Eyelid Reconstructive Surgery

Significant defects and abnormalities of the eyelid may result from trauma or from surgery to remove skin lesions or cancer. Eyelid reconstructive surgery may be necessary to restore a functional, more normal appearing eyelid. The procedure is designed and tailored to the specific patient?s condition. The surgery involves advanced plastic surgical techniques and may include skin repositioning, tightening, reorienting, and skin or cartilage grafts

Ectropion surgery is for those who:

  • have an eyelid which abnormality or defect from previous surgery or trauma
  • want a more normal appearance of the eye and eyelids

Before surgery

The doctors at Advanced Eye Care Center will perform a comprehensive evaluation of your eyes. Specifics regarding your vision, tear production, use of contact lens, use of medications and personal expectations will be discussed. A plan will be discussed regarding surgical technique, risks and benefits, and type of anesthesia.

What to expect on procedure day

You will arrive 30-60 minutes prior to the procedure. Once you have been checked in and settled comfortably, you will be prepared for surgery. Eyelid reconstructive surgery is usually performed under local anesthesia. You may be given medication to control anxiety. You should be quite comfortable during the procedure.

After the procedure you will need someone to drive you home. You may experience some bruising and swelling for 1 week to 1 month after surgery. Cold compresses and head elevation may be helpful for the first few days after surgery. The doctor may prescribe an eye ointment or eye drops to use for a few days after surgery.

Postoperative discomfort is usually relatively mild, but the eyes may fell sticky, dry or itchy for a week or so after the procedure. You will need to take special care in cleaning around the eyes for the first week or two.

Stitches are usually removed within 5 to ten days after surgery. Self absorbing stitches will dissolve on their own. The doctor will instruct you when it is safe to be resuming make-up and cosmetics.


Although most of the positive effects on your eye are immediate, your eyes may subtly change and improve over several months after surgery as the healing process continues.

Serious complications from eyelid surgery are extremely rare, but like any surgical procedure there are some inherent risks. You will be given all the information you need to make an informed decision about surgery. Be sure to have all your questions answered to your satisfaction.

Eyelid reconstructive surgery is usually covered by medical insurers as “medically necessary”. We would be happy to contact your insurance carrier in advance to determine if they cover the procedure.