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APPOINTMENT!

Eyelid Retraction

Eyelid Retraction

What is Eyelid Retraction?

An eyelid retraction is the abnormal elevation of the upper eyelid or the abnormal descent of the lower eyelid. Normally, the upper eyelid rests just below the upper border of the cornea/iris, while the lower eyelid rests on the lower border of the cornea/iris. Eyelid retraction can distort the natural appearance of the eyes and lead to visual and functional problems.

What are the causes of eyelid retraction?

Eyelid retraction has various causes. This condition can be congenital, but it can also be caused by thyroid disease (Graves' disease), trauma, and previous surgery. Thyroid disease is the most common cause of upper eyelid retraction. Lower eyelid retraction is most often caused by complications arising from lower blepharoplasty (under-eye aesthetics). This condition can be triggered by excessive skin removal or scarring. Additionally, large eyes or a significantly protruding eye (negative orbital vector) can also cause the lower eyelid to droop too much.

What are the symptoms of eyelid retraction?

Eyelid recession typically manifests as rounded eyes and excessive exposure of the whites of the eyes (sclera). This distorts the natural appearance of the eyes and negatively impacts the facial aesthetics. It can also lead to persistent eye problems such as dryness, excessive tearing, redness, burning sensations, and blurred vision.

Eyelid Retraction

Treatment Methods for Eyelid Retraction

In the initial stages of treating a retracted eyelid, regular eye drops or ointments can be used to protect the eyes. However, over time, the eyes dry out, and surgical intervention is often necessary. In the treatment of an upper eyelid retraction, the levator muscle, which lifts the eyelid, is incised, allowing the eyelid to descend further. In the treatment of a lower eyelid retraction, different surgical techniques are used. These procedures are usually performed using a hidden (posterior) approach. Additionally, grafts or a midface (cheek) lift may be necessary to elevate the lower eyelid. A lower eyelid retraction can be performed to create an almond-shaped appearance in the eyes.

Sometimes, large eyes or significant protrusion of the eyes (or orbital decompression) is necessary. This procedure involves positioning the eyeball backward so that the lower eyelid can rise higher.

Who is it suitable for?

Eyelid retraction treatment is suitable for individuals experiencing rounded eyes, excessive whitening of the eyes, and persistent eye discomfort. Individuals seeking to correct these conditions for aesthetic and eye health reasons may consider surgical treatment options. This treatment is particularly beneficial for those seeking to improve their aesthetic appearance and those experiencing persistent eye problems such as dry or red eyes.

The Healing Process

Recovery from eyelid retraction treatment is generally rapid. Swelling and bruising may occur for a few days after surgery, but these will gradually subside. It may take several weeks for the eyes to regain their natural contours. Following your doctor's instructions after surgery will ensure a faster and healthier recovery.

Frequently Asked Questions

Eyelid retraction surgery is generally performed on individuals aged 18 and over. However, younger patients may also require this treatment due to genetic or age-related issues.

Eyelid retraction may not be an emergency, but complications can develop that can lead to vision loss. Treatment should be sought promptly, especially if the lower eyelid is excessively drooping or obstructing eye protection.

After surgery, it's important for patients to avoid overexerting their eyes, use protective eye drops regularly, and follow the doctor's care instructions. It's also important to avoid excessive pressure on the eye area and ensure rest during the healing process to prevent swelling.