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Eyelid Surgery & Oculoplastics

At Kremer Eye Center, we are committed to providing a wide range of ophthalmic treatments that not only help you see better, but feel better about the way you look.

Our oculoplastic surgeons Jurij Bilyk, M.D. and Ann Murchison, M.D. specialize in the diagnosis, treatment, and surgical correction of many ophthalmic disorders as well as delicate eye-related procedures that enhance your vision and your appearance.

Adult Droopy Eyelid

The most common cause of eyelid droop (ptosis) in adults is the separation of the levator muscle tendon from the eyelid. This process can occur due to aging, injury, or after other eye surgeries.


Entropion occurs when the lower eyelid turns inward, which causes the skin and eyelashes to rub against the eye. The cornea (the clear surface of the eye) is extremely sensitive to the misdirected lashes, resulting in redness, irritation, and decreased vision. Surgery involves restoring the eyelid to its normal position and turning the eyelashes out and away from the eye.


Ectropion occurs when the lower eyelid sags and turns out, resulting in over-exposure of the eye. This may be the result of aging, injury, eyelid growths, or facial paralysis. Surgical repair involves repositioning the eyelid against the eye by tightening the supporting lid.

Eyelid Tumors

Growths on the eyelids and face may be benign (cysts, nevi) or malignant (skin cancers). Growths that may be skin cancers are identified, and then removed completely with surgery. Reconstruction of the eyelids is performed with plastic surgery techniques and may involve skin flaps and skin grafts in some patients.

Tear Duct Problems

Blockage of the tear ducts may occur at birth or as a result of injury or disease. The symptoms include chronic tearing, crusting, and discharge. The type of surgical repair depends on the age of the patient and location of the obstruction. One highly successful procedure involves the construction of a new “bypass” route, connecting the upper tear ducts to the nose for drainage of tears.

Reconstructive Surgery

Reconstructive surgery is done to restore cosmesis and function following injuries, burns, or birth defects. The eyelid is reconstructed to open and close properly and to protect the eye. Fractures of the orbital bones are internally repaired to restore the alignment of the facial bones and position the eye within the orbit.


Every blink produces a tiny stretch of the skin and deeper tissues of the eyelids. Heredity and sun damage add to these changes and make us appear older. Excessive skin on the upper eyelids, drooping eyebrows, and bags above and beneath the eyes can cause a tired, sad, or even angry expression. In some cases, sagging eyelids can also interfere with vision.

Reconstructive blepharoplasty — eyelid reconstruction — can be performed to correct these conditions when they also affect vision.

Additionally, many patients have recently become interested in eyelid and eyebrow surgery that can improve their appearance. The elective procedure to remove excess skin folds and fat pockets is referred to as “anesthetic blepharoplasty,” and is performed under local anesthesia in most cases. These surgical results can enhance the patient’s sense of well-being and reduce eye fatigue caused by excess skin.

Schedule a consultation with the experts at Kremer Eye Center today!