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Eyelid malposition, including ectropion (outward turning) and entropion (inward turning), affects the lower and, rarely, the upper eyelid. Ectropion may result in redness, dryness, and increased white showing below the iris, often caused by aging, surgery, or facial nerve paralysis. On the other hand, entropion causes eyelashes to irritate the eye, leading to discomfort, foreign body sensation, and tearing, commonly due to aging or surgical scarring.

These conditions can cause discomfort, aesthetic concerns, and functional issues with the eyes. At Eyelid Center of Utah, Dr. Kian Eftekhari offers comprehensive evaluation and treatment for eyelid malposition to restore optimal eyelid function and appearance.

Eyelid Malposition Procedure Details

Dr. Kian Eftekhari specializes in outpatient surgical correction of eyelid malposition. In some cases, the severity allows for an office procedure under local anesthesia. The surgery typically involves tightening the lower eyelid at its outer corner, addressing laxity contributing to the malposition. Dr. Eftekhari may anchor the eyelid to the bone through minimal openings in rare instances. The incision strategically hides in the natural crease, ensuring aesthetic outcomes.

Recovery Process

Following eyelid malposition surgery, Dr. Eftekhari recommends a two-week application of antibiotic eye ointment on incisions and the use of artificial tears 4-6 times daily to alleviate irritation. Bruising and swelling may persist for 1-2 weeks post-surgery. Dissolvable stitches eliminate the need for removal, contributing to a smoother recovery process.

Causes and Risk Factors

Eyelid malposition can occur due to various factors, including:

  • Aging: As the skin loses elasticity with age, it can lead to eyelid laxity and drooping.
  • Genetics: Some individuals may inherit predispositions to certain eyelid malposition conditions.
  • Trauma: Injury to the eyelids or surrounding structures can cause malposition.
  • Previous Surgery: Complications from previous eyelid surgeries can result in malposition.
  • Conditions like Bell’s palsy

Understanding these causes helps tailor the corrective approach to each patient’s unique situation.

Symptoms of Eyelid Malposition

Symptoms associated with eyelid malposition may include:

  • Excessive tearing
  • Redness and irritation
  • Sensitivity to light
  • Blurred vision
  • Difficulty closing or opening the eyes

Recognizing symptoms early is crucial. Dr. Eftekhari assesses these symptoms to determine the appropriate course of action for eyelid malposition correction.

Types of Eyelid Malposition

There are several types of eyelid malposition, including:

  • Ectropion: Outward turning of the eyelid margin, causing exposure of the inner eyelid surface.
  • Entropion: Inward turning of the eyelid margin, leading to eyelashes rubbing against the cornea.
  • Ptosis: Drooping of the upper eyelid, often obstructing vision and creating a tired appearance.

Ectropion Repair

Ectropion is a condition where the lower eyelid turns outward, causing irritation, redness, and excessive tearing. It can affect one or both eyes and is often due to aging, previous surgery, or facial nerve paralysis. Ectropion repair is a surgical procedure performed to correct the position of the eyelid and restore its proper function and appearance.

Understanding Ectropion

Ectropion occurs when the muscles and tendons that hold the eyelid in place weaken or become lax. This allows the eyelid to sag away from the eye, leading to exposure of the inner surface of the eyelid and the conjunctiva. Besides aging and previous surgery, other factors like facial nerve damage, trauma, or skin cancer can contribute to ectropion development.

The Ectropion Repair Procedure

Ectropion repair surgery aims to tighten and reposition the lower eyelid to its normal position. During the procedure, Dr. Kian Eftekhari will make incisions along the natural creases of the eyelid to access the underlying muscles and tissues. The weakened tissues are then tightened and reattached to the bone to support the eyelid in its correct position. In some cases, additional procedures may be performed to address underlying causes, such as addressing facial nerve damage or skin cancer removal.

Candidates for Ectropion Repair

Candidates for ectropion repair are individuals experiencing symptoms of ectropion, such as eye irritation, excessive tearing, and redness. They should be in good overall health and have realistic expectations about the outcomes of the procedure. Dr. Kian Eftekhari will conduct a comprehensive evaluation to determine the most appropriate treatment plan for each patient.

Recovery and Expectations

After ectropion repair surgery, patients may experience mild discomfort, swelling, and bruising around the eyes. These symptoms typically resolve within a few weeks, and patients can usually resume normal activities within a week or two. Dr. Kian Eftekhari will provide specific post-operative instructions to promote proper healing and minimize the risk of complications.

Entropion Repair

Entropion occurs when the eyelid turns inward, causing discomfort, irritation, and potential damage to the cornea. This condition can result from age-related changes, scarring, or muscle weakness. Entropion repair surgery aims to correct the eyelid’s position and alleviate symptoms.

Causes of Entropion

Entropion may develop due to various factors, including:

  • Age-related changes in eyelid anatomy
  • Scarring from injury or previous surgeries
  • Weakening of eyelid muscles or tendons
  • Congenital abnormalities

Entropion Repair Procedure

During entropion repair surgery, Dr. Kian Eftekhari meticulously corrects the eyelid’s position to prevent it from turning inward. The procedure typically involves tightening or repositioning the eyelid tissues to restore proper alignment. Depending on the severity of the condition, surgery may be performed under local anesthesia in an outpatient setting.

Candidates for Entropion Repair

Candidates for entropion repair are individuals experiencing discomfort, irritation, or visual disturbances due to inward-turning eyelids. They should be in generally good health and have realistic expectations about the outcomes of the procedure.

Recovery and Expectations

After entropion repair surgery, patients can expect some swelling, bruising, and discomfort, which typically subside within a few days to weeks. Dr. Kian Eftekhari provides post-operative instructions to promote proper healing and minimize complications. Full recovery may take several weeks, during which patients should avoid strenuous activities and follow-up with scheduled appointments.

Frequently Asked Questions about Eyelid Malposition

Contact Us for Your Personalized Consultation

Individualized evaluation is essential for devising an effective treatment plan. During the consultation, Dr. Eftekhari examines the patient’s eyelid malposition, discusses concerns, and outlines a personalized approach for optimal outcomes. Contact our office today to embark on the journey to improved eyelid health and appearance.

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Eyelid Center of Utah

Salt Lake City

22 S 900 E
Salt Lake City UT 84102


756 E 12200 S
Draper UT 84020

Heber City

1716 North Highway 40, Suite 100
Heber City UT 84032