Persistent eye irritation and tearing can often be traced to entropion, a condition that causes the eyelid to turn inward. This constant discomfort can make it difficult to focus, sleep, drive, or enjoy everyday activities. While ointments and drops may provide short-term relief, they cannot address the underlying structural issue causing the irritation. Left untreated, entropion can progress, placing the surface of the eye at risk for further complications.
Looking for a Board-Certified Tampa eyelid surgeon? At The Mack Cosmetic Center in Tampa, Dr. William P. Mack offers a lasting solution. As a board-certified oculoplastic surgeon with extensive experience in eyelid procedures, Dr. Mack focuses on restoring eyelid function while protecting the delicate structures of the eye. Through personalized surgical care and a quick outpatient recovery, patients regain lasting relief and renewed confidence.
What Is Entropion?
Entropion is a condition where the edge of the eyelid rolls in, and the eyelashes and the skin rub directly against the cornea. It is most commonly seen in the lower eyelids. Typically, patients are referred by their ophthalmologist or optometrist for surgical repair of entropion because the symptoms can be mistaken for those of other eye surface disorders.
Types of Entropion
Not all cases of entropion are the same. Understanding the underlying cause helps Dr. Mack determine the most effective surgical approach for lasting results. The main types include:
Involutional (Age-Related) Entropion
This is the most common form and occurs as part of the natural aging process. Over time, the eyelid muscles and supporting tendons can loosen, allowing the lid to turn inward and the lashes to rub against the eye.
Cicatricial Entropion
This type develops when scarring on the inner surface of the eyelid shortens or tightens the tissue. It can result from burns, trauma, prior surgery, infection, or inflammatory skin conditions.
Spastic Entropion
Caused by muscle spasms or irritation of the eye surface, spastic entropion often appears suddenly. While it may sometimes improve temporarily with conservative care, surgery is often needed to prevent recurrence.
Congenital Entropion
A rare condition seen in infants, congenital entropion is typically caused by the abnormal development of eyelid muscles. Early diagnosis and treatment help protect the eye and ensure healthy visual development.
At The Mack Cosmetic Center, each case is carefully evaluated to determine the exact cause of the condition so that the repair not only restores eyelid function but also maintains a natural, balanced appearance.
What Kind of Symptoms Would a Patient Have with Entropion?
Symptoms from entropion could include eye irritation, foreign body sensation, tearing, mucus discharge, crusting, corneal scarring, and even impaired vision. It is not uncommon to have this condition occur bilaterally, and it is typically seen much more commonly in the lower eyelids than in the upper eyelids.
What Causes Entropion?
Entropion is typically caused by aging changes in the eyelids. It occurs secondary to aging changes of the eyelids. Although less common, other conditions can cause entropion, such as scarring in the cheek area from burns or from previous skin cancer, allergic reactions, or even inflammatory conditions.
Risks of Leaving Entropion Untreated
Without proper treatment, entropion can lead to more than discomfort. As the eyelid continues to turn inward, the eyelashes repeatedly rub against the cornea, causing chronic irritation and redness that may worsen over time. Prolonged friction can also lead to small scratches or ulceration on the corneal surface, increasing the risk of infection and scarring.
If left uncorrected, these changes may eventually impair vision and lead to long-term eye sensitivity issues. Seeking timely evaluation and repair at The Mack Cosmetic Center helps prevent these complications and protect eye health.
What Is the Treatment for Entropion?
The treatment for entropion is a surgical procedure to reattach the lower eyelid to the correct anatomic position. This is performed on an outpatient basis at a surgery center. The procedure typically takes approximately 10 to 15 minutes per eyelid, and there will be dissolving sutures evident along the lash line.
This type of surgery is commonly referred to as entropion repair or lower eyelid retractor reinsertion, depending on the cause of the condition. In some cases, Dr. Mack may also perform a lateral tarsal strip procedure to tighten the outer corner of the eyelid and restore additional support. For mild or temporary cases, Quickert everting sutures can be used to gently reposition the lid until a more permanent repair is needed.
Each treatment plan is customized to address the specific structures involved while preserving the natural contour of the eyelid. At The Mack Cosmetic Center, the goal is always to restore normal function, relieve irritation, and maintain a balanced, natural appearance.
