Eyelid Malfunction

When the lower eyelid and eyelashes turn towards the eye, it’s called “entropian.” The eyelashes and skin of the eyelid rub against the cornea, the front part of the eye, and conjunctiva, the mucous membrane that protects the eye. This rubbing can lead to excessive tearing, crusting of the eyelid, mucous discharge, irritation of the cornea, impaired vision, and a feeling that something is in the eye.

Entropion Ectropion eyelid“Ectropion” is the general term to describe sagging and outward turning of the lower eyelid and eyelashes. This rubbing can lead to excessive tearing, crusting of the eyelid, mucous discharge and irritation of the eye. During blinking, the eyelids normally sweep across the surface of the cornea. Tearing occurs because the eyelids are not able to wipe the surface of the cornea properly to pump the tears into the tear duct.

Michael Neimkin, M.D., at the Ophthalmic Plastic and Cosmetic Surgery Center in Atlanta, GA, offers a number of solutions to these problems. Most cases of entropion and ectropion eyelids are related to the process of aging. Only the lower eyelid is usually affected.

Surgery Basics

The operation is usually performed under local anesthetic, and it usually takes 30 minutes to an hour depending on whether the operation involves both eyes. Dr. Neimkin may need to remove a small section of the eyelid where the tissues have slackened most. If the problem is caused by tight skin or scar tissue, he may need to use a skin graft. The eyelid should be in a better position post-surgery and symptoms should improve.

Dr. Neimkin will discuss post-op care and follow-up. His staff is always available during business hours to answer questions about your procedure.

Aftercare and Recovery

This outpatient surgery allows you to recuperate at home with reminders from Dr. Neimkin:

  • Avoid getting eyelids wet
  • Avoid strenuous exercise or bending down until the stitches are removed
  • Not wear eye makeup or drink alcohol for a few weeks and try to keep their face out of the sun

Alternatives to Surgery

Artificial tears and ointments can be used to protect the surface of the eye as well as a special soft contact lens to wear. With entropion, Dr. Neimkin may recommend using tape to prevent the eyelashes from rubbing against the eye, injecting Botox into the muscle that turns the eyelid inwards, or using stitches to prevent the eyelid from turning in.

The results of an entropion or ectropion repair last for a long time. However, aging causes the skin and soft tissues of eyelids to slacken and the problem may return.

Each patient is unique; results may vary.


To schedule a consultation with Dr. Michael Neimkin please call 404-946-3280 at the Ophthalmic Plastic and Cosmetic Surgery Center in Atlanta, GA. Dr. Neimkin and his staff take pride in only offering patients the highest level of care in a family-like environment. Our office serves patients in the metro Atlanta, GA area. We look forward to seeing you soon.

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