What causes a droopy eyelid?

Some people are born with this problem due to a congenital malformation (called blepharophimosis), which may include other structural defects besides the droopy lids. Diseases that arise later in life, such as myasthenia gravis, also can cause it. Sometimes the lid simply is misshapen.

In many other cases, the levator muscle, which normally holds up the eyelid, is too long or too weak, or the nerve that controls it is paralyzed. A droopy eyelid is a fairly common consequence of injuries in which the levator muscle(s) is cut or crushed. Fractures of the skull bone between the nose and eye socket also can cause the lid to droop, in some cases so far down that it completely covers the eye.

In Asians, the eyelid naturally may fall slightly lower, or seem to, than it does in Caucasians. Asians also tend not to have natural folds in the upper eyelids, as Westerners do, and the lids tend to cover the inner corner of the eyes. Many Japanese and other Asian young people seek plastic surgery ... more.

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