What Type of Anesthesia Is Used for Entropion Surgical Correction?
Anesthesia for surgical correction of lower lid entropions is typically IV sedation (MAC anesthesia), which is a procedure where the anesthesia team will administer small increments of a sedative to allow the patient to be relaxed while the local anesthetic is administered into the eyelid region. This is a pain-free procedure for the patient, and this is performed at a local outpatient surgery center.
What Is the Recovery Following Entropion Repair?
Patients at the Mack Center who undergo entropions describe this as a pain-free procedure done on an outpatient basis at a local surgery center. The procedure typically takes 10 to 15 minutes per eyelid. There are dissolving sutures, which are noted afterward.
Day 0-2
Mild swelling, bruising, and a sensation of tightness around the eyelid are normal after surgery. The patient is asked to apply ice compresses for the first 24 to 48 hours following the surgery and also to place a topical antibiotic/steroid ointment twice a day for the first week.
Some light tearing or blurry vision may occur due to the use of the ointment or temporary eye irritation, but these symptoms typically improve within 24 to 48 hours. Most patients describe little to no pain and can comfortably manage any tenderness with over-the-counter medication if needed
Week 1
By the end of the first week, the majority of patients already notice a significant improvement in comfort, with much less irritation, tearing, and redness. The dissolving sutures placed along the lash line remain visible but will continue to soften as healing progresses. The patient will be seen for post-operative evaluations at the Mack Center following this outpatient procedure.
Weeks 2–4
As the weeks progress, any residual swelling and discoloration fade. Most patients comfortably return to work and light exercise within 7 to 10 days, while strenuous activity should still be avoided until cleared by Dr. Mack.
By the end of the first month, the eyelid typically regains its natural contour and position, and symptoms such as irritation, tearing, and foreign body sensation have completely resolved. The result is both functional and cosmetic improvement.
What Can a Patient Expect Following Surgical Correction of Entropion?
Following surgical correction of entropion surgery by Dr. Mack, the patient will notice almost immediate relief of their symptoms (foreign body sensation, irritation, tearing, and mucus discharge) as the lower eyelid is returned to its natural anatomic position where the lashes are not rubbing on the eye. Oftentimes, these patients have suffered from this condition for many weeks or even months, and they are very pleased with the relief of their symptoms.
Aftercare and Restrictions
Proper care after entropion repair promotes a smooth and comfortable recovery, helping to ensure long-lasting results. Patients are encouraged to follow these guidelines closely:
- Sleeping Position: Keep your head elevated with extra pillows for the first few nights to minimize puffiness and support proper drainage. Avoid sleeping on the side of the treated eye.
- Activity Limitations: Avoid strenuous exercise, bending, or lifting for one week. Most patients can resume work and light errands within just a few days, as long as they feel comfortable.
- Makeup and Skincare: Do not apply eye makeup or skincare products near the incision area until cleared by Dr. Mack, typically after two weeks. Gentle cleansing of the surrounding skin is acceptable, but the surgical site should be left untouched.
- Water Exposure: Refrain from swimming, using saunas, or soaking in hot tubs for at least three weeks to prevent irritation and infection. Showering is permitted after 24 hours, provided the water does not directly contact the treated area.
Dr. Mack and his team provide every patient with detailed written aftercare instructions, which they review before discharge. The staff remains readily available by phone to answer questions or address concerns during the healing process, ensuring patients feel supported and confident every step of the way.
Who Is a Candidate for Entropion Repair?
Ideal candidates for entropion repair are individuals experiencing discomfort in their eyelids due to an inward-turning eyelid. Common symptoms include persistent tearing, eye irritation, redness, or a sensation that something is in the eye. If left untreated, these symptoms can worsen over time and lead to more serious complications, including corneal damage.
Most candidates are adults who have developed entropion as part of the natural aging process, but the condition can also result from scarring, prior injury, inflammation, or congenital factors. During your consultation, Dr. Mack will conduct a thorough evaluation to confirm the diagnosis, identify the underlying cause, and develop a personalized treatment plan that addresses both function and appearance.
You may be an excellent candidate for surgery if your eyelid condition interferes with vision, daily comfort, or quality of life. At The Mack Cosmetic Center, each procedure is customized to your anatomy and medical needs to ensure the best possible outcome and lasting relief.
