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Before and After Photos

  • Before Photo-Ectropion and Entropion Patient 19
    After Photo-Ectropion and Entropion Patient 19

    This patient had a right lower eyelid that was turning inward and resulting in significant discomfort, tearing, and eye pain.  He had an entropion, where the eyelid is turned inward. Entropion repair was performed to help fix the lid malposition.

    Preoperative Diagnosis: Right lower eyelid entropion

    Procedure performed: Right lower eyelid entropion

    Surgeon: Christopher Zoumalan, MD. Oculoplastic Surgeon.

    Location: Beverly Hills, California

  • Before Photo-Ectropin and Entropin Patient 19
    After Photo-Ectropin and Entropin Patient 19

    She had a left lower lid entropion, which was resulting in her left lower lid to turn inward and continuously rub onto her eyeball. This is usually acquired with age and should be repaired as it can result in constant irritation and pain to the eye. Patients are also at risk for an infection in their eye if this is not repaired.  She underwent an entropion repair and you can see how better positioned the left lower lid is. This is quite evident when the patient looks up as seen in these photographs.  You can see the improvement in the left lower eyelid position after surgery.

    Preoperative Diagnosis: Left lower lid entropion.

    Procedure performed:  Left lower lid entropion repair

  • Before Photo-Ectropion and Entropion Patient 18
    After Photo-Ectropion and Entropion Patient 18

    This patient had a traumatic left lower lid ectropion and also retraction (the lid is retracted down to a low position) from prior trauma. It was resulting in constant irritation and she has having difficulty closing her lids well when she sleeps.   She underwent a left lower lid ectropion repair, midface lift (resuspension), and retraction repair using an alloderm spacer graft.  All of these procedures were performed using minimally invasive techniques and small incisions.  Her symptoms have improved since surgery and she very happy with her results.

     Preoperative Diagnosis: Left lower lid ectropion and retraction

    Procedure performed: Left lower lid ectropion repair and retraction repair using an alloderm spacer graft, midface lift.

  • Before Photo-Ectropion and Entropion Patient 17
    After Photo-Ectropion and Entropion Patient 17

    This patient’s lower lid malpositions were resulting in constant tearing and ocular irritation. She had a “loose” right lower lid that was turned out, which was resulting in an early ectropion.  An ectropion repair was performed to reposition the right lower lid to normal position.  Her left lower lid had the opposite problem; the lid was turned inward and resulting in constant rubbing of her lashes onto her eye.  This is called an entropion.  Entropion repair was performed to reposition the lid out to a more normal position. Her symptoms were resolved after surgery and healed very well.

     Preoperative Diagnosis: Right lower lid ectropion, left lower lid entropion

    Procedure performed: Right lower lid ectropion repair, left lower lid entropion repair

  • Before Photo-Ectropion and Entropin Patient 16
    After Photo-Ectropion and Entropin Patient 16

    This patient had tearing that was due to his loose lower lids. He had early ectropions where the eyelids would turn out and remain that way. As a result, he would not be able to blink effectively and he would have tearing as a consequence. He also had droopy upper lids, which were affecting his vision. He underwent minimally invasive ptosis repair and lower lid ectropion repair through a canthoplasty technique.  He’s healed well, can see better, and with improved tearing symptoms.

    Preoperative Diagnosis: Upper lid ptosis, lower lid ectropions

    Procedure performed: Upper lid ptosis repair, lower lid ectropion repair

  • Before Photo-Ectropion and Entropion Patient 15
    After Photo-Ectropion and Entropion Patient 15

    This patient had an everted left lower lid, which was resulting in ocular irritation (discomfort of the eye), redness, and constant tearing. This was a longstanding left lower lid ectropion that had to repaired to help improve his symptoms. He underwent an ectropion repair along with a midface resuspension (aka lift) to help keep the lid stabilized and in a better position after surgery. This photograph was taken nearly six months after surgery. The patient feels better and does not have any more discomfort or symptoms associated with the lid.

    Preoperative Diagnosis: Left lower lid ectropion.

    Procedure performed: Left lower lid ectropion repair and midface resuspension (lift).

  • Before Photo-Ectropion and Entropion Patient 14
    After Photo-Ectropion and Entropion Patient 14

    This patient had significant lower lid ectropions, where the position of the eyelid is directed outward and away from the eyeballs. This results in tearing and constant irritation. He underwent lower lid ectropion repair and a midface lift to help keep his eyelids positioned as best as possible after surgery.

    Preoperative Diagnosis: Bilateral lower lid ectropions.

    Procedure performed: Bilateral lower lid ectropion repair and midface lift.

  • Before Photo-Ectropion and Entropion Patient 13
    After Photo-Ectropion and Entropion Patient 13

    This patient has a chronic ectropion of her right lower lid. She underwent repair of an eyelid trauma decades ago and now has slowly worsening ectropion which is resulting in ocular irritation, tearing, and redness to the eye. Note that her right lower lid is turned out.

    Preoperative Diagnosis: Right lower lid ectropion.

    Procedure performed: Ectropion repair, right lower lid. She underwent a right lower lid ectropion repair and using a special resuspension and tightening technique referred to as a canthoplasty. Her symptoms have resolved and now also has a normal appearing right lower lid.

  • Before Photo-Ectropion and Entropion Patient 12
    After Photo-Ectropion and Entropion Patient 12

    This patient has a chronic ectropion of his left lower lid. Note that his left lower lid is turned out.. This is more likely due to long-term sun exposure.By repairing this using a special resuspension and tightening technique referred to as a canthoplasty, his tearing complaints improved.

    Preoperative Diagnosis: Left lower lid ectropion.

    Procedure performed: Ectropion repair, left lower lid.

