Medical Eyelid Surgery

Older woman looks at winkles in mirror

No one has perfectly symmetrical eyes. Often one eyelid lies a bit lower than the other or has some mark like a freckle that makes it appear different. That’s normal and nothing to be concerned about. However, there are eyelid issues that can impair vision and cause ocular problems that need to be checked out by a doctor and potentially repaired through surgery. Our team at EyeHealth Northwest can examine your eye, offer a diagnosis, and repair the problem for any of the following issues:

Ptosis | Droopy Upper Eyelids

Some people have naturally drooping eyelids, a condition called ptosis. This drooping may hardly be noticeable, or it may be so severe that the eyelids begin to obstruct a person’s vision becoming inconvenient and uncomfortable.

The condition does not usually go away on its own and requires treatment by an eye surgeon to restore the eyelids to their normal position.

Eyelid Malposition | Entropion | Ectropion

Eyelid malposition is the abnormal positioning of the eyelids. The disorder is relatively common in aging patients but is something that should and can be repaired through surgery. A surgeon can reposition or anatomically and functionally reconstruct the eyelid.

There are two types of eyelid malposition:

  • Entropion is the inward turning of the eyelid, causing the eyelashes to brush against the cornea. Patients complain of eye pain, excessive tearing, redness, and irritation caused from the rubbing lashes. Left untreated, entropion could lead to permanent damage to the cornea and some vision loss.
  • Ectropion is the outward turning of the lower eyelid. As the lid sags away, the eye is exposed, and patients experience dryness and excessive tearing.

Eyelid Lesions and Skin Cancer

According to the American Cancer Association, skin cancer in America is considered a growing epidemic. Excessive sun exposure is the main culprit, but skin tone, genetics, smoking, and age are also contributors.

Any new eyelid lesion should be examined by a doctor.  While they are often benign, there are several types of skin cancers that appear around the eyelids and a lesion could be the first sign. An ophthalmologist can provide an accurate diagnosis based on a patient’s history and a clinical examination and be able to diagnose with a vision screening, but sometimes a biopsy may be required.

Protecting your eyes and skin from sun damage is the best way to prevent these problems.

Unblocking Tear Ducts

A doctor will analyze your symptoms and irrigate the affected duct to determine the degree of blockage. A warm compress and antibiotics may temporarily alleviate some of your symptoms however surgical intervention is typically the most effective permanent treatment. One of the most common surgical solutions is dacryocystorhinostomy (DCR). This procedure can be done externally or endoscopically without a need for a skin incision, thus avoiding the formation of a visible scar. Your doctor will create a new passageway and temporarily insert a Crawford tube to facilitate the flow of tears from the eyes to the nose. The Crawford tube will be removed in the office approximately 3 months after your surgery.

Eyelid Treatments

If you have been diagnosed with a condition impacting your eyelids, EyeHealth Northwest can help.  Dr. Prashanth Vallabhanath, Dr. Francisco CastilloDr. Bryce Radmall, and Dr. Coleen Palileo are comprehensive ophthalmologists and fellowship-trained oculofacial plastic and reconstructive surgeons, who specialize in medical and cosmetic eyelid surgeries. These surgeries are offered to repair the damage and have you seeing clearly again:

Eyelid Reconstruction

While eyelid reconstruction is commonly needed after cancer treatments, it is also used for eyelid trauma and for conditions such as entropion or ectropion. Eyelid reconstruction can be used to maintain eyelid function and preserve vision. While there are differences in how complex the reconstruction is, the end result will be an aesthetically natural appearance.

Skin Cancer Removal

The most effective way to treat cancer on the eyelid is to completely remove it through surgical excision and then restore the natural appearance through eyelid reconstruction. Skin cancers that occur around the eyes must be handled delicately, but the required surgery is often performed on an outpatient basis with local anesthesia.

Unblocking Tear Ducts

A doctor will analyze your symptoms and irrigate the affected duct to determine the degree of blockage. A warm compress and antibiotics may relieve the blockage but surgical intervention is the most effective treatment. The most common surgical solution is dacryocystorhinostomy (DCR). A small incision is made on the side of the nose and some bone is removed to make space for a Jones or Crawford Tube that provides a new connection between the eye and nose to facilitate the flow of tears.

Call us to schedule a consultation at (503) 557-2020. Or request a consultation online.


