The eyelids may experience increased laxity after previous eyelid or facial surgery, or as a result of time. The eyelid may consequently turn in or out. Entropion is a condition where the eyelid margin (eyelash line) turns inward. The eyelashes rub against the eye, causing irritation, scratchiness, tearing, and redness. In contrast, ectropion is the outward turning of the lower eyelid margin and lashes. It results in the appearance of a saggy eyelid or aging eyelid. It may be caused by tissue laxity or scarring of the lid. This malposition and sagging can cause dryness of the eye and a foreign body sensation (like something is always in the eye). Tearing may result from the dryness or from misalignment of the tear drainage system.
These eyelid malpositions may be corrected with an outpatient procedure. An oculoplastic surgeon is uniquely trained to identify the delicate, affected muscles and restore their proper position and function. Dr. Hui will meet with you and perform a detailed examination to determine the exact cause in your particular case. She will tailor the surgical approach and discuss the best option with you to restore your eyelid position and address the eye irritation. Procedures are performed on an outpatient basis with minimal postoperative pain. Most patients resume their normal activities one week after surgery.