Eyelid tightening procedures correct laxity of the upper or, more commonly, lower eyelids to improve position and contact with the eye. They treat eyelid malpositions such as ectropion or entropion and can enhance cosmetic appearance.
Techniques
Common methods include lateral tarsal strip, canthopexy, plication of lid retractors, and skin-muscle tightening. Choice depends on whether laxity is horizontal, vertical, or related to scarring.
- Restores proper lid apposition, reducing watering, irritation, or inward‑turning lashes
- Often combined with removal of redundant skin or correction of underlying causes
- Procedures are usually done under local anaesthetic with sedation
- Precise tension adjustment is crucial to avoid over‑tightening
Recovery
Bruising, swelling, and temporary tight sensation are typical. Most patients resume normal activities within 1-2 weeks.
- Lubricants protect the cornea while lids settle
- Follow‑up ensures satisfactory closure, symmetry, and absence of recurrence
- Sutures may be removed after about a week depending on technique
- Good outcomes significantly improve comfort and ocular surface health
