Eyelid Ptosis & Ectropion Correction

In some cases, eyelid surgery is for purely cosmetic reasons, but there are also times when correction might be needed for a more serious condition that has developed over time. Choosing an experienced specialist plastic surgeon like Dr Teston for these procedures can provide the correction you need while also focusing on achieving the best aesthetic results. Dr Teston addresses both eyelid ptosis and ectropion, providing patients with additional options for eyelid surgery that enhance function as well as appearance.

What is Eyelid Ptosis?

Eyelid ptosis is drooping of the upper eyelid. There are different ranges of drooping that can occur, with the most severe sometimes interfering with the line of vision. Some people have ptosis from birth, while others may see the condition develop over time. The drooping can occur as a result of weak muscles in the upper eyelid, injury, complications after surgery, or the normal ageing process, and can affect one or both eyes.

What is Ectropion?

Ectropion is a condition that occurs when the eyelid turns outward, exposing the inside of the lid. It usually only affects the lower lid and is commonly seen in older adults. This issue can lead to dry and irritated eyes, as the changes to the lid can affect the eye’s ability to lubricate naturally. There are a number of reasons why ectropion might occur, including weakening muscles under the eye, facial paralysis, damage to the skin from extensive sun exposure, complications from previous surgeries, and growths on the eyelid.

Before Eyelid Correction Surgery

In most cases, ectropion and ptosis are best treated with surgery. Dr Teston will evaluate your specific situation to determine which surgical technique will be most beneficial for your specific condition, taking into consideration the cosmetic outcome of the procedure as well. She will then discuss the particulars of your surgery, and whether it will include removal of part of the eyelid, tightening of the related muscles, or a combination of the two.

If scar tissue is a contributor to your eye condition, removing the tissue may necessitate a skin graft to cover the part of the lid that must be removed. In most cases, grafts can be taken from the other lid or from behind the ear. Selecting an experienced plastic surgeon for this procedure will likely provide you with minimal scarring and results that are natural and functional.

During Eyelid Correction Surgery

Dr Teston performs eyelid surgeries in an accredited hospital, using either local anaesthesia with sedation or general anaesthesia. Incisions are carefully placed inside the eyelids or in the natural creases of the eye to minimise visible scarring. Dr Teston uses these incisions to remove excess skin and tighten muscles and tendons to create a firmer eyelid contour. 

After Eyelid Correction Surgery

There is usually some bruising and swelling after eyelid surgery,you may have your eye covered with an eye pad to protect your eye while it heals, you will be instructed to apply ice packs and elevate your head to minimise it. Patients can return to their regular activities within about two weeks, enjoying results that will last for a lifetime.

Potential Risks and Complications 

All surgery carries some degree of risk. Some of the possible complications of eyelid correction surgery include

• Bleeding
• Infection of the surgical site
• Allergic reaction to the equipment, materials or medication
• Chest infection
• Overcorrection – where your eyelid is lifted too high
• Under-correction – where your eyelid is not lifted enough
• Bleeding into your eye socket
• Corneal abrasion

This is not a complete list. For example, your medical history or lifestyle may put you at increased risk of other complications. You need to speak to your medical practitioner for more information.

Conditions of the eyelid can be unsightly, painful and interfere with the function of the eye. Contact Dr Teston’s office on (02) 9708 3511 to find out if corrective eyelid surgery is the right choice for you.

*The information about Eyelid Ptosis & Ectropion Correction was reviewed by Dr Leana Teston. If you have any questions, please don’t hesitate to contact us using our contact form below.