Papillon Health Issues in Sydney

The Papillon is a hardy toy breed that often lives 14 to 16 years, so this is a reassuring health story with a handful of specifics to plan for. The toy-dog issues to know are a slipping kneecap, dental disease in a small mouth, and inherited eye conditions such as PRA, plus the fine-boned fragility of a very small dog. This guide covers all of them, plus paralysis tick prevention, and the emergency signs that mean get to a vet now.

11 min read · Updated August 22, 2026
Author: LocalPetFinder Team
A small white and sable Papillon with its distinctive large fringed butterfly ears standing alert on a sunny path in Sydney, a hardy long-lived toy breed
The Papillon is a tough, long-lived toy dog. Its health story is mostly a good one, with the classic small-dog issues to keep an eye on.

The short answer

The Papillon is a genuinely hardy toy breed that often lives 14 to 16 years, so start from a place of reassurance. The issues worth understanding are the classic small-dog ones. Patellar luxation, a slipping kneecap, is the notable orthopaedic problem. Dental disease is common in a small crowded mouth. The breed can carry progressive retinal atrophy and other eye conditions, and very small individuals can be fine-boned and fragile, sometimes with an open soft spot on the skull. Keep the dog lean, look after its teeth, protect the fine bones from risky jumps, and stay on year-round paralysis tick prevention. Learn the emergency signs below.

A hardy, long-lived breed first

Before the list of conditions, the honest headline is a good one. The Papillon is one of the soundest and longest-lived of the toy breeds. Under the fine coat and the famous butterfly ears is a real dog, an old European companion breed that has stayed remarkably healthy compared with many of today's popular small dogs. Most Papillons live around 14 to 16 years, and plenty stay bright, busy and playful well into their teens.

So this article is not a warning label. It is a plan. The issues below are the classic toy-breed ones, worth knowing so you can spot them early and act, but most Papillons will only ever brush against one or two of them. Much of what keeps the breed well is ordinary care: a lean weight, clean teeth, sensible protection of the fine bones, and steady tick prevention. The RSPCA Australia Knowledgebase has sound general guidance on preventative care and healthy weight that applies to any dog.

Patellar luxation: the notable orthopaedic one

If there is one orthopaedic issue to understand in a Papillon, it is patellar luxation, a kneecap that slips out of the groove it should sit in. It is common across the toy breeds because they have small, lightly built legs, and it is the notable one for this breed. The classic sign is easy to recognise once you know it: a sudden skip or hop on a back leg, sometimes with the dog carrying the leg for a stride or two, then the kneecap pops back and the dog trots on as if nothing happened.

How serious it is varies. Many dogs have a mild version that causes them little bother and needs no more than sensible management. More severe cases, or ones that worsen over time, cause ongoing lameness and discomfort. A vet assesses the knee by feel and grades the severity, and that grade guides what happens next. As a general rule, surgery is considered only for the higher grades or where a dog is consistently lame and uncomfortable, not for an occasional painless skip. If you notice your Papillon regularly hopping on a back leg, book a check so the knee can be graded and a plan made.

What helps. Keeping the dog lean is the single most useful thing, because every extra gram of weight is extra load on a small joint. Discouraging repeated hard jumps down from the couch or bed also helps, and a small ramp or set of steps to a favourite spot is a cheap way to spare the knees over a long life.

Dental disease: the small crowded mouth

Dental disease is the quiet, common problem of nearly all small breeds, and the Papillon is no exception. A small mouth has to fit a full set of teeth, so they crowd together, plaque and tartar build up in the tight gaps, and gum disease follows. Left alone it causes pain, bad breath, tooth loss, and infection that can spread and affect the rest of the body over time. Because it develops slowly and hides at the back of the mouth, it is easy to miss until it is advanced.

The good news is that it is one of the most preventable problems on this list. Regular tooth brushing with a dog-safe paste is the gold standard, dental chews help between brushes, and your vet will advise when a professional scale and clean under anaesthetic is worthwhile. Get a young or newly adopted Papillon used to having its mouth handled early, and you make a lifetime of dental care far easier. Lift the lip now and then to check for red gums, tartar or a broken tooth, and mention anything you find at your next visit.

