Eyelid surgery

Oculoplastic surgery is a specialty within ophthalmology that covers a range of surgical conditions that affect the eyelids and peri-ocular tissues.

We offer oculoplastic surgery from fellowship trained ophthalmic plastic and reconstructive surgeons. 

Oculoplastic surgeons are uniquely trained for peri-ocular eyelid surgery – because the eyelids have important functions for maintenance of ocular health. Eyelid surgery needs to consider both function and form. Our surgeons work hard to achieve the best possible aesthetic results whilst ensuring that your eyelids continue to function to protect your eyes.

Aspect Eye Surgeons offer the following treatments:

Excess sagging skin affecting the upper eyelids may make the eyelids feel heavy as well as obstructing the upper and outer parts of the field of vision. In addition, many patients find that sagging upper eyelid skin may detrimentally affect their appearance, making them look tired or older. Blepharoplasty surgery allows for safe removal of excess upper eyelid skin resulting in a dramatic improvement in symptoms and appearance.

Ectropion is the medical word for a sagging (usually lower) eyelid. Ectropion is commonly associated with an age-related loss of tissue tension but may also be caused by a tightening of the facial skin from sun damage or surgery, or by paralysis of the nerve that supplies the muscles of the face. An ectropion may be unsightly and become red and irritated. It may also result in continual eye watering as the tear drainage system is not in the right position to capture and drain the tears. Occasionally a sagging eyelid may affect the surface of the eye resulting in blurred vision and permanent damage to the cornea. 

Ectropion surgery aims to restore the position and function of the lower eyelid by mechanisms that include horizontal tightening of the lid, repositioning of the muscles that control eyelid position and insertion of extra skin to allow the eyelid to assume a normal position.

Entropion is the medical word for the eyelids turning in – and most commonly affects the lower eyelid. This usually occurs because of age related (involutional) changes but can sometimes be associated with scarring of the tissues the line the surface of the eye and inner surface of the eyelids. Entropion can usually be corrected with simple surgical procedures under local anaesthesia.

The eyelids are commonly affected by a number of skin and other cancers. Excision of peri-ocular skin cancer is a specialised area that requires careful consideration of achieving surgical cure whilst reconstructing the eyelids in a manner that is cosmetically acceptable whilst preserving eyelid function and protecting the eye. Surgical solutions must be tailored for each case to achieve the best outcomes.

A number of non-cancerous lumps and bumps including skin tags, naevi, xanthelasma and seborrheic keratosis may cause irritation or be of cosmetic concern. These lesions can usually be easily removed under local anaesthesia, often without the need for hospital admission. Excellent functional and cosmetic outcomes are usually achievable.

Ptosis is the medical word for a sagging of the whole eyelid  (rather than just the upper eyelid skin). Ptosis is often an age-related condition related to stretching of the upper eyelid structures, but may also be seen in contact lens users and a number of neurological diseases. Ptosis is occasionally a congenital condition which affects children from birth. We offer assessment and surgical solutions for ptosis to restore eyelid position.



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