. Income or just rest at home may be required.

Loss of elasticity

The skin and muscles of the eyelids can stretch and give the appearance of drooping of the eyelid. The tissues are weakened in this case. Although it usually happens bilaterally, it can happen more clearly in one. In that case, you will notice the problem unilaterally.

It is expected over the years, especially when the skin remains relatively dry.

You can apply sesame oil or moisturizers. It is convenient to use them before the problem occurs to prevent it since when the eyelid is already drooping, the most effective solution is surgical.


If the skin of one of the eyelids has been injured (such as a cut or burn, for example), the formation of a scar can alter its normal closure.

You can try to reduce the scar with ointments and drugs, but if the injury is significant only surgery could help.


Abnormal tissue growth on the eyelid or nearby areas can cause it to sag and roll over.

It is essential to evaluate its extension and origin to know what behavior will be taken.

Birth problem

It may be that ectropion manifests itself from birth. It is common to observe is associated with genetic disorders.

It can be surgically corrected if it causes a lot of discomforts.

Blepharitis: Inflammation of the eyelid

Blepharitis can cause the appearance of an eyelid over fallen. It will also be seen to be red, swollen, and hot. In addition, you may notice peeling of the skin, burning, redness of the eye, tearing, discomfort in light, and abnormally growing or falling eyelashes.

Among the causes that can cause blepharitis are:

  • Allergy.
  • Rosacea.
  • Seborrheic dermatitis or dandruff.
  • Obstruction of tiny glands in the eyelid.
  • Stye.


It is essential to find the cause of the problem to start the appropriate treatment. Avoiding irritants, cosmetics, and unnatural products is necessary to decrease inflammation.

If there is an infection, an antibiotic cream may be required. Anti-inflammatories can also be applied.

If you prefer a realistic option, you can choose to make an infusion of chamomile or calendula and apply it to the affected eyelid.

Choosing a healthy diet, avoiding overuse of screens, and limiting consumption of irritants, such as coffee or alcohol, may be necessary for faster healing.

Horner syndrome

This is a rare problem but a very typical presentation. In addition to the drooping of a single eyelid, the person will suffer from a pupil contraction on the same side and a decrease in sweat on the face and neck.

It is produced by the alteration of the nerves that innervate that eye, and this can be caused by:

  • Swollen cervical glands.
  • Trauma
  • Problems in the aorta.
  • A tumor in the lung.


It is essential to establish whether it is this problem and the reason for it. This requires professional consultation. In addition to questioning and reviewing you, they will request the necessary studies to know the cause.

Depending on the origin of the problem, one treatment (antibiotics, anti-inflammatories, or even surgery may be required) will be prescribed.

This article is merely informative, at FastlyHeal .com we do not have the power to prescribe medical treatments or make any type of diagnosis. We invite you to see a doctor in the case of presenting any type of condition or discomfort.

If you want to read more articles similar to Why do I have one droopy eyelid and the other not, we recommend that you enter our Eyes and Vision category .

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