Before & After

Lid Lesions

Entropion

Ectropion

We Are Here For You
The safety of our patients, team members and our community is the highest priority at EyeHealth Northwest. Learn more about measures we are taking to keep you safe and what to expect during your visit.
learn more
Schedule an Appointment
Patient Portal
Pay Bill
contact us
Review Us

Our Locations

Aloha (OES)
18345 SW Alexander St,
Suite A
Aloha, OR 97003
(503) 642-2505 see more
Gresham
24601 SE Stark St.
Suite 245
Troutdale, OR 97060
(503) 255-2291 see more
Hillsboro
6111 NE Cornell Rd
Hillsboro, OR 97124
(503) 846-9400 see more
Lake Oswego (OES)
9 Monroe Parkway, Suite 160
Lake Oswego, OR 97035
(503) 636-2551 see more
Milwaukie
11086 SE Oak St
Milwaukie, OR 97222
(503) 656-4221 see more
Mt. Tabor
5935 SE Division St.
Portland, OR 97206
503 777-5546 see more
Newberg (OES)
2318 Portland Rd, Suite 300
Newberg, OR 97132
(503) 538-1341 see more
North Portland
3246 N. Lombard
Portland, OR 97217
(503) 285-1671 see more
Northwest Portland
1955 NW Northrup St
Portland, OR 97209
(503) 227-2020 see more
Oregon City
1306 Division St
Oregon City, OR 97045
(503) 656-4221 see more
Peterkort
9555 SW Barnes Rd.
#201 (2nd floor)
Portland, OR 97225
(503) 227-2020 see more
Providence
5050 NE Hoyt St., #245
Portland, OR 97213
(503) 255-2291 see more
Providence Portland (OES)
5050 NE Hoyt St., Suite 445
Portland, OR 97213
(503) 231-0166 see more
Providence St. Vincent (OES)
9135 SW Barnes Rd., Suite 961
Portland, OR 97225
(503) 292-0848 see more
Southeast Portland
10819 SE Stark St,
Portland, OR 97216
(503) 255-2291 see more
Sunnyside
12050 SE Stevens Rd, Suite 100
Happy Valley, OR 97086
(503) 783-3300 see more
Tigard
15298 SW Royalty Parkway
Tigard OR 97224
(503) 227-2020 see more
Wilsonville
29250 SW Town Center Loop W
Wilsonville, OR 97070
(503) 582-0000 see more
Westside Surgery Center
13240 SW Pacific Hwy
Portland, OR 97223
(503) 639-6571 see more
EyeHealth Eastside Surgery and Laser Center
12050 SE Stevens Rd.
Happy Valley, OR 97086
(971) 206-6100 see more

Our Locations

Aloha (OES)
18345 SW Alexander St,
Suite A
Aloha, OR 97003
(503) 642-2505 see more
Gresham
24601 SE Stark St.
Suite 245
Troutdale, OR 97060
(503) 255-2291 see more
Hillsboro
6111 NE Cornell Rd
Hillsboro, OR 97124
(503) 846-9400 see more
Lake Oswego (OES)
9 Monroe Parkway, Suite 160
Lake Oswego, OR 97035
(503) 636-2551 see more
Milwaukie
11086 SE Oak St
Milwaukie, OR 97222
(503) 656-4221 see more
Mt. Tabor
5935 SE Division St.
Portland, OR 97206
503 777-5546 see more
Newberg (OES)
2318 Portland Rd, Suite 300
Newberg, OR 97132
(503) 538-1341 see more
North Portland
3246 N. Lombard
Portland, OR 97217
(503) 285-1671 see more
Northwest Portland
1955 NW Northrup St
Portland, OR 97209
(503) 227-2020 see more
Oregon City
1306 Division St
Oregon City, OR 97045
(503) 656-4221 see more
Peterkort
9555 SW Barnes Rd.
#201 (2nd floor)
Portland, OR 97225
(503) 227-2020 see more
Providence
5050 NE Hoyt St., #245
Portland, OR 97213
(503) 255-2291 see more
Providence Portland (OES)
5050 NE Hoyt St., Suite 445
Portland, OR 97213
(503) 231-0166 see more
Providence St. Vincent (OES)
9135 SW Barnes Rd., Suite 961
Portland, OR 97225
(503) 292-0848 see more
Southeast Portland
10819 SE Stark St,
Portland, OR 97216
(503) 255-2291 see more
Sunnyside
12050 SE Stevens Rd, Suite 100
Happy Valley, OR 97086
(503) 783-3300 see more
Tigard
15298 SW Royalty Parkway
Tigard OR 97224
(503) 227-2020 see more
Wilsonville
29250 SW Town Center Loop W
Wilsonville, OR 97070
(503) 582-0000 see more
Surgery Centers

Westside Surgery Center

13240 SW Pacific Hwy
Portland, OR 97223
(503) 639-6571 see more

EyeHealth Eastside Surgery and Laser Center

12050 SE Stevens Rd.
Happy Valley, OR 97086
(971) 206-6100 see more