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Entropion Repair - Retractor Reinsertion
Eyes • Entropion Eyelid Surgery
What It Is A surgical correction for inward-turning lower eyelids, where lashes and skin rub against the eye, causing tearing, irritation, and potential corneal damage. The aim is to restore proper lid position and protect the ocular surface. Who Needs It Best for patients with age-related tissue laxity, scarring, nerve or muscle dysfunction, trauma, or congenital eyelid issues. Symptoms include redness, foreign body sensation, tearing, or visible inward turning of the lid edge. Assessment Doctors check lid tone, muscle function, and signs of scarring. Snap-back and distraction tests assess laxity; inversion tests identify muscle override. Corneal staining may reveal surface damage. Photos support planning and symmetry. How It’s Done Surgery is customized based on the cause and anatomy. • Retractor Reinsertion Used when the lower eyelid retractors (muscles that help pull the lid down) have loosened or detached from the tarsal plate. Through a small incision, the surgeon reattaches the retractors to their normal position, restoring lid support and preventing inward rolling. This is often paired with lateral tightening to maximize stability and reduce recurrence. Aftercare Antibiotic ointment and cold compresses are used for several days. Eye drops aid healing. Elevate head while resting. If used, sutures are typically removed in 5–7 days. Avoid eye rubbing for 1–2 weeks. Results Swelling and bruising subside in 1–2 weeks. Most resume daily activities within 7 days. Mild irritation or tightness may occur early. Final eyelid shape refines over 4–6 weeks. Outcomes Restores eyelid function and protects the eye from further damage. Relieves discomfort and improves vision when the cornea was affected. Success rates are high, particularly for age-related entropion corrected with tarsal strip or retractor repair.
Entropion Repair - Lateral Tarsal Strip
Eyes • Entropion Eyelid Surgery
What It Is A surgical correction for inward-turning lower eyelids, where lashes and skin rub against the eye, causing tearing, irritation, and potential corneal damage. The aim is to restore proper lid position and protect the ocular surface. Who Needs It Best for patients with age-related tissue laxity, scarring, nerve or muscle dysfunction, trauma, or congenital eyelid issues. Symptoms include redness, foreign body sensation, tearing, or visible inward turning of the lid edge. Assessment Doctors check lid tone, muscle function, and signs of scarring. Snap-back and distraction tests assess laxity; inversion tests identify muscle override. Corneal staining may reveal surface damage. Photos support planning and symmetry. How It’s Done Surgery is customized based on the cause and anatomy. • Lateral Tarsal Strip Commonly used for involutional (age-related) entropion. The outer corner of the eyelid is detached, shortened, and anchored securely to the periosteum of the lateral orbital rim. This provides horizontal tightening of the lid, restoring its natural alignment and stability. It is often combined with retractor repair for long-term success. Aftercare Antibiotic ointment and cold compresses are used for several days. Eye drops aid healing. Elevate head while resting. If used, sutures are typically removed in 5–7 days. Avoid eye rubbing for 1–2 weeks. Results Swelling and bruising subside in 1–2 weeks. Most resume daily activities within 7 days. Mild irritation or tightness may occur early. Final eyelid shape refines over 4–6 weeks. Outcomes Restores eyelid function and protects the eye from further damage. Relieves discomfort and improves vision when the cornea was affected. Success rates are high, particularly for age-related entropion corrected with tarsal strip or retractor repair.
Entropion Repair - Everting Sutures (Quickert Sutures)
Eyes • Entropion Eyelid Surgery
What It Is A surgical correction for inward-turning lower eyelids, where lashes and skin rub against the eye, causing tearing, irritation, and potential corneal damage. The aim is to restore proper lid position and protect the ocular surface. Who Needs It Best for patients with age-related tissue laxity, scarring, nerve or muscle dysfunction, trauma, or congenital eyelid issues. Symptoms include redness, foreign body sensation, tearing, or visible inward turning of the lid edge. Assessment Doctors check lid tone, muscle function, and signs of scarring. Snap-back and distraction tests assess laxity; inversion tests identify muscle override. Corneal staining may reveal surface damage. Photos support planning and symmetry. How It’s Done Surgery is customized based on the cause and anatomy. • Everting Sutures (Quickert Sutures) A minimally invasive technique, often performed in-office, especially for mild, spastic, or temporary cases. Sutures are placed through the lower eyelid to rotate the margin outward and away from the cornea. While simple and quick, this method may be temporary and is frequently used as a standalone treatment in mild cases or as an adjunct to more definitive surgery. Aftercare Antibiotic ointment and cold compresses are used for several days. Eye drops aid healing. Elevate head while resting. If used, sutures are typically removed in 5–7 days. Avoid eye rubbing for 1–2 weeks. Results Swelling and bruising subside in 1–2 weeks. Most resume daily activities within 7 days. Mild irritation or tightness may occur early. Final eyelid shape refines over 4–6 weeks. Outcomes Restores eyelid function and protects the eye from further damage. Relieves discomfort and improves vision when the cornea was affected. Success rates are high, particularly for age-relatedentropion corrected with tarsal strip or retractor repair.
