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Eyelid Surgery

The eyelids are a small and delicate structure with the very important function of protecting the eye.  There are a significant number of problems that can develop with the eyelids that potentially cause visual problems, discomfort, and even cancer.  Surgery to correct these problems requires extensive training and a meticulous attention to detail.  Dr. Scruggs can thoroughly evaluate your eyelids and determine a personalized treatment plan for you.

Common Eyelid Surgeries

  1. Blepharoplasty (Removal of Eyelid Skin)
  2. Ptosis (Droopy Lid)
  3. Ectropion (Eyelid Turning Out)
  4. Entropion (Eyelid Turning In)
  5. Tearing
  6. Skin Cancer/Lesion Removal
Blepharoplasty
Eyelid crowding, or eyelid skin hanging down to the lashes is a common visual and cosmetic complaint.  As we age the skin of the eyelids loses its elasticity causing it to hang down to the eyelashes.  The skin can lead to visual obstruction and patients often notice that they have to lift their brows or hold their lids up to see.  The extra skin and fat that bulges near the nose can also have cosmetic implications that are often bothersome.  A blepharoplasty can often be covered by insurance if certain criteria are met, including visual obstruction.  Blepharoplasty are done in an outpatient setting with or without sedation depending upon the patient’s preference.  Recovery typically consists of no heavy, lifting, or bending for 3 days, icing for the first 1-2 days, and swelling and bruising for 1-2 weeks.  Dr. Scruggs can evaluate if your are a candidate for cosmetic or insurance covered blepharoplasty.

Ptosis
Ptosis, or droopy eyelids, is a very common visual and cosmetic concern. Typically it is associated with age related changes that lead to stretching of the muscle that lifts the eyelid. Often the lids can droop to the point where they block your vision. People will often notice that they have to lift their lids or elevate their brow to improve their vision while reading, driving, watching TV, etc. There are various procedures that can be used to lift the eyelids. Typically it involves tightening the muscle of the eyelid from the back or the front side of the eyelid. When surgery is done on the front side of the eyelid, excess eyelid skin is often removed at the same time. This procedure is commonly covered by insurance if the eyelids are causing significant visual issues. Recovering typically consists of 1-2 weeks of swelling and bruising.

Entropion
Entropion, or an inward turning eyelid, is a frequent cause of eye irritation.  Typically this is due to age related loosening of the lower eyelid tendons and muscle, causing the eyelid to rotate inward rubbing the eyelashes on the eye itself.  Typically this is treated by surgically tightening the tendon and muscle of the lower eyelid.  Recovering typically consists of 1-2 weeks of swelling and bruising.

Ectropion
Ectropion, or an outward turning eyelid, is a frequent cause of eye irritation and tearing.  Typically this is due to age related loosening of the lower eyelid tendons causing the eyelid to rotate outward away from the eye.  When the eye is more open and exposed, it leads to increased irritation and tearing. Typically this is treated by surgically tightening the tendon of the lower eyelid.  Recovering typically consists of 1-2 weeks of swelling and bruising.

Tearing
Tearing involves the excess production or insufficient drainage of tears which leads to overflow.  This problem can be extremely frustrating for patients and often leads to irritation of the skin and serious infections. Excess production of tears is typically caused by dry eyes, allergies, or anything that irritates the eye.  Problems involving the tear drainage system can lead to inadequate tear drainage.  There are several different structures that make up the tear drainage system and narrowing or blockage of any of these structures can lead to tearing. Dr. Scruggs can thoroughly evaluate your tearing and determine the cause and best treatment.

Skin Cancer and Other Lesions
Lesions, or growths, around the eye are very common and in sunny Florida so are skin cancers.  Diagnosis of a lesion is based on the appearance, as well as the patient history of change and growth.  Treatment depends on the type of lesion and if the patient notes changes.  A changing lesion is more likely to represent a skin cancer, and therefore would need to be biopsied or completely removed.  Removal of skin cancers is typically done by simple excision or Mohs technique.  The method of excision and reconstruction is highly variable and individualized.  Dr. Scruggs will thoroughly detail the options for removal and reconstruction.

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