Can Ectropion heal on its own? This was my third surgery. First procedure was bleph, then cyst, then scar tissue (Photo)

Question

oculoplastic said he can remove the cyst under local anesthesia but had to abort because I felt every jab.excess scar tissue developed. Cyst is gone though. My TT PS said he can remove the scar tissue. BUT the end result ended in ectropion. The PS said he guarantees it will heal with cortisone over time. Can it heal on its own and does anyone thing it can ever be corrected? If so on its own or surgery. I need a good surgeon to correct . I am feeling hopeless!

Thomas Fiala, MD, FACS, FRCSC · Answer

Hi.  It looks like you have some mild lid retraction, rather than a true ectropion, which would be more severe.It should resolve over a couple of months, if you are diligent about lower lid massages and taping.  Have your PS show you how to do this properly.

Chad C. Zatezalo, MD · Answer

This looks more like eyelid retraction post surgery. I avoid steroids in this location but there are plenty of anti-scarring medicines that can be injected into this area. There are also nonsurgical procedures that can be performed to correct this problem. Severe cases do need surgical intervention. Good luck!

James R. Gordon, MD, FACS, FAAO · Answer

Ectropion may resolve with massage and taping the eyelid upwards for a few weeks. If this is not successful, an oculoplastic surgeon with experience in treating complications can surgically correct your problem. Good luck.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your picture. I'm so sorry to hear about your issues. Ectropion can be treated early with steroid injections and tissue massage. If after three months this has not resolved the issue in surgery should be considered for correction. There are many methods for surgical correction based on the diagnosed reason the ectropion.

Mohammed Alghoul, MD · Answer

I can't tell from the photo you provided the magnitude of the problem. Have some one take a straight photo of your eyes because selfies tend to be angled and distorted. You probably have a mild degree of lid retraction which is milder than an ectropion. My advice is to massage this area upward and support the lid with adhesive tape or steristrips until the scar tissue softens. In addition to steroids there are other injections that can be performed to soften the scar tissue as well. Surgery is indicated when the lid does't go back to it's normal position especially when it starts causing tearing and dry eyes. I won't rush into surgical correction right away.

Geoffrey Kwitko, MD, FACS · Answer

ectropions  are either due to dehiscence of the lateral canthal tendon, scarring of the lid or removal of too much skin after blepharoplasty. All are repairable but require additional surgery.  Give your lids a few months to heal and if no improvement consult an Oculoplastic surgeon.

Darryl J. Blinski, MD · Answer

Really hard to advise since no series of posted photos, no time frame listed. Also the ONE posted photo demonstrates a very minor ectropion????

Ira Vidor, MD · Answer

Hi. I'm sorry you have to go through all of this. Due to the angle of your photos, it is difficult to tell if you have an ectropion or are developing eyelid retraction. Tissues tend to relax as they heal, so it is possible that conservative measures alone may resolve things. Steroid injections can help speed up this process. As far a surgical correction, it is usually best to wait at least 4-6 months (sometimes longer) after the last procedure before considering a surgical revision because things may settle down on their own. Both ectropion and eyelid retraction can be treated surgically (although lid retraction repair requires a higher level of skill). You really need an in person examination to determine what your best options are. I would schedule a consultation with an oculoplastic surgeon that has experience with revision eyelid surgery. Hope this helps. Best regards, Ira Vidor, M.D.

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