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Everything You Need to Know About Out-turned/In-turned Eyelid Surgery
Out-turned or in-turned eyelid surgery is highly effective at relieving symptoms and improving the overall health and appearance of the eyes.
Here are some of the key benefits of the procedure:
- Restored Eye Comfort: Correcting the eyelid position reduces irritation and dryness.
- Protection of the Eye: Prevents damage to the eye’s surface and reduces the risk of infections.
- Improved Appearance: Surgery restores a more natural, balanced appearance to the eyelid, improving facial aesthetics.
Patients often experience relief from symptoms immediately after surgery, though complete healing may take a few weeks.
What Causes Out-turned/In-turned Eyelids?
Out-turned or in-turned eyelids are usually a result of weakening muscles or tissues around the eye, commonly due to ageing. Other causes may include previous surgeries, trauma, congenital conditions, or chronic eye inflammation. Both ectropion and entropion can cause significant discomfort and, if left untreated, can lead to more serious eye conditions such as infections, corneal ulcers, or vision problems.
Before Surgery
Consultation
During your initial consultation, your doctor will assess the position of your eyelid, review your medical history, and discuss your symptoms in detail. They may recommend certain tests to ensure the condition is not affecting your eye health. The consultation will also involve a discussion of the surgical procedure, risks, benefits, and what to expect during recovery.
Pre-Procedure Instructions
In preparation for eyelid surgery, you will receive specific instructions, which may include:
- Medication Adjustments: If you are taking blood thinners or other medications, your doctor may advise you to stop them before surgery.
- Fasting: You will need to avoid eating or drinking after midnight on the day of surgery if you are undergoing general anaesthesia.
- Healthy Lifestyle: Maintaining a balanced diet and avoiding smoking can help ensure a smoother recovery.
During the Surgery
Our experienced surgeons use advanced techniques to ensure the best possible outcomes for your procedure.
Anaesthesia
You will receive either local anaesthesia with sedation (to numb the area while keeping you relaxed) or general anaesthesia (where you will be fully asleep), depending on the complexity of the surgery and your medical needs.
Surgical Process for Ectropion/Entropion
The surgery typically involves tightening the muscles and tendons of the eyelid to return it to its correct position. In cases of in-turned eyelids, excess skin or muscle may be removed to prevent the eyelashes from rubbing against the eye. For out-turned eyelids, the surgeon may reposition the eyelid by tightening the tendons or adding support to the area.
The procedure is usually completed in under an hour, and patients are often able to go home the same day.
Aftercare
Post-surgery care is crucial to ensure a smooth recovery and optimal results.
Immediate Post-Op Care
After the procedure, your eye may be swollen, bruised, or irritated, but this should subside within a week or two. You may be given an eye patch to protect the area and will receive antibiotic eye drops or ointment to prevent infection. Over-the-counter pain relief may help manage discomfort, but your doctor will guide you on the best options for you.
Long-Term Recovery
In the weeks following surgery, you will need to avoid strenuous activities, including heavy lifting, to allow the eye to heal. Your doctor will schedule a follow-up appointment to assess your recovery, remove any sutures if necessary, and ensure that the eyelid has returned to its normal position.
You should avoid rubbing your eyes, and any dry eye symptoms can be managed with prescribed lubricating eye drops. Full recovery usually occurs within four to six weeks, although this can vary depending on the individual and the type of surgery performed.
Appointment and Treatment Plan
Initial Consultation
Your journey begins with a thorough consultation where your eyelid condition will be assessed, and a treatment plan will be created based on your symptoms and health goals.
Surgical Plan
Together with your doctor, you will discuss the best surgical approach, tailored to your individual needs, whether you require ectropion or entropion correction.
Surgical Plan
The surgery will be performed using either local or general anaesthesia, with a focus on restoring both the function and appearance of your eyelid.
Follow-up and Recovery
Regular follow-up appointments will be scheduled to monitor your healing progress, ensuring the best outcome for both your eye health and appearance.
Top Tips
- Follow Post-Surgery Instructions: Adhering to your doctor’s advice will ensure a smooth recovery.
- Avoid Eye Irritants: Keep your eyes clean, avoid dusty or smoky environments, and do not rub them.
- Use Prescribed Eye Drops: Apply any ointments or drops as directed to promote healing and prevent infection.
- Rest Your Eyes: Limit screen time and avoid strenuous activities during the first few weeks post-surgery to allow proper healing.
How to pay for your treatment
If you’re… paying for yourself
Did you know you don’t need private medical insurance to come to St John & St Elizabeth Hospital? As a self-pay patient, you can access safe, outstanding quality health care at times to suit you.
For scans and tests, as well as to see most consultants, you’ll still need to be referred by a medical professional like your GP, but as a self-pay patient, the process is more straightforward. You won’t need authorisation from an insurance provider, and you’ll have greater choice of consultant and appointment times.
If you’re… insured
St John & St Elizabeth Hospital is approved by all major medical insurance companies. If you have a personal private health insurance policy, or your company provide it for you, you can use it to pay for your care from your initial consultation through to treatment, surgery and aftercare such as physiotherapy. Not all private health insurance plans cover the same things. It’s very important to check exactly what you are covered for with your insurance provider.