Reconstructive
Surgery
Ectropion
Out-turning of the eyelid is called ectropion, and
can lead to redness, irritation, watery eyes,
infection, crusting, vision impairment, and damage
to the cornea (surface of the eye). This almost
always affects the lower eyelid only, and can
result from facial aging, injury, tumor, or Bell’s
Palsy. Repair of the supporting structures of the
eyelid by an oculoplastic surgeon easily corrects
this problem.
Surgical Technique:
The out-turned lower eyelid and the lax tissues
need simple tightening of the supporting
structures, performed through a small incision at
the outer corner of the eyelids (Lateral
canthoplasty).
Surgical Time and Recovery:
Eyelid Surgery is performed on an outpatient basis
under local anesthesia and takes about 45 minutes.
Discomfort is minimal, and stitches are removed in
5-7 days. Most patients are back to light work
within a week. Minimal bruising may persist for
1-2 weeks.
Caution:
Severe cases of Bells Palsy may need additional
medial canthoplasty, or supporting fat grafting in
the lower eyelid. Ectropion surgery may be
combined with medial canthoplasty, or lower eyelid
dermis fat graft.
Insurance:
Health insurance will cover the costs of ectropion
surgery, since it is a functional surgery.
Other Procedures:
Other commonly performed reconstructive procedures
include correction of
Eyelid Lift (Blepharoplasty),
Entropion,
Eyelid Drooping,
Eyelid and Skin cancer reconstruction,
Facial Spasms,
Facial Paralysis,
Watering Eyes,
Thyroid Eye Disease,
Orbital Surgery,
and
Trauma and Maxillofacial Surgery.
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