Ectropion Repair in NYC

Restore Eye Comfort and Lower Eyelid Function

Ectropion repair is a surgical procedure designed to correct an outward-turning lower eyelid, a condition known as ectropion. When the lower eyelid sags or pulls away from the eye, it exposes the delicate inner surface of the eyelid to the elements. This can lead to discomfort, excessive tearing, dryness, chronic irritation, and an increased risk of corneal damage or infection. Left untreated, ectropion can progress and severely impact both vision and quality of life.

Dr. Robert Schwarcz, a double board-certified oculofacial plastic surgeon in New York City, specializes in restoring proper eyelid positioning using advanced, minimally invasive techniques. With more than 20 years of experience, he performs all ectropion repair procedures in our Upper East Side Manhattan office’s private, JCAHO-certified surgical suite. Consultations and follow-ups are available in both our Manhattan and Rye, NY offices, offering patients expert care in a discreet, comfortable setting.

What Is Ectropion and What Causes It?

Ectropion is a condition where the lower eyelid rotates outward, causing the inner eyelid to be exposed. This improper alignment prevents the eyelid from properly covering and protecting the surface of the eye, leading to a host of uncomfortable symptoms.

Common causes of ectropion include:

• Aging: The most frequent cause, as muscles and connective tissue around the eye weaken over time

• Facial nerve paralysis: Such as Bell’s palsy, which disrupts normal muscle function

• Trauma or scarring: Past injuries or surgeries may alter the natural position of the eyelid

• Congenital factors: Some individuals are born with eyelid malposition

If left untreated, ectropion can result in chronic tearing, eye infections, corneal abrasions, and even vision loss.

Symptoms of Ectropion

Ectropion often presents with noticeable and bothersome symptoms, including:

• Chronic tearing (epiphora)

• Redness and irritation

• Dryness and sensitivity to light or wind

• Gritty or foreign body sensation

• Visible sagging of the lower eyelid

• Risk of corneal damage due to prolonged exposure

Prompt evaluation and surgical correction are essential to preserving ocular health and restoring comfort.

Who Is a Candidate for Ectropion Repair Surgery?

You may be a strong candidate for ectropion repair in NYC if you:

• Have lower eyelids that sag outward, exposing the inner eye

• Experience persistent tearing, eye irritation, or dryness

• Have a history of trauma, facial nerve weakness, or age-related muscle laxity

• Are in good overall health and understand the surgical recovery process

Dr. Schwarcz will assess your medical history, symptoms, and eyelid anatomy to determine if ectropion repair is the appropriate course of treatment.

When Ectropion Surgery Might Not Be Recommended

While ectropion repair is safe and effective for most people, it may not be ideal for:

• Individuals with active eye infections or uncontrolled inflammation

• Patients prone to keloid formation or poor wound healing

• People with unmanaged chronic health conditions (e.g., uncontrolled diabetes)

• Those with unrealistic expectations about surgical results

These considerations will be discussed during your consultation with Dr. Schwarcz.

How to Prepare for Ectropion Repair in NYC

Proper preparation plays a major role in your surgical outcome and recovery experience. Dr. Schwarcz will provide a detailed, personalized pre-operative plan, which may include:

• Scheduling: Plan surgery at least 3–4 months before major life events

• Downtime: Take 1–2 weeks off for initial recovery

• Lifestyle: Stop smoking and reduce alcohol intake to support wound healing

• Medications: Discontinue blood thinners, aspirin, and supplements like vitamin E two weeks prior

• Support: Arrange for a ride home and post-operative help for the first day or two

Adhering to pre-op guidelines will help minimize risks and support a smooth recovery.

What Happens During Ectropion Repair Surgery?

Ectropion surgery is performed under local anesthesia with sedation or general anesthesia, depending on your specific case and comfort level. The procedure usually lasts 1 to 2 hours and is conducted in our state-of-the-art surgical suite in Manhattan.

Here’s what you can expect:

• Before surgery: Dr. Schwarcz will mark the surgical area and review your customized plan

• During surgery: Small incisions are made near the outer eye or along the lower eyelid. The eyelid is then tightened, repositioned, and, if needed, supported with internal sutures or tissue adjustments

• After surgery: You’ll rest briefly in our recovery area before going home with thorough aftercare instructions

Dr. Schwarcz’s surgical precision ensures a restored, natural-looking eyelid that blends seamlessly with your facial features.

Recovery After Ectropion Surgery: What to Expect

Healing after ectropion repair is relatively easy and involves minimal discomfort. Most patients report significant improvement in symptoms within days.

Here’s a general timeline:

• Days 1–3: Swelling, bruising, and mild irritation may occur. Cold compresses and prescribed medications can help alleviate symptoms. Eye drops or ointments may be used to prevent infection or dryness

• Week 1–2: Most patients feel comfortable resuming light activities after 7–10 days. Stitches, if necessary, are typically removed within this window

• Month 2–3: The eyelid fully heals, with subtle refinements continuing over time

You’ll receive clear recovery instructions and ongoing support from our experienced team throughout the process.

Long-Lasting Results from Ectropion Repair

The results of ectropion repair are both functional and cosmetic. The procedure:

• Protects the eye from exposure

• Eliminates or reduces chronic tearing and irritation

• Restores a more youthful and natural eyelid position

• Improves facial symmetry and confidence

When paired with proper follow-up and long-term eyelid care, the results can last for many years.

Complementary Procedures to Enhance Your Results

For patients seeking more comprehensive rejuvenation, ectropion repair can be combined with the following:

• Lower Blepharoplasty: Smooth under-eye puffiness and tighten loose skin

• Facial Fat Transfer: Replenish lost volume in the cheeks and under-eye hollows

• CO2 Laser Resurfacing: Improve skin tone, texture, and fine lines around the eyes

These procedures can further enhance yOur appearance and complement the functional benefits of your eyelid surgery.

Non-Surgical Skin Tightening with Morpheus8

While Morpheus8 cannot reposition the eyelid, it can improve the skin’s firmness and texture around the eye area.

What is Morpheus8?

Morpheus8 is a non-invasive treatment that combines microneedling and radiofrequency energy to stimulate collagen production. It can reduce fine lines and tighten mild skin laxity, making it an excellent addition to your overall facial rejuvenation plan. However, for true correction of ectropion, surgery remains the most reliable and effective solution.

Why Choose Dr. Robert Schwarcz for Ectropion Repair in NYC?

Dr. Robert Schwarcz is one of NYC’s most trusted names in oculofacial plastic surgery. With over two decades of surgical experience and a reputation for achieving natural-looking, highly functional results, he approaches each patient with precision, care, and artistry.

All procedures are performed in our private surgical suite on the Upper East Side of Manhattan, and consultations are also available in Rye, NY. When you choose Dr. Schwarcz, you’re choosing expert care tailored to your needs and delivered with a commitment to excellence.

Ready to restore your eyelid function and protect your vision? Click the Request an Appointment button below to schedule your consultation and take the first step toward healthier, more comfortable eyes.