Real Cases: Upper Eyelid Ptosis Improvement by Dr. Xu
The following before-and-after images are from actual patients treated by Dr. Dan Xu at ID Cosmetic Clinic (Toronto / Markham). All patients have signed a written Media Release Form authorizing public use. Upper eyelid ptosis (Blepharoptosis · ICD-10 H02.4) requires rigorous differential diagnosis.True Ptosis vs. Skin Laxity vs. Compensatory Brow Ptosis, The treatment approach differs entirely. All photographs are unretouched clinical records; individual outcomes vary based on diagnosis subtype and anatomical differences.


Case 6 · Upper Eyelid Ptosis — Clinical Record
- client profile
- Asian Female · Fitzpatrick IV
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Suture double eyelid (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly clinical assessment
Case 06: Ptosis (Upper Eyelid Droop) Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Upper Eyelid Ptosis — Real Patient Record
- client profile
- Asian Female · Fitzpatrick IV
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- PDOPDO thread lift + Botox® + HArmonyCa™ + collagen stimulators and 6 other treatments (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly clinical assessment
Case 08: Before & After — Upper Eyelid Ptosis · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 1 · Upper Eyelid Ptosis — Clinical Record
- client profile
- Asian Female · Fitzpatrick I · Present for ~2–3 Years
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Dermal filler + periorbital rejuvenation / eye brightening injections (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed + home eye cream maintenance
Case 01: Before & After — Upper Eyelid Ptosis · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 1 · Upper Eyelid Ptosis — Clinical Record
- client profile
- Asian Female · Fitzpatrick IV
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Ultherapy® and 13 additional treatments (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- 9-12 months later for repeat filler treatment
Case 01: Before & After — Upper Eyelid Ptosis · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Upper Eyelid Ptosis Real Patient Documentation
- client profile
- Asian Female · Fitzpatrick IV
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Thread double eyelid + Botox® + wrinkle relaxers + dermal fillers and 14 other treatments (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Botox Micro-dose maintenance at 4 months + lip border definition with filler
Case 02: Upper Eyelid Ptosis — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 2 · Upper Eyelid Ptosis Real Patient Documentation
- client profile
- Asian Female · Fitzpatrick I · Present for ~2–3 Years
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Dermal filler + periorbital rejuvenation / eye brightening injections (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed + home eye cream maintenance
Case 02: Upper Eyelid Ptosis — Before & After · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 4 · Upper Eyelid Ptosis — Real Patient Record
- client profile
- Asian Female · Fitzpatrick I · Present for ~2–3 Years
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Dermal filler + periorbital rejuvenation / eye brightening injections (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed + home eye cream maintenance
Case 04: Ptosis (Upper Eyelid Droop) Before & After · Asian Female · Fitzpatrick I · Present for ~2–3 Years · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Upper Eyelid Ptosis — Real Patient Record
- client profile
- Asian Male · Fitzpatrick I
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Thread double eyelid procedure + filler chin augmentation + Filler Chin Augmentation + dermal filler and 7 additional treatments (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly clinical assessment
Case 04: Upper Eyelid Ptosis — Before & After · Asian Male · Fitzpatrick I · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 5 · Upper Eyelid Ptosis — Real Patient Record
- client profile
- Asian Female · Fitzpatrick I
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Hyaluronic acid nose augmentation (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- 12-18 months later for repeat filler treatment
Case 05: Ptosis (Upper Eyelid Droop) Before & After · Asian Female · Fitzpatrick I · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 7 · Upper Eyelid Ptosis Real Patient Documentation
- client profile
- Asian Female · Fitzpatrick I · Present for ~2–3 Years
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Dermal filler + periorbital rejuvenation / eye brightening injections (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed + home eye cream maintenance
Case 07: Upper Eyelid Ptosis Before & After · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 7 · Upper Eyelid Ptosis Real Patient Documentation
- client profile
- Asian Female · Fitzpatrick I
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Chin filler + dermal fillers + Juvéderm® + non-surgical rhinoplasty and 10 other treatments (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly clinical assessment
Case 07: Upper Eyelid Ptosis Before & After · Asian Female · Fitzpatrick I · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Upper Eyelid Ptosis — Real Patient Record
