Eyelid retraction occurs when the upper eyelid sits too high, or the lower eyelid pulls down too far. The condition can cause several unwanted symptoms, including eye irritation and dryness. It also causes an unnatural appearance that can cause confidence issues. The condition requires treatment to address the functional and aesthetic issues. You may wonder, how do you fix a retracted eyelid? Below, you will find helpful information on treatment for retracted eyelids.
How Do You Fix a Retracted Eyelid?
Addressing retracted eyelids requires several types of intervention. Initially, eye drops, ointment, and bandage contact lenses are the first step. This is helpful in providing ocular lubrication to address dry eyes and irritation. However, retracted eyelid surgery is ultimately necessary to address the root of the problem.
Upper Retracted Eyelid Surgery
The type of treatment depends on whether the issue is with the upper or lower eyelid. Upper eyelid surgery involves removing part of the levator muscle. The levator muscle is responsible for lifting the upper eyelid. This lowers the upper eyelid to a normal position.
Lower Retracted Eyelid Surgery
Lower eyelid surgery involves different techniques. Some cases involve using a posterior approach. This means that the incision is made on the inside of the eyelid to eliminate visible scarring. It also allows for adjustments to the muscles that control the lower eyelid position. Grafts may be used to help reposition the eyelid and add support. The grafts may be synthetic or tissue from the patient’s own body.
Cases with significantly lower eyelid retraction may require a midface cheek lift. This lifts the soft tissues in the cheek to help support the lower eyelid. This is especially helpful for patients who have lost volume in their midface area due to aging or previous surgeries. Canthoplasty, also referred to as the tightening of the lower eyelids, may also be performed. This can reduce unwanted symptoms and improve the appearance of the eyes.
Orbital Decompression Surgery
Some cases may require orbital decompression surgery from an eyelid surgeon. This is done before upper or lower retracted eyelid surgery. It is best for patients with large eyeballs or bulging eyes. Large or bulging eyes can force the lower eye area to fold too low. However, orbital decompression surgery creates more space in the eye socket. This is achieved by removing small amounts of bone or fat from the area. By doing this, it allows the eyeballs to settle back into a more natural position. This allows the eyelid to be repositioned more efficiently during lower retracted eyelid surgery.
Causes of Eyelid Retraction
Eyelid retraction occurs when the upper eyelid is too high, or the lower eyelid is too low. It is noticeable as the retraction exposes more of the eye than normal. The condition has several causes.
Thyroid Eye Disease
Thyroid eye disease is an autoimmune disorder and a common cause of eyelid retraction. It causes inflammation and swelling of eye muscles and surrounding tissues. This leads to bulging eyes, also referred to as proptosis. The lower eyelid is often pulled downward due to scarring and fibrosis. Common symptoms of the condition include eye dryness and irritation.
Aging and Structural Changes
The natural aging process impacts the skin and connective tissues around the eyes. It is common for the area to lose its natural elasticity and support. Fat loss is also common and can weaken the muscles in your eyes. This can lead to the lower eyelid drooping or retracting. More of the lower eye area is exposed, which leads to dryness and irritation. It can also make you look much older than you are.
Trauma
Trauma can damage the area around the eyelids. Prior injuries can damage the tissue surrounding your eyelids. This can lead to fibrosis and tightness that pulls the eyelid downward. If the healing process from an injury or trauma is ineffective, it can cause scarring. This can result in your eyelid being pulled down and exposed. Irritation and dryness can cause discomfort.
Common Symptoms of Eyelid Retraction
Eyelid retraction is often visible as more of the white part of the eye shows. However, there are several other common symptoms of eyelid retraction. If the cause of the condition is thyroid eye disease, eye bulging is common. Some patients also experience issues closing their eyes. Incomplete eye closure is a common symptom that leads to dryness, redness, and irritation. It can also result in light sensitivity. Blurred vision, tearing, light sensitivity, pain, and discomfort are also common. If you experience any symptoms of the condition, it is important to consult with a skilled and experienced eyelid surgeon. They can assess the condition and provide you with a proper diagnosis and treatment plan.
Preparing for Eyelid Retraction Surgery
If you experience any of the symptoms of eyelid retraction, treatment is necessary. Early intervention is key as it can reduce your risk of further issues. The symptoms of eyelid retraction can impact your daily life. They can make work and daily activities difficult. Eyelid retraction can also negatively impact your confidence and self-esteem. To address these issues, you should schedule a consultation with a skilled eyelid surgeon. They can assess your condition and create a customized treatment plan. If eyelid retraction surgery is necessary, as it is in many cases, they will provide you with preoperative instructions.
Eyelid retraction surgery is safe, effective, and seamless. The procedure is done on an outpatient basis. Depending on the complexity of the case, surgery may take one to two hours. Eyelid retraction surgery is performed under general anesthesia or local anesthesia with sedation. This is to ensure your comfort during surgery. Your eyelid surgeon will discuss which option is best for you during the consultation.
The recovery process takes roughly two weeks. You may notice swelling, bruising, and discomfort. This is effectively managed with medication, cold compresses, and rest. Most patients are back to their routine within two weeks. Avoid heavy lifting and strenuous exercise for at least one month. You should also attend all of your follow-up visits to ensure optimal results and a smooth recovery.
Retracted Eyelid Surgery
If you are considering treatment for retracted eyelids, contact the team at Taban MD Oculoplastic Surgery today to schedule your consultation!