Tear Trough Implant – Transconjunctival Approach (Internal Incision)
Eyes • Periorbital Correction
What It Is A surgical solution for deep tear troughs using a silicone implant along the infraorbital rim. It restores volume, supports the lower lid, and creates a smooth lid-cheek transition—ideal when fillers or fat grafting fail or don’t last. Who Needs It Best for patients with skeletal hollowing, negative vector midface, or post-blepharoplasty hollowness. Suitable for those seeking a long-term alternative to temporary fillers. Assessment Doctors examine the depth of the tear trough, bone structure, skin thickness, and vector profile. Photos document asymmetry and shadowing. How It’s Done Under general or IV anesthesia, an implant is placed through a transconjunctival or subciliary incision. A pocket is made over the infraorbital rim, and the implant is trimmed to fit and sometimes secured with sutures or screws. Aftercare Cold compresses and head elevation help reduce swelling. Antibiotics may be prescribed. Avoid facial pressure for 10–14 days. Sutures (if used) are removed after 5–7 days. Results Swelling peaks at 2–3 days and resolves by 2 weeks. Mild tightness or implant awareness is normal early on. Final contour refines over 4–6 weeks. Outcomes Creates a smoother, fuller under-eye area with long-lasting results. Enhances midface support and corrects hollowness—especially in cases where fillers fall short. Proper sizing and placement are key to success.
Tear Trough Implant - Subciliary Approach (External Incision)
Eyes • Periorbital Correction
What It Is A surgical solution for deep tear troughs using a silicone implant along the infraorbital rim. It restores volume, supports the lower lid, and creates a smooth lid-cheek transition—ideal when fillers or fat grafting fail or don’t last. Who Needs It Best for patients with skeletal hollowing, negative vector midface, or post-blepharoplasty hollowness. Suitable for those seeking a long-term alternative to temporary fillers. Assessment Doctors examine the depth of the tear trough, bone structure, skin thickness, and vector profile. Photos document asymmetry and shadowing. How It’s Done Under general or IV anesthesia, an implant is placed through a transconjunctival or subciliary incision. A pocket is made over the infraorbital rim, and the implant is trimmed to fit and sometimes secured with sutures or screws. Aftercare Cold compresses and head elevation help reduce swelling. Antibiotics may be prescribed. Avoid facial pressure for 10–14 days. Sutures (if used) are removed after 5–7 days. Results Swelling peaks at 2–3 days and resolves by 2 weeks. Mild tightness or implant awareness is normal early on. Final contour refines over 4–6 weeks. Outcomes Creates a smoother, fuller under-eye area with long-lasting results. Enhances midface support and corrects hollowness—especially in cases where fillers fall short. Proper sizing and placement are key to success.
Periorbital Filler
Eyes • Periorbital Correction
What It Is A non-surgical treatment using hyaluronic acid fillers to restore volume and smooth hollowing around the eyes, mainly in the tear trough, lid-cheek junction, brow, and temple. It reduces shadowing and tiredness with immediate, natural results. Who Needs It Best for mild to moderate under-eye hollowing or dark circles without significant skin laxity. Ideal for early aging signs, post-blepharoplasty hollows, or those seeking a quick refresh without downtime. Assessment Doctors assess tear trough depth, lid laxity, fat pad position, and skin quality. Pre-treatment photos and classification guide the approach. How It’s Done After numbing, soft fillers are injected deep with a cannula or needle in small amounts (0.1–0.3 mL per side), using fanning or threading techniques to ensure smooth contour. Aftercare Avoid makeup, rubbing, and heavy activity for 24–48 hours. Cold compresses and head elevation reduce swelling. Results Visible immediately, refining over 3–7 days. Mild swelling or bruising lasts 2–5 days. Reversible, at least partially, with hyaluronidase if needed. Outcomes Smoothes under-eye hollows, reduces shadows, and refreshes appearance naturally. Limitations Not for significant skin laxity, fat bulges, or eyelid malposition, which require surgery. Success depends on injector skill due to delicate anatomy.