Reconstructive procedures · San Luis Obispo

Eyelid Retraction Repair in San Luis Obispo

Retraction is an eye that is too open, from an upper lid that sits too high or a lower lid that sits too low. It is most often linked to thyroid eye disease.

Close-up of a blue eye with arrows drawn on the upper and lower eyelids

The condition

What causes eyelid retraction?

Retraction is the medical term that describes an eye that is too open. This can be due to an upper lid that is too high or a lower lid that is too low. Upper lid retraction is most commonly caused by thyroid eye disease, which is also associated with lower eyelid retraction. Lower lid retraction can also be caused by aging and gravity, and it is important to correct this at the time of ptosis surgery if present to avoid excessive eye opening. Too much exposure to the air can lead to problems with dry eyes.

Upper eyelid retraction is repaired via an incision on the back of the upper eyelid. A portion of a muscle called the Mueller muscle is removed and another muscle called the levator aponeurosis is stretched until the lid is at an appropriate height. Lower eyelid retraction can be performed in several different ways depending on the severity. Dr. Hellman will discuss the various options at your consultation.

Results

Eyelid retraction repair, before and after

Bilateral lower lid retraction repair: before on top, after below
Bilateral lower lid retraction repair
Bilateral ptosis repair and retraction repair of both lower lids: before on top, after below
Bilateral ptosis repair and retraction repair of both lower lids
Retraction repair of the left lower lid, with a prosthetic eye: before on top, after below
Retraction repair of the left lower lid, with a prosthetic eye
Retraction repair of the right lower lid: before on top, after below
Retraction repair of the right lower lid

Fellowship-trained oculoplastic surgeon

Talk with Dr. Hellman about your eyelids

Call our San Luis Obispo office or request an appointment online. Dr. Hellman also sees patients in Paso Robles.