Your Eyelids Are One of the Most Important Lines of Defense Your Eyes Have Against Foreign Contaminants.

When they fail to work properly, it can compromise your ocular health. Ectropion and entropion, or the involuntary turning-out or turning-in of the eyelids, can lead to more serious issues if they are not corrected with reconstructive facial surgery. At the Morgenstern Center, oculo-facial surgeon Dr. Ken Morgenstern strives to deliver the best eyelid correction Philadelphia has to offer.

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Ectropion Surgery

There are four different subtypes of ectropion, each with its own cause:

  • Mechanical ectropion is caused by a tumor or other mass under the eyelid, warping its shape.
  • Paralytic ectropion is caused by weakening of the muscles that support the eyelid.
  • Involutional ectropion is caused by the skin of the eyelid being too loose.
  • Cicatricial ectropion is caused by shortening of the muscles around the eye.

Ectropion is when your eyelid "turns out," exposing the inside of the eyelid to the open air. This happens most frequently with the lower eyelid. It can lead to redness, swelling, and near-constant irritation around the eye. While eyedrops or artificial tears can provide temporary relief, a surgical procedure is necessary to permanently correct the condition.

The surgical procedure changes depending on what is causing your ectropion. During the eyelid correction Philadelphia surgeons at the Morgenstern Center may need to remove a tumor, tighten the skin of the eyelid, or reattach your eyelid to the underlying muscle.

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Entropion Surgery

Entropion occurs when the eyelid "turns in," often causing your eyelashes to get tucked between your eyeball and eyelid. This leads to rapid irritation, complete with redness and inflammation all around the affected eye. Involuntary spasms of the eye muscles often accompany these symptoms.

Entropion can sometimes be temporarily treated with BOTOX, which keeps the muscles around the eyelid from turning the eyelid in. However, as with ectropion, surgery to tighten the eyelid is the only long-term solution.

The different types of entropion include:

  • Congenital entropion, caused by a fold of skin on the eyelid that can turn inward as you age.
  • Involutional entropion, caused by a loosening of the tissues and muscles in and around the eye.
  • Cicatricial entropion, caused by burns, diseases, or facial surgeries that leave scars on the eye's tissue.
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Dr. Morgenstern and our staff dedicate time to thoroughly understanding your vision during your consultation. It is important to us that all your questions are answered so we can ensure a personalized approach to natural-looking results. We look forward to guiding you on your journey to enhanced confidence and beauty.

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