Entropion and ectropion are common eyelid conditions that can cause discomfort, irritation, and long-term damage to the surface of the eye if left untreated. Both conditions involve abnormal positioning of the eyelid, which may result from aging, scarring, muscle weakness, or trauma. Entropion occurs when the eyelid turns inward, causing the lashes to rub against the eye, while ectropion is the outward turning of the eyelid, which can expose and dry the eye surface. These issues can affect both appearance and ocular health, often requiring surgical correction for lasting relief.
At California Eye & Face in Fresno, patients receive expert care for entropion and ectropion from Dr. Atif Collins, a board-certified oculofacial plastic and reconstructive surgeon. Dr. Collins is one of only 700 surgeons in the United States certified by the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), a distinction that reflects his exceptional qualifications and commitment to excellence. He is also board-certified with advanced cosmetic surgery training, making him uniquely qualified to manage these delicate eyelid disorders. His conservative approach and deep understanding of eyelid anatomy ensure that treatments are both functional and natural-looking. Patients from across the San Joaquin Central Valley trust his expertise and commitment to personalized care.
What Is Entropion?
Entropion occurs when the lower eyelid turns inward, allowing eyelashes and skin to rub against the eye’s surface. This can cause:
- Redness and irritation
- A sensation of something in the eye
- Excessive tearing
- Light sensitivity
- Risk of corneal damage or infection
Entropion most often affects older adults due to the weakening of eyelid muscles and tendons. In some cases, it may be caused by scarring, prior surgery, or inflammation.
What Is Ectropion?
Ectropion is the opposite condition, in which the lower eyelid turns outward and away from the eye. This can result in:
- Eye dryness and irritation
- Excessive tearing
- Exposure of the inner eyelid
- Chronic redness
- Increased risk of infection
Like entropion, ectropion is most commonly age-related, but may also occur due to trauma, facial paralysis, or scarring.
Surgical Treatment for Entropion and Ectropion
While artificial tears or ointments may provide short-term relief, surgery is typically required to correct the position of the eyelid and protect the eye. Dr. Collins performs minimally invasive surgical techniques to tighten and reposition the eyelid, restoring proper alignment and function. His approach is customized based on the severity of the condition, the underlying cause, and the unique anatomy of each patient.
Common surgical goals include:
- Realigning the eyelid margin
- Strengthening or tightening the eyelid tendons
- Reconstructing damaged or scarred tissue
- Preventing future irritation or corneal damage
These procedures are typically performed on an outpatient basis, and most patients experience minimal downtime with noticeable improvement in comfort and eye health.
Why Choose California Eye & Face for Eyelid Malposition Surgery?
Dr. Atif Collins is a fellowship-trained oculofacial plastic surgeon with a focus on precision, function, and facial harmony. His ASOPRS certification places him among an elite group of surgeons who specialize in reconstructive and aesthetic eyelid procedures. With training from institutions such as Ohio State University and The James Cancer Center, Dr. Collins brings the highest level of skill to the treatment of entropion and ectropion.
California Eye & Face offers a professional, patient-centered environment supported by a dedicated team. Certified Physician Assistant Rebecca Solomon contributes to pre- and post-operative care and supports patients with treatments that enhance healing and long-term results. The practice serves as a regional destination for those seeking expert, compassionate care — and a commitment to preserving both vision and quality of life.
Treat Entropion and Ectropion with Expert Care in Fresno, CA
If you’re experiencing symptoms of eyelid malposition, early evaluation is essential. California Eye & Face in Fresno, CA, offers expert diagnosis and surgical correction for entropion and ectropion. Call (559) 449-5054 to schedule your consultation and protect your eye health in the San Joaquin Central Valley.