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OUR SERVICES : EYELID SURGERY

There are many dysfunctions associated with the eyelids. Drs. Kresie and Penzler can help restore healthy, normal eyelid function.

Ectropion Repair
Ectropion is the medical term used to describe sagging and outward turning of the lower eyelid and eyelashes. The margin of the eyelid and the eyelashes evert (turn out). This sagging can lead to excessive tearing, crusting of the eyelid, mucous discharge and irritation of the eye.

During blinking, the eyelids normally sweep across te surface of the cornea (the front part of the eye). With ectropion, tearing occurs because the eyelids are not able to wipe the surface of the cornea properly to pump tears into the tear ducts.

Most cases of ectropion are due to relaxation of the tissues of the eyelid as a result of aging. Some cases result from scarring of the eyelid caused by chemical and thermal burns, trauma, skin cancers, or previous eyelid surgery. Rarely, ectropion can be present at birth if the eyelids to not form properly.

Ectropion should be repaired surgically before the sagging damages the cornea by causing infection and scarring. Prior to surgery the eye can be protected using lubricating drops and ointment. In some case, sutures can be placed through the lower eyelid until more definitive surgery can be performed.

The surgery to repair ectropion is usually performed under local anesthetic as an outpatient. In most cases, the doctor will tighten the eyelid. You may have a patch overnight and then will use an antibiotic ointment for about a week. After your eyelids heal, your eye will feel comfortable and you will no longer have the risks of corneal scarring, infection, and loss of vision.

Entropion Repair
Entropion is the medical term used to describe the rolling inward of the lower eyelid and eyelashes towards the eye. The skin of the eyelid and the eyelashes rub against the cornea (front part of the eye) and conjunctiva (mucous membrane that protects the eye). This rubbing can lead to excessive tearing, crusting of the eyelid, mucous discharge, a feeling that something is in the eye, irritation of the cornea, and impaired vision.

Most cases of entropion are due to relaxation of the tissues of the eyelid as a result of aging. Some cases result from scarring of the inner surface of the eyelid cause by allergic reactions. Rarely entropion can be present at birth if the eyelids do not form properly.

Entropion should be repaired surgically before the rubbing damages the cornea by causing infection and scarring. Prior to surgery, the eye can be protected by taping the lower lid down and using lubricating drops and ointment. In some cases, sutures can be placed through the lower eyelid until more definitive surgery can be performed.

The surgery to repair entropion is usually performed under local anesthetic as an outpatient. In most cases, the doctor will tighten the eyelid. You may have a patch overnight and then will use an antibiotic ointment for about a week. After your eyelids heal, your eye will feel comfortable and you will no longer have the risks of corneal scarring, infection and loss of vision.

Blepharoplasty Eyelid Surgery
The upper eyelids may exhibit wrinkles, sagging, loose skin, or bulges due either to hereditary factors or the aging process. Pouches at the inner aspect of the upper lids are generally due to increased pressure caused by accumulations of fat about the eye. The result of the eyelid surgery is a more youthful and rested appearance of the eyes and softening of wrinkle lines.

Occasionally, excess upper eyelid skin may interfere with vision. Upper eyelid surgery aims to decrease vision impairment by widening the visual field. This is especially so in patients who have extreme amounts of overhanging producing a “hooding” or a “blinder” effect.

Frequently Asked Questions

What is a Blepharoplasty?
An eyelid surgery, also referred to as Blepharoplasty, is a plastic surgery. It is performed to improve the visual field and appearance of wrinkles, sagging, loose skin, or bulges of the upper eyelids. During the procedure, excess fat and skin are removed.

Who is the best candidate for an eyelid surgery?
Good candidates for an eyelid surgery include men and women who are physically healthy and with realistic expectations. They are looking to improve the appearance of drooping eyelids and/or reduce vision impairment.

What happens during a consultation for an eyelid surgery?
During a consultation, you will have a one-on-one discussion with the doctor about your goals. The eyes will be examined, a medical history taken, and your options discussed. Certain aspects of the eyelid surgery procedure will be explained including the technique, recovery, risks and benefits. A Visual Field test will be performed to determine visual impairment, if any. Photographs will be taken of the eyelids pre-operatively to allow comparison post-operatively.

Where is the eyelid surgery procedure performed?
Eyelid surgeries are performed at Tallgrass Surgical Center (Topeka) and at Geary Community Hospital (Junction City).

What type of anesthesia is used during the eyelid surgery procedure?
Generally, Blepharoplasty is performed using only Local and Topical Anesthesia. However, Twilight and General anesthesia may be used as well.

How is the actual eyelid surgery procedure performed?
The eyelid surgery procedure begins by making incisions, after which the skin is separated from the tissue and muscle that lie beneath. Sagging skin and muscle may be trimmed, excess fat is removed, and the incisions are then closed with very fine sutures.

How long is the surgical time?
Eyelid surgery typically takes one to two hours to perform.

Where are the incisions made?
The incisions for an eyelid surgery are usually made within the natural lines of the upper eyelids. They occur within the creases of the upper eyelids.

Will I have scars?
The incisions made during the eyelid surgery procedure may result in minimal scarring. The scars are very well concealed within the natural lines of the eyelids; within the creases of the upper lid.

Will I have much pain after undergoing an eyelid surgery?
After the surgery procedure, the eyelids may feel tight and sore. Tylenol and ice packs will help to control any discomfort that patients experience.

Will I need someone to help me out at home after undergoing the surgery?
No. This should not be necessary.

What is the recovery like afterwards?
Recovery from eyelid surgery will vary according to each individual patient. In general, however, swelling and bruises occurs after the eyelid surgery; the bruising typically takes anywhere from two to four weeks for complete clearing. Rarely, patients may experience some dryness, itchiness, burning or tearing of the eyes, along with sensitivity to light and blurred or double vision, during the first week after surgery. Stitches are removed within five to seven days after the procedure.

How much time will I need to take off from work?
Patients are usually able to return to work within two to ten days.

When can I exercise?
Exercise will need to be postponed for about one week after the procedure.

What are the risks or complications associated with eyelid surgery?
The potential complications associated with eyelid surgery may include bleeding, difficulty in closing the eyes, dry eyes, infection, slight asymmetry in healing, scarring, swelling at the corners of the eyelids, temporary blurred or double vision, and discoloration of lids.

Does insurance cover the cost of eyelid surgery?
Eyelid surgery performed purely for cosmetic purposes is usually not covered by insurance. Some degree of coverage may be available in cases where the eyelid surgery is performed to remove excess upper eyelid skin that interferes with vision.