Eyes: PRA and other conditions

The Papillon can carry progressive retinal atrophy, usually shortened to PRA. It is an inherited condition in which the retina, the light-sensing layer at the back of the eye, slowly degenerates so that vision fades over time. Night vision tends to go first, so an early clue is a dog that becomes reluctant or clumsy in dim light, hesitating at a dark doorway or on a night-time walk, before the loss gradually widens. PRA is not painful, and dogs adapt astonishingly well to failing sight in a familiar home, keeping their bearings by memory and smell.

It is still worth confirming with a vet, both to be sure of the diagnosis and to rule out anything treatable. Responsible breeders DNA-test their lines to avoid producing affected pups, which is one reason a known background helps, though for an adopted adult who is coping well this is a manageable rather than alarming diagnosis. Beyond PRA the breed can also have the general small-dog eye issues such as cataracts, where the lens clouds and the pupil looks milky. The rule of thumb for a Papillon's eyes is simple: any slow cloudiness or night-time hesitancy earns a routine check, and any red, painful or suddenly cloudy eye earns an urgent one.

Fine bones and the open fontanelle

A Papillon is a fine-boned toy dog, and that is worth respecting rather than worrying about. The smallest individuals in particular can fracture a leg from something as ordinary as a bad landing off a couch or a bed, or be hurt by rough handling or a heavy foot in a busy household. This is not a delicate breed to live with, but it does reward sensible habits: supervise young children around the dog, discourage big jumps down from furniture, watch feet and doorways, and consider a ramp or steps up to a favourite spot.

Some very small Papillons also have an open fontanelle, a soft spot on the top of the skull where the bone has not fully closed, similar to the soft spot on a human baby's head. Where it is present, the head simply needs gentle handling and protection from knocks. It is usually noted by a vet on examination, and it is another reason to keep handling calm and to keep the dog off high ledges it could fall from. Kept sensibly, a well-built Papillon is a sturdier little dog than its looks suggest.

Emergency: paralysis tick signs, collapse or a serious injury

Two situations mean get to a vet straight away, day or night. The first is the paralysis tick: weakness or wobbliness in the back legs, a changed or weakened bark, gagging, coughing, retching or trouble breathing. These can come on over a day or two and are fatal if left, so do not wait to see if they pass. The second is any serious injury or acute collapse in such a small dog, a suspected fracture after a fall or jump, sudden inability to stand, seizures, or laboured breathing at rest. Phone ahead so the team is ready, and if it is out of hours head to a 24/7 emergency hospital such as SASH, which offers round-the-clock care in Sydney. With a toy breed and with tick paralysis alike, sooner is always better.

Weight, exercise and the Sydney heat

It is easy to under-exercise a small dog and to over-feed it on treats, and a chubby Papillon is a set-up for exactly the problems above. Extra weight loads the knees that are already prone to luxation, makes the heart work harder, and shortens a life that should be a long one. This is a bright, busy breed that genuinely enjoys activity, so give it a good daily walk plus play and games at home, and measure meals to a visible waist rather than free-feeding. A fit Papillon is a healthier and happier one.

In Sydney the seasonal risk is heat, not cold. On warm and humid summer days walk in the cooler hours of the early morning or evening, carry water, and never leave a dog in a parked car. A small dog heats up fast. For the coat side of keeping a Papillon comfortable, including the long silky fringing that needs regular brushing, see our companion Papillon temperament and training guide, which covers the daily needs of this clever little dog.

The Sydney paralysis tick point

One health risk has nothing to do with the breed and everything to do with where you live. The paralysis tick is native to the east coast of Australia, including the coastal and bushland areas around Sydney, and its bite releases a toxin that causes an ascending paralysis which is fatal without veterinary treatment. It is a year-round risk here, not just a summer one, which matters for a curious little dog that likes to potter through the garden and the bush.

The response is straightforward. Keep your Papillon on a vet-recommended tick prevention product every single month with no gaps, and after any walk through bush or long grass run your hands slowly over the whole dog, feeling for a lump. A Papillon's long silky coat and the heavy ear fringing give a tick good cover, so check carefully, under and inside the ear flaps, around the face and muzzle, under the collar and harness, in the armpits and between the toes. If your dog develops a wobbly back end, a changed or weak bark, gagging, vomiting or heavy breathing, treat it as an emergency and get to a vet at once. Ask your own vet which prevention product suits your dog.

