Also called ectropion surgery. It tightens a lower lid that has sagged away from the eye, so the lid sits against it again.
What it is
When the lower lid falls away from the eye, tears cannot drain, the eye waters and the surface dries. Surgery shortens and reattaches the lid so it rests against the eye again.
The operation
A small amount of the lid is shortened, and the tendon that anchors it at the outer corner is reattached.
It takes about half an hour under local anaesthetic, as a day case.
What it does not do
Drops soothe the surface but do not hold the lid in place.
Who it can help
It may suit you if tightens a lower lid that sags away from the eye is what you notice most, and you are otherwise well.
- A lower lid that hangs away from the eye
- A constantly watering eye
- Soreness of the lid and the skin below it
- Difficulty closing the eye fully
Ectropion after facial palsy or skin cancer surgery needs a different plan. Your consultant will explain which applies.
Recovery and risks
Everyone heals at their own pace. This is a typical course, and your consultant will tell you what to expect in your case.
The first two days
Swelling and bruising are at their most noticeable. Rest with your head raised and use cold compresses.
The first week
The lids feel tight or gritty. Stitches, where they are used, come out at about seven days.
Weeks two and three
Bruising fades. Many people are back at work and comfortable being seen.
Three to six months
Scars settle and soften. Your final review is around this time.
Possible risks
Every operation carries some risk. For outturned eyelid repair these include:
- Dry or irritated eyes, usually temporary
- A small difference between the two sides
- A visible or thickened scar
- Infection or bleeding, which are uncommon
- Very rarely, a change in your vision
Your surgeon will go through the risks that apply to you, and give you written information to take home.
Insurance
Outturned eyelid repair is sometimes covered when the problem affects your health or your vision. Surgery for appearance alone is not.
Check your cover with your insurer before your consultation, and your surgeon will supply what they need.
Questions patients ask
Will my eye stop watering?
It often improves once the lid sits against the eye again, though watering can have more than one cause. Your consultant will check the drainage too.
Will there be a scar?
The cuts sit in the natural lines at the outer corner and under the lashes.
How long is recovery?
The lid feels tight for a week or two. Most people are back to normal life within two weeks.
Is it covered?
Usually yes, as it protects the eye.