Dr. Kahana offers a customized approach to various eyelid surgeries. Please continue reading below to learn more about the eyelid surgery options available to you.

Droopy Upper Eyelids

Droopy eyelids can make it difficult to keep your eyes open, giving you a sleepy appearance and potentially interfering with vision. There are three main causes of droopy upper eyelids: (1) weakness of the levator muscle that opens the eyelid, known as ptosis, (2) excess upper eyelid skin, known as dermatochalasis, and (3) mechanical brow drooping.

A customized approach to droopy upper eyelids requires a complete eye exam, including assessment of eyelid muscle function as well as skin height and brow position. The goals of treatment depend on whether your primary concern is functional (i.e. vision is affected) or cosmetic.

Dr. Kahana offers the following surgeries to repair droopy upper eyelids:

  • Upper eyelid blepharoplasty
  • Brow lift – direct or indirect approach
  • Ptosis repair (levator muscle repair) – internal or external approach

This patient presented with bilateral upper eyelid ptosis. She underwent small incision external levator muscle repair. Post op is 2 months.

This patient presented with left upper eyelid ptosis and a history of trauma. She underwent left upper eyelid external levator muscle repair. Post op is at 3 weeks.

Blepharoplasty Video

Ptosis Repair Video

Eyelid Malpositions

When the eyelids are not well opposed to the globe or are too wide open, this can lead to ocular irritation, tearing, and blurry vision. Due to a variety of causes, including previous eyelid surgery, eyelid laxity or other abnormalities, the eyelids may turn inward (entropion) or outward (ectropion). The eyelids can also become very loose, causing them to not function properly, and require tightening. Additionally, the upper or lower eyelids can become retracted due to different factors such as in the case of thyroid eye disease. A thorough exam and history will help tailor the surgical approach to your eyelid malposition for best results.

Kahana Oculoplastic & Orbital Surgery performs a variety of surgeries to correct eyelid malposition including:

  • Ectropion Repair
  • Entropion Repair
  • Eyelid Laxity or Floppy Eyelid Repair
  • Upper Eyelid Retraction Repair (Blepharotomy)
  • Lower Eyelid Retraction Repair

Entropion Repair

This patient presented with left lower eyelid entropion, causing the lashes to rub the cornea. He underwent entropion repair surgery. Post op is 2 weeks.

Eyelid Retraction Repair

This patient presented with thyroid eye disease and left upper eyelid retraction. She underwent left upper eyelid retraction repair via a posterior approach (no skin incision). Post op is at 6 months.

Entropion/Ectropion Repair Video

Eyelid Lesions & Cancers

Eyelid skin is prone to developing lesions, growths and bumps. Some are benign, some infectious and others may be malignant (i.e. cancer). The first step in evaluating an eyelid lesion is a careful clinical exam. If warranted, a biopsy can be performed. If the lesion is malignant, then a complete excision for clear margin is required for a cure. Oculoplastic surgeons are particularly adept at reconstructing the eyelids and surrounding structures. If you have a concerning lesion, do not hesitate to make an appointment for an evaluation and possible biopsy.
The following procedures are available for eyelid lesions & cancers:

  • Eyelid Lesion Excision or Biopsy
  • Chalazion Incision and Curettage
  • Eyelid Reconstruction After Mohs Micrographic Surgery for Skin Cancer