Corner Sutures for Entropion

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An entropion is an inwardly turned eyelid. The condition occurs primarily as a result of advancing age with consequent weakening of certain eye muscles. The imbalance between eye muscle groups results in the inward turning of the eyelid. This condition most often affects the lower eyelids, but may affect the upper. Corner suture entropion requires 2-3strategically placed sutures which will evert the eyelid. The procedure can be completed under local anesthesia with little if any discomfort.

Corner Sutures for Entropion Overview - 901

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The Skinny


Average Recovery

2 weeks

Permanence

Temporary

Application

Minor Surgical Procedure

Surgical

Yes

Cost

$500 - $2000

The Specifics


What is a corner sutures for entropion procedure?

A corner sutures for entropion procedure is a minimally invasive minor surgical procedure utilizing strategically placed sutures in the lower eyelid to correct the inward turning (entropion) of the lower lid. Entropion is caused by age related changes to the lower eyelid muscles that cause imbalances leading to an inappropriate inward curling (entropion). This inward curling (entropion) differs from the outward curling seen in an ectropion.

Symptoms of entropion include the eyelashes irritating the eye, corneal ulcers, dry eye requiring artificial tears/eye drops, eye infections, excessive tearing, eye redness, and crusting.

The Anatomy of the Eye

Eye Anatomy Close-Up Photo

The strategic placement of sutures is designed to cause adhesions (thick scar tissue) to form between the orbicularis muscle and lower lid retractors. This will tighten the lower lid retractors, rotate the lower eyelid margin anteriorly (forward), and induce fibrotic adhesions for sustained results.

What cosmetic concerns does a corner sutures for entropion procedure treat?

  1. Sagging & Hooded Eyelids: By strengthening the connection between the orbicularis and the lower lid retractors, corner sutures for entropion can rejuvenate and restore the lower lid appearance.
  2. Aging & Tired Eyes: A corner sutures for entropion procedure will correct an entropion (inward curling of the eyelid) and restore the eyelid margin.

Who is the ideal candidate for a corner sutures for entropion procedure?

The ideal candidate for corner sutures for entropion has acute entropion, spastic entropion, or early involutional entropion. Corner sutures for entropion is not recommended for those with severe entropion or those looking for a more permanent and significant repair.

What is the average recovery associated with a corner sutures for entropion procedure?

Most acute bruising, swelling, and tenderness around the lower eyelids resolves within one to two weeks. The use of cold compresses and sleeping with an elevated head of bed can help to further reduce swelling. Contact lenses should not be used for three to four weeks, and physical activity is restricted for two weeks. Most patients feel comfortable being in public after two weeks.

What are the potential side effects of a corner sutures for entropion procedure?

Possible side effects of a corner sutures for entropion procedure include blurred vision, double vision, corneal abrasion, bleeding, infection, asymmetry of the lid margin, overcorrection of the entropion, eyelid lumps, and possible need for revision surgery.

What can someone expect from the results of a Corner Sutures for Entropion procedure?

The result of a corner sutures for entropion procedure is an immediately noticeable correction of the inward turning appearance (entropion) of the lower eyelid. The results of the corner sutures for entropion procedure will be subject to natural changes from aging over time.

What is the average cost of a corner sutures for entropion procedure?

A corner sutures for entropion plastic surgery procedure can cost anywhere from $500 to $2,000. The actual cost of a corner sutures for entropion is dependent upon location, plastic surgeon, and length and involvement of the plastic surgery.

thumbs-upPros

  • Quick Procedure
  • Simple Procedure
  • Immediate Results

thumbs-downCons

  • High Chance Of Reoccurrence
  • Asymmetry
  • Overcorrection
  • Under Correction

Invasiveness Score

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Invasiveness is graded based on factors such as anesthesia practices, incisions, and recovery notes common to this procedure.

The Takeaway


A corner sutures for entropion surgical procedure is a minimally invasive way to correct an entropion (inward curling of the lower eyelids) to reduce the symptoms of entropion and improve facial aesthetic.

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Source List

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  1. Dailey RA, Wobig JL. Eyelid Anatomy PubMed; 1982-12-01
  2. Harry S Hwang The effect of "single" vs "double" eyelids on the perceived attractiveness of Chinese women PubMed.gov; 2014-03-03
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