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Disclaimer:

All before and after pictures displayed are real patients who have consented to having their pictures published on our site. Individual results will vary with each patient and Dr. Christopher Zoumalan does not guarantee any outcomes of procedures shown. All pictures are meant for reference and illustrative purposes only.

Before and After Photos

  • 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.



Disclaimer:

*Individual results may vary

All before and after pictures displayed are real patients who have consented to having their pictures published on our site. Individual results will vary with each patient and Dr. Christopher Zoumalan does not guarantee any outcomes of procedures shown. All pictures are meant for reference and illustrative purposes only.

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