Several conditions might require eyelid surgery, the most common being:
Ectropion is a condition where the pink part of your inner eyelid is visible due to the eyelid turning away from your eyeball. It causes irritation or discomfort and excessive tearing.
Entropion is a condition where your eyelid and eyelashes turn inward and rub against your eye. You might feel like there's something in your eye all the time, and it causes irritation, tearing, and blurred vision. Entropion can sometimes lead to permanent eyeball damage.
Ptosis is a drooping of the upper eyelid. You may be born with it, or it may develop with age, and sometimes it occurs after an injury.
Thyroid eye disease is a problem that causes upper eyelid retraction. It results from having an overactive thyroid condition called Graves' disease.
Eyelid retraction can also occur for various other reasons, including congenital disorders, trauma, a tumor, or stroke.
The technique your provider uses when performing eyelid surgery depends on the nature of the problem:
Eyelid surgery for ectropion involves making an incision at the outside corner of your eyelid (lateral canthus) and tightening your eyelid horizontally. With entropion, your provider performs additional work to treat the muscles contributing to your eyelid's inward rotation.
This type of eyelid surgery typically involves making a small incision in your lateral eyelid. In some cases, your provider makes another incision just below your eyelashes.
Upper eyelid retraction surgery involves releasing the levator muscle that holds up your eyelid. Patients with severe eyelid retraction might also require skin grafts or spacer grafts.
Lower eyelid retraction surgery typically involves tightening the lower eyelid and may also require a skin graft.
Eyelid surgery for ptosis may involve an internal or external repair of your eyelid muscles. In severe cases, your provider might create a sling to connect your eyelids to the muscles in your forehead.
Another common type of eyelid surgery is blepharoplasty, which your provider performs if you have heavy, overhanging upper eyelids.
Most eyelid surgeries are outpatient procedures, so you can go home once you recover from the sedative and anesthetic.
It's normal to have some bruising and swelling around your eyes after eyelid surgery, and you should expect to be off work for a week. The after-effects should then be fading, and you can resume most of your normal activities.
If you need surgery on the delicate skin of your eyelids, visit the oculoplastic surgery experts at New York Eye and Face Oculoplastic Surgery. Call the office or book an appointment online today.