Entropion Surgery

Entropion surgery corrects an inward-turning eyelid to prevent the eyelashes from rubbing against the surface of the eye. By restoring the eyelid to a more natural position, surgery can provide long-term relief from irritation while helping to protect the eye from ongoing damage.

Key Information

PRICE FROM

£3045

TIME OF PROCEDURE

45 min per eye

DOWNTIME

1-2 weeks

DISCOMFORT LEVEL

2 out of 5

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Monthly payment plans to suit every budget, including 0% finance and payment options starting from just £63.44. Terms and conditions apply.

What Is Entropion?

Entropion is a condition in which the eyelid turns inward, most commonly affecting the lower eyelid. This causes the eyelashes to rub against the surface of the eye, which can lead to persistent irritation, watering, redness and soreness.

Over time, repeated contact between the eyelashes and the eye can damage the corneal surface. Entropion is most commonly associated with age-related changes in the eyelid, although scarring, previous trauma and other conditions can also cause the eyelid to turn inward.

Learn more about the symptoms, causes and different types in our guide to What Is Entropion?

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When Is Entropion Surgery Recommended?

Entropion surgery may be recommended when the eyelid remains turned inward or symptoms persist despite temporary or conservative treatment. Correcting the eyelid position can be particularly important when the eyelashes repeatedly rub against the cornea, causing ongoing irritation or damage.

Surgery may be considered for patients experiencing persistent discomfort, watering or irritation, as well as those who have developed changes to the corneal surface. The most appropriate treatment depends on the underlying cause and severity of the entropion, which will be assessed by an oculoplastic specialist.

Are There Alternatives to Surgery?

Non-surgical treatments can help reduce irritation and temporarily protect the surface of the eye. Depending on the individual case, these may include:

Artificial tears and lubricating ointments
Eyelid taping to temporarily improve the position of the lower eyelid
Protective contact lenses in selected cases
Temporary everting sutures to turn the eyelid outwards
BoNT injections to temporarily reduce the muscle activity contributing to inward turning

These approaches can provide symptom relief or temporarily improve eyelid position, but they do not necessarily correct the underlying structural cause of entropion. Where the eyelid continues to turn inward, surgery may provide a longer-term solution.

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How Is Entropion Surgery Performed?

Entropion surgery is tailored to the underlying cause of the condition. The aim is to restore the eyelid to a natural position, preventing the eyelashes from rubbing against the eye while maintaining normal eyelid function.

The surgical technique may involve tightening the lower eyelid and repositioning or supporting the tissues responsible for maintaining its position. The type of anaesthesia used depends on the cause and complexity of the entropion and the surgical technique required.

Surgery for Age-Related Entropion

Age-related entropion is the most common form of the condition. Surgery typically involves tightening the lower eyelid and repositioning the weakened muscles and tendons that support it.

The procedure is usually performed under local anaesthesia with sedation, meaning the area is numbed while the patient remains awake but relaxed. Surgery typically takes around 45 minutes per eyelid.

Surgery for Cicatricial Entropion

Cicatricial entropion develops when scar tissue causes the eyelid to turn inward and can require a more complex surgical approach.

In some cases, reconstruction may involve a mucous membrane graft taken from inside the mouth to help restore the eyelid lining and position. This is usually performed as a day-case procedure under general anaesthesia, with the surgical technique tailored to the location and extent of the scarring.

Entropion Surgery Recovery and Aftercare

Mild discomfort, swelling and bruising around the eyelid are expected during the initial recovery period. A protective patch or shield may be used following surgery, and patients may be advised to use prescribed ointment and cold compresses while the area heals.

It is important to avoid rubbing or touching the eye and to limit strenuous activity during early recovery. Initial healing usually takes around one to two weeks, although swelling and other signs of surgery can take longer to fully settle.

Follow-up appointments allow your surgeon to monitor healing and the position of the eyelid as recovery progresses.

Entropion examples

Entropion Surgery at The Ezra Clinic

Entropion surgery requires a detailed understanding of both eyelid anatomy and the underlying reason the eyelid has turned inward. At The Ezra Clinic, our oculoplastic specialists assess the position and function of the eyelid alongside any effects on the surface of the eye before recommending treatment.

Our surgeons treat both straightforward age-related entropion and more complex cases caused by scarring or previous treatment. Each procedure is planned around the individual eyelid anatomy, with the aim of restoring normal function while maintaining a natural eyelid position and appearance.

If you are experiencing symptoms of entropion or have previously undergone treatment and the condition has returned, book a consultation at The Ezra Clinic for a specialist assessment and personalised treatment plan.

FAQ

Is entropion surgery painful?

Entropion surgery is performed under anaesthesia to keep you comfortable during the procedure. Mild discomfort, tenderness or soreness can occur during early recovery and should gradually improve as the eyelid heals.

How much does entropion surgery cost?

The cost of a local anaesthetic entropion repair at The Ezra Clinic starts from £3045, which includes a facility fee of £1965 and a surgeon’s fee from £680. Your individual treatment plan and costs will be discussed during your consultation.

What happens if entropion is not treated?

If entropion remains untreated, the eyelashes can continue rubbing against the surface of the eye. Persistent irritation may eventually cause corneal abrasions or ulcers and increase the risk of infection and vision problems.

How long does the surgery take?

For age-related entropion, surgery typically takes around 45 minutes per eyelid. The procedure may take longer in more complex cases, such as entropion caused by significant scarring.

Is entropion surgery performed under local or general anaesthesia?

Age-related entropion surgery is usually performed under local anaesthesia with sedation. More complex procedures, including some cases of cicatricial entropion requiring a graft, may be performed under general anaesthesia.

Can both eyes be treated?

Entropion can affect one or both eyes. Where treatment is required on both sides, your surgeon will determine the most appropriate surgical plan based on your individual condition.

How long does it take to recover from the surgery?

Initial recovery usually takes around one to two weeks, during which swelling and bruising should gradually improve. Complete healing can take several weeks, and your surgeon will advise when you can safely return to strenuous activities.

Can entropion come back after surgery?

Entropion can occasionally recur following surgery. If the eyelid begins to turn inward again, further assessment can determine whether additional treatment or revision surgery is appropriate.

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If you are interested in any of the treatments we offer, or require any further information, we would love to hear from you. We offer both online and face to face consultations, allowing us to accommodate your individual needs and preferences. You can reach us by phone, email or by completing the contact form below.

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