Cost of Entropion Repair
Because entropion affects the function of the eyelid and can lead to eye irritation or vision problems, surgical repair is considered a medically necessary procedure rather than a cosmetic one. For this reason, most insurance plans, including Medicare, typically cover entropion repair when documentation supports the medical need for treatment. Our staff assists with all pre-authorization requirements and helps coordinate any necessary referral paperwork from your ophthalmologist or optometrist.
Out-of-pocket costs may vary depending on your insurance coverage, deductible, and the type of anesthesia used. For patients seeking additional cosmetic eyelid improvements at the same time, The Mack Cosmetic Center offers detailed estimates in advance and can review financing options through accepted medical payment plans.
Before scheduling surgery, every patient receives a clear explanation of fees, insurance benefits, and payment options so there are no surprises. Our team’s goal is to make the process straightforward and transparent while ensuring you receive the highest quality care and results.
Frequently Asked Questions About Entropion Procedures
Can both eyelids be treated at the same time?
Yes, if both lower eyelids are affected, they can safely be corrected during the same procedure. This approach creates a balanced, symmetrical appearance, eliminating the need for separate surgeries. Most patients appreciate having a single recovery period for both eyes.
Is entropion surgery painful?
The procedure itself is pain-free, as patients receive local anesthesia with light sedation to ensure complete comfort. Mild tightness or tenderness may occur for a few days afterward but typically resolves quickly. Over-the-counter pain medication is usually sufficient to manage any temporary discomfort.
Will I need someone to drive me home after surgery?
Yes, patients should arrange for transportation to and from the surgery center since sedation is used during the procedure. Driving is not permitted immediately afterward for safety reasons. Most patients can resume driving once cleared at their follow-up visit, usually within a few days.
How long do results last?
Results from entropion repair are considered long-term, as the procedure addresses the structural cause of the condition. Recurrence is uncommon when the eyelid has been properly repositioned and supported. Maintaining regular eye exams allows Dr. Mack to monitor your results and overall eyelid health.
Why Choose The Mack Cosmetic Center for Entropion Repair in Tampa
Choosing the right specialist for eyelid surgery is essential, especially when comfort and vision are at stake. At The Mack Cosmetic Center, our goal is to correct the problem while protecting the delicate anatomy of the eye and maintaining a natural look. Every entropion procedure is approached with the same care and precision that has made our practice a trusted destination for eyelid and facial surgery throughout Tampa Bay.
Dr. William P. Mack is a board-certified oculoplastic surgeon with advanced training in both cosmetic and reconstructive techniques. His experience allows him to identify the subtle structural changes that lead to entropion and to design a surgical plan that restores lasting balance and comfort. By combining functional expertise with aesthetic attention, Dr. Mack ensures your results look natural while providing immediate relief from irritation and tearing.
Our procedures are performed in a calm, accredited outpatient environment using gentle sedation for your comfort. Most patients describe the experience as smooth and pain-free, with recovery that fits easily into their daily routine. From your first consultation through your follow-up visits, our team provides detailed guidance, clear communication, and genuine compassion.
At The Mack Cosmetic Center, you can feel confident knowing your care is in experienced hands. With decades of dedication to oculoplastic excellence and a reputation built on patient trust, Dr. Mack delivers the skill, safety, and attention you deserve for your entropion repair.
Restore Comfort and Clarity — Schedule Your Consultation Today
If you’re struggling with discomfort caused by entropion, the sooner you seek care, the better your long-term results will be. At The Mack Cosmetic Center in Tampa, FL, we specialize in diagnosing and correcting eyelid conditions with precision and compassion, helping patients regain lasting comfort and confidence.
Dr. William Mack and his team will take the time to understand your symptoms, explain your treatment options, and design a personalized plan that restores both function and natural appearance. From your first visit through recovery, you’ll experience expert care focused on protecting your vision and enhancing your quality of life. For more information on entropion correction, contact Dr. Mack’s office at 813-875-LIDS or schedule a consultation today.
FACIAL SURGICAL PROCEDURES HOME PAGE
Be sure and visit our Before & After gallery for this procedure.