Browse adoptable Papillons in Sydney

Adopting an adult lets you learn a dog's health history directly, with a vet check already done, the adult teeth and knees assessable, and the puppy stage behind it. Papillons reach rescue less often than mainstream breeds, so browse live NSW listings and set an alert to hear the moment one comes in.

See Available Papillons →

Is pet insurance worth it for a Papillon?

For a long-lived breed like the Papillon, pet insurance is worth thinking about early, and the reason is timing. Insurers do not cover pre-existing conditions, so the value is in taking out a policy while a dog is young and healthy, before anything like a knee problem or an eye condition has been noted. Take it out after a diagnosis and that condition is usually excluded for life, which is exactly when you would have wanted the cover.

The two costs an insurance policy is really there to soften are the unexpected big ones, a surgery for a severe patellar luxation, or an emergency admission for tick paralysis, rather than the routine vet visits you can budget for. Compare a few Australian providers such as Bow Wow Meow and Petplan Australia, and be aware that many brand-name policies are underwritten by PetSure, so read what each policy actually covers and excludes rather than going on the brand alone. Whatever you decide, a small emergency fund set aside for vet bills is sensible for any toy-dog owner.

Why adopting a Papillon is not a health disadvantage

People sometimes worry that a rescue dog is a health gamble next to a breeder puppy. For a hardy, long-lived breed like the Papillon the picture is more balanced than that. A Papillon adopted through a reputable Sydney rescue arrives desexed, vaccinated, microchipped, treated for parasites and vet-checked, with all of it included in the fee. You are not taking on an unassessed animal.

Adopting also means the day-to-day picture is often known upfront. A foster carer who has lived with the dog can tell you whether it has ever skipped on a knee, how its teeth look, how it copes on walks, and how it settles at home, which is real information a puppy cannot offer. An adult dog has its adult teeth, its knees and its eyes already assessable rather than being an unknown. If you are weighing it up, our Papillon adoption guide for Sydney covers where to look and what it costs. Sydney rescues worth watching include RSPCA NSW, AWL NSW, Sydney Dogs and Cats Home and Maggie's Rescue.

Keeping a Papillon healthy: the checklist

Most of what keeps a Papillon well is routine. This is a hardy breed, so the habits below do the heavy lifting.

When to see the vet urgently

Most Papillon health issues are handled at a normal appointment. A few need a faster response. Get to a vet immediately, including out of hours, if you see any of these:

For the everyday things, such as an occasional skip on a back leg, tartar or red gums, a slow-growing cloudiness, or steady weight gain, book a normal vet visit soon rather than waiting. Catching those early gives your Papillon the best outcome. When in doubt, phone your vet or a 24/7 hospital and describe what you are seeing. They would far rather you called and it was nothing than the other way around. For a broader look at the breed before you commit, browse the full Sydney adoption resources hub, or talk to your own vet, whom the Australian Veterinary Association can help you find.

Frequently Asked Questions

Are Papillons healthy?

Yes. The Papillon is one of the hardier toy breeds and it is genuinely long-lived, often reaching 14 to 16 years. It is a real dog under the delicate looks, an old and sound breed with fewer serious inherited problems than many popular small dogs. That does not make it problem-free. Like most toy breeds it can have a slipping kneecap, called patellar luxation, and dental disease in a small crowded mouth. It can also carry inherited eye conditions such as progressive retinal atrophy, and very small individuals can be fine-boned and fragile. Almost all of it is manageable with a lean weight, good dental care, regular vet checks and year-round paralysis tick prevention. Start from reassurance, then learn the few things worth watching.

What health problems do Papillons have?

The main ones are the classic toy-breed issues rather than anything exotic. Patellar luxation, a kneecap that slips out of its groove, is the notable one and shows as a brief skip or hop on a back leg. Dental disease is common because a small mouth crowds the teeth and traps plaque, so tooth care matters. On the eyes, the breed can carry progressive retinal atrophy, an inherited condition that slowly reduces vision, along with the general small-dog eye issues. Some very small Papillons have an open soft spot on the skull, called an open fontanelle, and being fine-boned they can fracture a leg from a bad jump or fall. Weight gain and its knock-on strain round out the list if the dog is under-exercised. None of it is a reason to avoid the breed, but each one is worth knowing so you can act early.

