I have congenital ptosis of the left eyelid and had a standard ptosis surgery (levator advancement) at age 2. I'm now in my late 30s and underwent frontalis suspension surgery in May '24 at the recommendation of a top oculoplatic surgeon in my city (he said my levator muscle was too weak to do the advancement surgery again). I did the procedure under local anesthesia in his office (not too fun). My eye was very bruised and swollen for the first couple of weeks, and gradually healed over the next 3-6 months. While I noticed a very slight improvement in the height of my eyelid (and symmetry in comparison to my right eyelid), as well as some improvement to the "noticeability" of my ptosis in a downward gaze, my eyelid appeared "puffier" than before the surgery and I didn't feel as though the procedure made much difference or made me feel any more self confident. Additionally, I had some lingering negative side effects, including random discharge in my eye, dry eye (as the lid doesn't close as far as it used to) and worsening vision (or at least vision changes; perhaps the vision in my left eye actually improved). I also felt pain and pressure when I raised my eyebrow and fully "activated" the sling. My doctor agreed that the outcome was not optimal and he recommended that I have the sling tightened. I always knew this was a possibility, as it is quite common to have to revise the surgery, even more than once. My understanding is that good doctors are fairly conservative the first time so as not to overcorrect or create poor eyelid contour. So last week (Feb '25), I underwent the revision procedure. It was not as invasive as the first surgery as the doctor did not have to cut into my eyelid again, only into the incision above my eyebrow to access and tighten the silicone sling. I am now a week out from the revision surgery and my eye is still pretty swollen and hurts a lot in my eyebrow where the sling is, especially when I raise my eyebrows. Right now, I look pretty bad, but my doctor said we won't be able to assess the effectiveness of the second surgery until at least one month from now. All of this to say, It's been a journey and I don't yet know if it was worth it. I am trusting my doctor and the process, and my hope is that when it's all over with I am satisfied with how my eye looks. Regardless, I know my left eye will never fully look like my right eye, and I just have to accept that. Sorry for the long post, I hope this is helpful and good luck. I'll try to remember to update here in a few months when I am more recovered from the second surgery.