Eyelid Surgery

 
 
 
Eyelid Surgery
Common eyelid problems include excess eyelid skin, droopy eyelids or eyelids that turn inward or outward. These problems can cause eye discomfort, limit vision and affect appearance. Fortunately, they can be corrected with surgery.

Droopy Upper Eyelids

Over time, many people develop excess eyelid skin. Eyelid skin is the thinnest skin of the body, so it tends to stretch.  In the upper eyelid, this stretched skin may limit your peripheral vision. The medical term for this is dermatochalasis. The excess skin in the upper eyelids can be removed surgically by a procedure called a blepharoplasty. It usually improves side vision and other symptoms. Ptosis is when the eyelid itself, not just the extra skin, is low and nearly blocking the pupil.  The eyelid can be lifted back up to a normal position through a muscle tightening procedure called a mullerectomy.  Eyelid surgery is performed as an outpatient procedure with little to no pain.  The stitches do not need to be removed because they will dissolve on their own.  There is usually some bruising around the eyelids after surgery.  This goes away on its own after about 2 weeks.  Surgery is usually covered by insurance if the droopy eyelids are limiting peripheral vision. 

Bags in the lower eyelids can be removed at the same time as a blepharoplasty, but the lower eyelids are not covered by insurance because it is considered a cosmetic procedure.


Excess eyelid skin may produce a heavy sensation as well as limit side vision.(top); surgery can correct this condition (bottom).

Ectropion: Outward Turning of the Lower Eyelid

Stretching of the lower eyelid from age may cause the eyelid to droop downward and turn outward. This condition is called ectropion. Eyelid burns or skin disease also can cause this problem. Ectropion can cause dryness of the eyes, excessive tearing, redness and sensitivity to light and wind.

Surgery usually restores the normal position of the eyelid, improving these symptoms.

Entropion: Inward Turning of the Lower Eyelid

Entropion also occurs most commonly as a result of aging. Infection and scarring inside the eyelid are other causes of entropion. When the eyelid turns inward, the eyelashes and skin rub against the eye, making it red, irritated, watery, and sensitive to light and wind.

With surgery, the eyelid can be turned outward to its normal position, protecting the eye and improving these symptoms.