- client profile
- Asian Female · Fitzpatrick I · Present for ~2–3 Years
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Dermal filler + periorbital rejuvenation / eye brightening injections (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed + home eye cream maintenance
Case 08: Before & After — Upper Eyelid Ptosis · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Upper Eyelid Ptosis — Real Patient Record
- client profile
- Asian Female · Fitzpatrick I · Present for ~2–3 Years
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Dermal filler + periorbital rejuvenation / eye brightening injections (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed + home eye cream maintenance
Case 08: Before & After — Upper Eyelid Ptosis · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Upper Eyelid Ptosis — Real Patient Record
- client profile
- Asian Female · Fitzpatrick IV
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Filler Chin Augmentation + Filler Temple Augmentation + Juvéderm® + Teosyal® and 5 other filler treatments (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly clinical assessment
Case 08: Before & After — Upper Eyelid Ptosis · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 9 · Upper Eyelid Ptosis — Real Patient Record
- client profile
- Asian Male · Fitzpatrick I · Duration approx. 2–3 years
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Dermal filler + periorbital rejuvenation / eye brightening injections (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed + home eye cream maintenance
Case 09: Upper Eyelid Ptosis — Before & After · Asian Male · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 13 · Upper Eyelid Ptosis — Clinical Record
- client profile
- Asian Female · Fitzpatrick IV
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Thread double eyelid procedure + dermal filler + Teosyal® + collagen stimulator (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly clinical assessment
Case 13: Upper Eyelid Ptosis — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 13 · Upper Eyelid Ptosis — Clinical Record
- client profile
- Asian Female · Fitzpatrick I · Present for ~2–3 Years
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Dermal filler + periorbital rejuvenation / eye brightening injections (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed + home eye cream maintenance
Case 13: Ptosis (Upper Eyelid Droop) Before & After · Asian Female · Fitzpatrick I · Present for ~2–3 Years · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 14 · Upper Eyelid Ptosis Real Patient Documentation
- client profile
- Asian Female · Fitzpatrick IV
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Suture double-eyelid procedure + dermal fillers + Juvéderm® + Stylage®, and 5 additional modalities (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly clinical assessment
Case 14: Ptosis (Upper Eyelid Droop) Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 14 · Upper Eyelid Ptosis Real Patient Documentation
- client profile
- Asian Female · Fitzpatrick IV
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + suture double-eyelid procedure, and 13 additional modalities (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Botox Micro-dose maintenance at 4 months + lip border definition with filler
Case 14: Ptosis (Upper Eyelid Droop) Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 14 · Upper Eyelid Ptosis Real Patient Documentation
- client profile
- Asian Female · Fitzpatrick I · Present for ~2–3 Years
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Dermal filler + periorbital rejuvenation / eye brightening injections (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed + home eye cream maintenance
Case 14: Upper Eyelid Ptosis Before & After · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 15 · Upper Eyelid Ptosis — Real Patient Record
- client profile
- Asian Female · Fitzpatrick IV
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Dermal filler + Juvéderm® + Stylage® + Teosyal® and 4 additional treatments (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Botox Micro-dose maintenance at 4 months + lip border definition with filler
Case 15: Upper Eyelid Ptosis Before & After · Asian Female · Fitzpatrick IV · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 16 · Upper Eyelid Ptosis — Real Patient Record
- client profile
- Asian Female · Fitzpatrick IV · Noticeable for approx. 1–2 years
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Pico® Skin brightening & rejuvenation + PicoSure® + PicoSure Pro® + PicoWay® and 12 other treatments (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly clinical assessment
Case 16: Ptosis (Upper Eyelid Droop) Before & After · Asian Female · Fitzpatrick IV · Visible for ~1–2 Years · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 108 · Upper Eyelid Ptosis — Real Patient Record
- client profile
- Asian Female · Fitzpatrick I · Present for ~2–3 Years
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- PicoSure® + M22® IPL Photofacial (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly clinical assessment
Case 108: Upper Eyelid Ptosis Before & After · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham















































