Eyelid Procedures

Eyelid Rejuvenation

To “rejuvenate’ means to restore something to a state when it was fresher, younger, or more lively.  Thus, eyelid rejuvenation refers to making your eyelids appear younger.  In order to rejuvenate your eyelids, a series of procedures may be performed such as an eye-lift also known as blepharoplasty (a surgical, procedure used to remove skin and remove or add fat to the eyelids to reduce bagginess from lower eyelids and excess skin from the upper eyelids).  This procedure is typically performed for cosmetic reasons, but may also be used to improve vision in older adults whose sagging upper eyelids interfere with their vision.  In most cases where your upper eyelids interfere with your vision, your insurance company may pay for your surgery.

Since an eye-lift alone will not eliminate dark circles under the eyes, wrinkles, or crow’s feet, it is […]

What is Ptosis of the Eye?

What is Ptosis? Drooping of the upper eyelids is known as ptosis.  It can affect one or both eyelids, be inherited and be present at birth or occur later in life.  The cause of congenital ptosis is typically due to a lack of development of eyelid muscles known as levators.  The function of the levator muscle is to raise the eyelid.  With children born with ptosis, it is important for them to be treated at a young age to avoid interference with vision development.

Causes of Ptosis

With the exception of congenital ptosis, this condition is more common in the elderly due to deterioration of the muscles that raise the eyelids or their nerve supply.  Acquired ptosis is the most common type.  Certain drugs have been known to cause ptosis.  There are numerous other causes of droopy eyelids:

Systemic diseases
Neurological disorders

There are […]

What is ectropion of the eye?

Ectropion of the eye, is when your lower eyelid turns outward away from the eyeball and exposes the pink inner lining of the eyelid.  It mainly affects the lower eyelid and can occur in one or both eyes and is different from entropion where the eyelids turn inward.  Lower lid ectropion is very common in older persons and is said to be found more often in men than in women.

The most common symptoms of ectropion are; tearing, dry eyes and burning and can cause eye infections.  Ectropion usually occurs as a result of the aging process.  When the connective tissue of the eyelid becomes weaker, it causes the lid to turn out so that the edge of the lower lid is no longer against the eyeball.  Other causes of ectropion may include facial paralysis related issues such as Bell’s […]

What is entropion?

Entropion is a condition where your eyelid or eyelids turns inwards against the surface of the eye and can be extremely uncomfortable and annoying.  This turning in of the eyelids can cause your eyelashes to rub against your cornea.  The constant rubbing can cause a lot of damage to your eye and cause damaging effects that can include corneal ulcers due to abrasion and a susceptibility to eye infections.  Left untreated, these conditions can lead to loss of vision.

With entropion, your eyelid may be turned in all the time or only when you blink hard or squeeze your eyelids shut and generally affects only the lower eyelid or eyelids.  Although anyone can get entropion, it is more common in adults over 60 years of age.

When both eyes are affected, the condition is known as “bilateral entropion.”

What causes entropion?

Entropion is […]

How serious is Eyelid Skin Cancer?

Eyelid skin cancer can become very serious if left untreated.  According to the Skin Cancer Foundation, the eyelid region accounts for five to 10 percent of all skin cancers.  The thin and delicate structure of the eyelid makes it particularly prone to skin cancer because it is often ignored when it comes to protection from the sun’s harmful rays.  Surprisingly, most eyelid skin cancer occurs on the lower lids because they receive the greatest amount of sun exposure.

Eyelid Skin Cancer Symptoms

Eyelid tumors aren’t easily detected and may grow under the skin for years before presenting on the surface.  However, there are some warning signs:

Unexplained loss of lashes
Inflammation or persistent red eyes that do not respond to medication
A bleeding lump or bump that never disappears
Swelling of the eyelid
Chronic infection of the eyelid

The most common form of eyelid skin cancer is […]

MOH’S Surgery

MOH’S surgery is a highly advanced treatment for skin cancer. It was developed by Dr. Frederic E. Moh’s. The cure rate is 99%.  Cosmetically the least amount of tissue is removed and the skin is repaired in a way to reduce scarring as much as possible. The key is to keep as much of the healthy tissue as possible remaining for the patient. It is a large improvement over having an excision which removes the visible cancer and the healthy tissue around it. It is done on an outpatient basis using local anesthesia. It is a microscopic surgery that is the preferred treatment for basil and squamous cell carcinomas.

MOH’S surgery begins by removing the skin cancer that can be seen but there may be roots that extend past what is visible. The surgeon is trying to prevent recurrence in […]


Ptosis is  a drooping of the upper eyelid that can be present in both children and adults.  Sometimes ptosis can be subtle or the  lid can extend over the pupil. If the lid drops to the level of the pupil the amount of light coming into the eye affected and ultimately vision is reduced.  Patients may overcompensate by lifting their eyebrows to try to lift their lids.

Ptosis can:

After trauma
Result of cataract surgery
Occur later in life

Tumors of the eye or numerous systemic diseases can also cause ptosis. The levator muscles, the muscles that lift the eyelid, are usually the ones affected.

The common treatment for ptosis is blepharoplasty. The levator muscle is tightened which will improve appearance and/or vision for the patient.

Dr. Gil Epstein, the ocular plastic surgeon at the Fort Lauderdale Eye Institute, is well accomplished in these procedures with many satisfied patients.