  • Before Photo-Ectropion and Entropion Patient 11
    After Photo-Ectropion and Entropion Patient 11

    This lady had a left lower lid ectropion. As you can see, the left lower lid is lax (or loose) and is turned outward.The left lower lid ectropion has been repaired using a special tightening and resuspension technique.

    Preoperative Diagnosis: Left lower lid ectropion.

    Procedure performed: Left lower lid ectropion repair.

  • Before Photo-Ectropion and Entropion Patient 10
    After Photo-Ectropion and Entropion Patient 10

    It is a little subtle at first, but note the inward turning of the right lower lid (entropion). He also has constant irritation and tearing. The right lower lid underwent an entropion repair to help “turn” the lid bac to a more normal position.

    Preoperative Diagnosis: Right lower lid entropion.

    Procedure performed: Right lower lid entropion repair.

  • Before Photo-Ectropion and Entropion Patient 9
    After Photo-Ectropion and Entropion Patient 9

    It is a little subtle at first, but note the inward turning of the eyelashes (entropion) in both lower lids. She also has constant irritation and tearing. Both lids were repaired and turned back to a more normal position. She has ptosis as well but did not want her upper lids repaired.

    Preoperative Diagnosis: Bilateral lower lid entropion.

    Procedure performed: Bilateral lower lid entropion repair.

  • Before Photo-Ectropion and Entropion Patient 8
    After Photo-Ectropion and Entropion Patient 8

    This patient had trauma to the right lower lid and it was unsuccessfully repaired in the past. She underwent eyelid reconstructive surgery in order to free up and excise the scar tissue and to repair the lower lid position by using a tissue graft along with lid resuspension.

    Preoperative Diagnosis: Right lower lid retraction

    Procedure performed: Repair of right lower lid retraction using a posterior spacer tissue graft and lid resuspension through canthoplasty.

  • Before Photo-Ectropion and Entropion Patient 7
    After Photo-Ectropion and Entropion Patient 7

    Preoperative Diagnosis: Right lower lid ectropion and bilateral upper lid ptosis. She did not wish to have upper lid surgery so we only focused on repairing her droopy right lower lid which was resulting in tearing and ocular discomfort.

    Procedure performed: Right lower lid ectropion repair. This photo was taken 4 months after undergoing surgery.

  • Before Photo-Ectropion and Entropion Patient 6
    After Photo-Ectropion and Entropion Patient 6

    Preoperative Diagnosis: Left lower lid ectropion. Note that the medial portion (closest to the nose) is everted outward so the puncta (the opening of the tear duct) is not facing the eye. This needs to be corrected otherwise the patient will complain of tearing, discomfort, and may be at risk for an ocular infection.

    Procedure performed: Left lower lid ectropion repair. The lower lid was resuspended; in addition, the medial portion of the lower lid (closest to the nose) had an additional procedure to help better invert the puncta (opening of the tear duct) in order to face the eye. The patient had resolution of his tearing symptoms and ocular irritation.

  • Before Photo-Ectropion and Entropion Patient 5
    After Photo-Ectropion and Entropion Patient 5

    Preoperative Diagnosis: Bilateral lower lid ectropions resulting in tearing.

    Procedure performed: Bilateral lower lid ectropion repair. This photo was taken 14 months after undergoing surgery.

  • Before Photo-Ectropion and Entropion Patient 4
    After Photo-Ectropion and Entropion Patient 4

    Preoperative Diagnosis: Left lower lid ectropion from prior eyelid skin cancer (basal cell carcinoma) resection. The removal of the skin cancer resulted in skin contracture and lid retraction near the eyelid. As a result, the patient complained of a malpositioned lid, tearing, and ocular (eye) irritation. Note that the retraction is worsened when the patient looks up (and with his mouth opened); this suggests a cicatricial (scar or shortening of the thin eyelid skin) component.

    In order to appropriately reposition his lower eyelid, a skin graft was required. He had already lost skin from him prior skin cancer resection, and procedures that would not require a skin graft (ie mid face lift with a canthal suspension) may end up working but only a short amount of time. This photo was taken 8 months after undergoing skin graft to resurface the lower eyelid with an ectropion repair. The skin graft was taken from behind his ear (preauricular skin graft).

    Procedure performed: Left lower lid ectropion repair with the use of a skin graft. This photo was taken 8 months after undergoing surgery.

  • Before Photo-Ectropion and Entropion Patient 3
    After Photo-Ectropion and Entropion Patient 3

    Preoperative Diagnosis: Bilateral lower lid ectropions resulting in tearing.

    Procedure performed: Bilateral lower lid ectropion repair.

  • Before Photo-Ectropion and Entropion Patient 2
    After Photo-Ectropion and Entropion Patient 2

    Preoperative Diagnosis: Bilateral lower lid ectropions resulting in tearing. Note that the left is more severe than the right.

    Procedure performed: Bilateral lower lid ectropion repair, left lower lid midface resuspension (midface lift). The midface resuspension allows for better support for her lower lid position and to help prevent it from recurring months or years after surgical repair.

  • Before Photo-Ectropion and Entropion Patient 1
    After Photo-Ectropion and Entropion Patient 1

    This patient had a left lower lid that was turn inward and was resulting in her eyelashes rubbing onto her eye. This is called an entropion. The eyelashes and the eyelid can result in eye pain and even an infection if left untreated. She underwent a surgical repair of her entropion. Minimally invasive techniques were performed to allow the lid to heal well with little to no signs of an external scar. The lower lid was repositioned to a more normal position so that the eyelashes were directed away from the eye. She healed well after surgery and her symptoms were resolved.

    Preoperative Diagnosis: Left lower lid entropion.

    Procedure performed: Left lower lid entropion repair.