How long do Papillons live?

Papillons often live around 14 to 16 years, which is a long life even for a small dog and one of the breed's real strengths. Toy breeds tend to outlive big ones, and the Papillon is a sound, hardy example of that. The things that most affect a long life are within your control: keeping the dog lean, staying on top of dental care, protecting the fine bones from risky jumps, keeping up year-round paralysis tick prevention, and booking regular vet checks that become twice-yearly for a senior. Ask about the dog's health history when you adopt, and learn the early signs of the breed's few distinctive issues so nothing is left to run.

What is patellar luxation in a Papillon?

Patellar luxation is a kneecap that slips out of its normal groove, and it is the most notable orthopaedic issue in the Papillon and many other toy breeds. The classic sign is a sudden skip or hop on a back leg, sometimes with the dog holding the leg up for a stride or two before it pops back and normal walking resumes. Mild cases cause little trouble and many dogs live comfortably with them, while more severe or worsening cases cause ongoing lameness and pain. A vet grades the severity by feeling the knee, and surgery is generally considered only for the higher grades or where a dog is consistently lame and uncomfortable, not for an occasional skip. Keeping the dog lean and discouraging repeated hard jumps down from furniture takes real strain off the knees.

Do Papillons have eye problems?

Some do. The Papillon can carry progressive retinal atrophy, usually shortened to PRA, an inherited condition where the light-sensing retina slowly degenerates and vision fades over time. An early sign is often reluctance or clumsiness in dim light, because night vision tends to go first, progressing gradually toward wider vision loss. PRA is not painful and dogs adapt remarkably well to failing sight in a familiar home, but it is worth confirming with a vet, and responsible breeders DNA-test their lines to avoid producing affected pups. Beyond PRA the breed can have the general small-dog eye issues such as cataracts. The rule of thumb is simple: any slow cloudiness or night-time hesitancy earns a routine eye check, and any red, painful or suddenly cloudy eye earns an urgent one.

Are Papillons fragile?

They can be, which is really a size point rather than a health defect. A Papillon is a fine-boned toy dog, and the smallest individuals in particular can fracture a leg from a bad landing off a couch or bed, or be hurt by rough handling or a heavy foot. Some very small Papillons also have an open fontanelle, a soft spot on the top of the skull where the bone has not fully closed, which means the head needs gentle handling. None of this makes the breed delicate to live with, but it does mean sensible habits: supervise children around the dog, discourage big jumps from furniture, watch feet and doorways, and consider ramps or steps for a favourite couch. A confident, well-built Papillon is a sturdy little dog, but respect the size and the fine bones.

Does the Sydney paralysis tick affect Papillons?

Yes, and it is a serious year-round risk for any dog in the Sydney region, the Papillon included. The paralysis tick is native to the east coast of Australia, including Sydney's coastal and bushland areas, and its bite releases a toxin that causes an ascending paralysis that is fatal without veterinary treatment. Early signs are weakness or wobbliness in the back legs, a changed or weakened bark, gagging or coughing, and later trouble breathing. Because a Papillon has a long silky coat that gives a tick good cover, keep the dog on a vet-recommended monthly tick prevention product with no gaps, and run your hands over the whole dog after any time in bush or long grass. If you see the early signs, treat it as an emergency and get to a vet straight away.

Do rescue Papillons come health checked?

Yes. A Papillon adopted through a reputable Sydney rescue arrives desexed, vaccinated, microchipped, treated for worms and fleas, and vet-checked before it is listed, with all of that included in the adoption fee. Any known issue, such as a slipping kneecap, a heart murmur, or dental work that has been done, is usually noted on the listing or shared by the foster carer. That is a genuine advantage, because a foster carer who has lived with the dog can tell you how it copes day to day, which a puppy from a listing cannot offer. An adult dog also has its adult teeth, its knees and its eyes already assessable rather than being an unknown. Papillons reach rescue less often than mainstream breeds, so setting an alert is the practical way to hear when one comes in.

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