Lacrimal gland prolapse: What kind of surgery am I going to need to correct this. (Photo)

It is a small incision procedure which can be done under local anesthesia. Using the natural upper eyelid crease, the surgeon can "tuck in" the prolapsed lacrimal gland with quick recovery.

An incision is made in the lid crease in this area. The gland is identified and freed up from any surrounding tissue.  It is then sutured up under the bone so it is not visible, and is back where it belongs.  This can be done on its' own or at the same time as a blepharoplasty. 

Hi.  Good news - this can easily be fixed during an upper blepharoplasty, by suturing the gland back into its correct position.

Hi,Thank you for including a photograph. During an upper eyelid blepharoplasty, the lacrimal gland can be exposed and resuspended to its correct anatomical position without much difficulty. Best,Mehdi Sina, MD

I'm an oculofacial plastic surgeon, and it does appear to be your lacrimal gland has herniated downward.  There are other concerns for this area, but on the picture that is what it appears to be.  An in person consult would be ideal to palpate the area to be sure.  The lacrimal gland can be repositioned upward with sutures through an eyelid or blepharoplasty-type incision.  It can be prone to drop again, but it usually will do well.  This can be done in the office operating room setting.  Best regards.