When the eyelids no longer rest in their normal position against the eye, it can lead to irritation, tearing, redness, or even damage to the surface of the eye. These conditions are known as eyelid malpositions, and the most common forms are ectropion and entropion.
At her oculoplastic surgery practice in Irvine, Dr. Melanie Ho Erb provides expert diagnosis and surgical correction for ectropion and entropion to restore eyelid function and protect long-term eye health. As a double board-certified oculofacial plastic surgeon, she treats patients across Orange County and Los Angeles with skill, compassion, and precision.
Dr. Melanie Erb is a fantastic physician. Dr. Erb’s thoroughness is outstanding as she meticulously attended to every detail in my situation. I felt that she left no stone unturned in discovering the best plan of action that completely met my objectives. I trust Dr. Erb, and had an all-around positive experience. I will be referring friends and family to her.
Understanding Ectropion and Entropion
Ectropion (Outward-Turning Eyelid)
- Occurs when the lower eyelid turns away from the eye
- Often caused by aging, facial nerve weakness, scarring, or trauma
- Can lead to dryness, redness, tearing, and exposure of the eye surface
- May cause the eye to feel irritated, gritty, or constantly watery
Entropion (Inward-Turning Eyelid)
- Occurs when the eyelid turns inward toward the eye
- Causes the eyelashes to rub against the eye
- Leads to pain, redness, tearing, and risk of corneal abrasion
- Often worsens with age or after eye surgeries or inflammation
While both conditions are more common in the lower eyelid, they can occur in the upper lid as well and should be evaluated by an oculoplastic specialist.
Treatment Options for Eyelid Malposition
If left untreated, both ectropion and entropion can lead to chronic irritation, recurrent infections, and even vision loss from corneal damage. Fortunately, most cases can be corrected surgically with excellent results.
Surgical Correction Techniques
Dr. Erb customizes the approach based on the cause and severity:
- Tightening of the eyelid (lateral tarsal strip)
- Repositioning of eyelid tendons or muscles
- Skin grafts in cases of scar-related ectropion
- Rotational flaps for complex reconstructions
Surgery is typically performed in-office or in a surgery center, depending on your individual needs.
What to Expect from Your Procedure
- Outpatient surgery: With local anesthesia and optional sedation
- Procedure time: Typically under one hour
- Recovery: Swelling and bruising for 2 weeks
- Sutures: Usually removed in 1 week
- Results: Immediate improvement in eyelid position and symptom relief
- Follow-up care: With Dr. Erb to ensure optimal healing and comfort
Frequently Asked Questions About Ectropion & Entropion
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No. Ectropion and entropion usually worsen over time. Surgery is the most effective and long-term solution.
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Left untreated, eyelid malposition can lead to chronic tearing, irritation, corneal damage, and even vision loss.
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Most patients report minimal discomfort. Local anesthesia keeps you comfortable, and post-op recovery is typically smooth and manageable.
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Yes. Dr. Erb’s technique emphasizes both function and aesthetics, ensuring your eyelid looks and feels normal after healing.
Why Patients Trust Dr. Erb for Eyelid Malposition Repair
- Fellowship-trained in oculoplastic and reconstructive eyelid surgery
- Over two decades of experience treating ectropion, entropion, and eyelid trauma
- Special attention to symmetry, function, and natural eyelid contour
- Gentle, honest approach to patient education and care
- Thousands of eyelid procedures performed with long-lasting results
Dr. Erb’s goal is to restore healthy eyelid positioning while preserving the eye’s protection, comfort, and appearance.
Meet Dr. ErbRestore Comfort with Eyelid Malposition Surgery in Irvine
If your eyelid is turning inward or outward, it’s more than a cosmetic issue–it’s a health concern. Dr. Melanie Ho Erb offers skilled, compassionate care for ectropion and entropion, helping patients throughout Irvine, Orange County, and Los Angeles find relief and long-term protection for their eyes.
Schedule a consultation today to learn how surgical eyelid correction can restore your comfort, vision, and quality of life.
Medically reviewed by Melanie Ho Erb, M.D. on