Restore comfort, protect your vision, and improve your eyelid function with expert treatment for ectropion and entropion. These can cause constant tearing, irritation, redness, lash scratching, and even corneal damage. As a dual-fellowship trained oculofacial plastic surgeon, Dr. David Isaacs offers advanced, minimally invasive solutions tailored to your unique anatomy for safer, more natural, and lasting results.
Protect Your Eyes From
Damage and Dryness
Ectropion and entropion are eyelid malpositions that interfere with eye function and appearance. Ectropion occurs when the eyelid turns outward, leaving the eye exposed and prone to dryness, irritation, and tearing. Entropion is the opposite (the eyelid turns inward), causing the lashes to rub against the eye and risk corneal injury. These conditions are commonly caused by aging, scarring, facial nerve weakness, prior surgeries, trauma, or congenital factors.
Treatment for ectropion and entropion focuses on restoring the eyelid to its proper position against the eye. Dr. Isaacs uses customized, minimally invasive surgical techniques, often under local anesthesia, to tighten loose eyelid structures, release scar tissue, or add support using skin or tissue grafts. In complex cases, he may use grafts from behind the ear or even the hard palate to restore natural contour.
Treatments for Ectropion & Entropion Help Treat:
- Constant tearing or watery eyes
- Eye irritation and redness
- Eyelashes rubbing against the eye
- Exposure-related dryness or discomfort
- Risk of corneal damage or scarring
- Eyelid drooping or turning outward
- Eyelid rolling inward toward the eye
- Vision disturbances from eyelid malposition
Dr. Isaacs’ Approach to Ectropion &
Entropion Treatment
Dr. David Isaacs takes a highly specialized, minimally invasive approach to correcting eyelid malposition. He customizes each treatment based on the underlying cause, whether it’s aging, scarring, surgery, facial nerve weakness, or congenital anatomy. He aims to restore normal eyelid function while preserving the eye’s natural contour and avoiding visible scarring. Each procedure is performed under local anesthesia, often with twilight sedation.
Ectropion Treatment
During ectropion treatment, Dr. Isaacs typically tightens the lower eyelid and repositions the tendon to bring the eyelid back against the eye. In cases of cicatricial (scar-related) ectropion, he may need to add skin using grafts taken from behind the ear, the upper eyelid, or above the collarbone. He may even incorporate advanced procedures, such as a midface lift or a switch flap technique, to restore function and aesthetic balance. These help avoid complications like phimosis (a smaller-looking eye) while delivering natural-looking results.
Entropion Treatment
Entropion repair focuses on rotating the eyelid margin outward to prevent the lashes from rubbing against the eye. Dr. Isaacs often reinforces or repositions the eyelid’s internal support structures and may use techniques like the Quickert procedure, which temporarily everts the eyelid using sutures. In more advanced or recurrent cases, he may utilize grafts from the hard palate to stabilize the eyelid. When appropriate, he may also offer non-surgical options, such as Botox injections or eyelid taping, as a bridge to definitive surgery.
Schedule Your Consultation
David Isaacs, MD, is a dual-fellowship trained oculofacial plastic surgeon with fellowship training in eyelid reconstruction. Known for his meticulous, minimally invasive techniques, he customizes each ectropion and entropion treatment to restore both form and function with natural-looking results. Dr. Isaacs spends extensive time with each patient to understand their concerns and design the safest surgical plan. If you’re experiencing eyelid misalignment, schedule your consultation for ectropion and entropion treatment in Beverly Hills today.
