When the eyelids are not in the proper position, even simple functions like blinking or closing your eyes can become uncomfortable or potentially damaging. Eyelid malpositions can affect appearance, vision, and eye health.
Eyelid malpositions are more than a cosmetic concern. Left untreated, they can lead to persistent tearing, irritation, exposure-related damage, or infection. As a board-certified oculofacial plastic surgeon and ophthalmologist, Dr. Nina Boal brings extensive experience in both cosmetic and reconstructive procedures, including ectropion repair, entropion repair, and eyelid retraction repair in Lansdale. Her goal is to restore comfort and structure while delivering results that look natural and age well.
WHAT IS EYELID MALPOSITION?
Eyelid malposition occurs when the eyelids sit in an abnormal position, affecting how they function or altering the way the eyes appear. It may be caused by aging, prior surgery, trauma, or neurological or muscular dysfunction. These conditions are frequently treated through procedures such as ectropion repair, entropion repair, and retraction repair —all of which are commonly performed by Dr. Boal in her Lansdale practice. Common eyelid malposition conditions include the following:
Ectropion
The eyelid turns outward, leaving the inner surface exposed and unprotected.
Entropion
The eyelid turns inward, causing lashes to rub against the eye and cause irritation.
Retraction
The eyelid is pulled too far away from its normal resting position, often after trauma or previous surgery.
Patients often report feeling physically better and more confident in their appearance following these procedures.
BENEFITS OF EYELID MALPOSITION SURGERY
Benefits include:
- Improved vision and reduced visual obstruction
- Decreased irritation, dryness, and tearing
- Restoration of natural eyelid function and closure
- Enhanced corneal protection
- Relief from the discomfort of in-turned lashes or exposed inner lids
- A more balanced, refreshed appearance
THE TREATMENT EXPERIENCE
Eyelid malposition surgery is performed as an outpatient procedure under local anesthesia with sedation or general anesthesia. Dr. Boal customizes each repair to restore natural positioning and function. The procedure typically involves the following steps:
- A small incision is made near the lash line or natural eyelid crease.
- Muscles, tendons, or support structures are repositioned or reinforced.
- Excess skin or tissue is conservatively adjusted.
- Fine sutures are used for optimal healing and minimal visibility.
AFTER TREATMENT
Mild bruising, swelling, and tightness are common in the first several days. Dr. Boal may recommend lubricating eye drops or ointments to support healing. Most patients see initial improvements within one to two weeks, with full results settling over the following months. Normal activities typically resume within 7 to 10 days.
FAQ
Are there risks?
Yes, as with any surgery, risks include infection, asymmetry, or recurrence. Choosing a specialist like Dr. Boal minimizes these risks significantly.
Will I have visible scars?
Incisions are placed in discreet locations and typically heal with minimal visibility.
Is this the same as cosmetic eyelid surgery?
No, ectropion repair, entropion repair, and retraction repair are reconstructive procedures. However, at our Lansdale clinic, they can be combined with cosmetic eyelid rejuvenation for a comprehensive result.
Will insurance cover my procedure?
If your eyelid malposition affects vision or causes medical symptoms, your surgery may be partially or fully covered. Dr. Boals' office can assist with documentation and insurance verification.
