Eyelid and Orbit Management

The following surgeries are offered by the experts at Greater Ohio Eye Surgeons to help improve imperfections and problems:


Upper Eyelid Blepharoplasty

In upper eyelid blepharoplasty surgery, an incision is made externally in the upper eyelid crease to remove excess eyelid skin and fat. It is commonly used to correct a condition called dermatochalasis, which occurs when excess skin begins to droop over the eyes. The original incision is then closed with fine, dissolvable sutures. Because the incisions are made in the eyelids’ natural contours, they are barely visible and fade with time. There is a mild amount of bruising and swelling following surgery, but this is usually gone within seven days.

Lower Eyelid Blepharoplasty

In lower eyelid blepharoplasty surgery, the incision can be made internally
(transconjunctival) or externally through the skin. The decision regarding which approach is best for you will be determined by the amount of skin present in the lower eyelid. The internal approach leaves no external incision line, while the external incision is placed just below the eyelid margin to disguise its appearance. Recovery times are similar to upper eyelid surgery.


Facial expression lines become more prominent over time and are typically located outside the eyelid area (crow’s feet) and forehead (frown lines). BOTOX temporarily paralyzes the muscles responsible for producing facial lines and prevents them from presenting while at rest. BOTOX injections are administered with a small needle, show results in roughly four day and lasts an average of four months.

Ectropion, Entropion and Ptosis Repair

Ectropion occurs when the lower eyelid turns outward and no longer touches the eye. This can happen in one or both eyes, and rarely affects the upper eyelid. Normally—due to the supporting structure—ectropion can be treated with a surgery that repositions the eyelid back to its normal position against the eye.

Entropion occurs when the upper or lower eyelid turns inward. This can cause serious irritation against the eye, redness and sensitivity to light and wind. If not treated immediately, serious inflammation can cause permanent damage. The most common surgery requires tightening the eyelid and its attachments to restore its normal position. 

Ptosis is similar to dermatochalsis in the sense that the upper eyelid droops into the eye’s window of vision. Treated surgically by reattaching the stretched muscle, the surgery is tailored to the severity of your ptosis and strength of the levator muscle.

Thyroid Eye Disease Surgery

One of the most common thyroid diseases is hyperthyroidism, in which there is an overproduction of thyroid hormones. People with hyperthyroidism may experience some degree of eye problems, most commonly caused by abnormal swelling of the soft tissues surrounding the eyes, and enlargement of the muscles that move the eyes and open the eyelids.

As a result, the eyes protrude forward causing the upper eyelid to retract and force the lids apart. The eye cannot fully close and a large amount of the eye is exposed. This results in wide prominent eyes, a fixed staring expression, and infrequent blinking of the eyelids. Surgery may be required to correct these problems if they begin to threaten vision or become cosmetically unacceptable. Surgical procedures may include correcting the eyelid positions or removing the bony walls of the eye socket (orbital decompression).

Obstructed Tear Duct Surgery

Tears drain from two small openings in your upper and lower eyelid. Each opening is attached to a small tube that empties into the lacrimal sac between the inside corner of your eye and nose. The lacrimal sac then leads to a canal that passes through the bony structure surrounding the nose and empties into your nasal cavity. If you are experiencing excessive watering, mucous discharge, eye irritation and painful swelling in the inner corner of your eyes due to tear duct obstruction, your surgeon may recommend a number of treatments based on your symptoms.

Periocular Sin Tumor Removal

Skin bumps and lesions involving the eyelids can either be benign (cysts, papillomas) or malignant (skin cancers like basal cell carcinoma, squamous cell carcinoma, or melanoma). Sometimes the only way to differentiate between the two is to perform a biopsy. If a lesion is cancerous, it can require complex excision and eyelid reconstruction to reduce the risk of re-occurrence and achieve a good cosmetic result. It is best to have this done by an oculoplastic surgeon, like Dr. Hartel, to achieve a good result.

Please call us at 800-638-2034 to schedule an appointment to talk about how to manage your eyelid or orbital condition.