Oculoplastic Surgery/Entropion

Procedure to permanently correct the position of the inward-turning eyelid (entropion)

Entropion is a common eyelid condition in which the eyelid turns inwards towards the eye. Typically, this only affects the lower eyelid. However, it may also occur in the upper eyelid.

As a result of the rolling inwards of the eyelid, the eyelashes and surrounding skin can rub against the eye leading to significant discomfort and irritation to the eye surface. Due to this constant friction, if not treated, the condition can lead to erosions of the epithelial surface. This can result in infection or ulceration of the cornea, which can be sight-threatening.

There are a variety of symptoms associated with entropion, including irritation, soreness, watery eyes, red eyes, crusting around the eyelid and sticky discharge.

Due to the nature of the condition, symptoms do not normally improve spontaneously or with medicines, and surgery is usually the only effective long-term treatment option (as a short-term solution to deal with the constant irritation some patients apply surgical tape on a daily basis to turn the eyelids out, but this can be uncomfortable to remove and is not cosmetically appealing).

Entropion is often quite uncomfortable and causes other bothersome symptoms such as discharge and watering of the eye. In addition, if left untreated, there is the potential for harm to your sight. The eyelashes and surrounding skin rub against the corneal surface. The cornea is the central clear window covering the coloured part of the eye (the iris). The cornea provides a protective barrier against infection getting inside the eye. Damage to the cornea can result in an ulcer, which can become infected and this may be sight-threatening.

Surgery is also the only long-term effective treatment option for entropion.

During entropion surgery, the eyelid tissue is repositioned to correct the previously inwards-facing eyelid. The exact nature of the procedure will depend on the type of entropion you have and factors relating to your particular eyelid. For age-related entropion surgery, the lower eyelid is usually usually shortened, tightened and everted. Entropion resulting from scar tissue can be more difficult to treat and may require a more complicated procedure, for example, separating different layers of the eyelid and repositioning them at a different relative position to each other. The eyelid will look normal after it has healed. During your initial consultation, your expert specialist can advise the best treatment available for your personal case.

Following entropion surgery, some discomfort may be felt in the area, as well as some swelling and bruising. These symptoms typically last 1-3 weeks post-surgery.

Procedure Overview 

  • Treats symptoms due to entropion, including irritation, soreness, redness, watering, crusting and sticky discharge as well as preventing harm to the ocular surface
  • The eyelid is usually shortened, tightened and everted
  • Eye area is likely to have some bruising and swelling post-surgery, which typically lasts 1-3 weeks
  • Typical procedure takes around 30 minutes to complete
  • Typical procedure costs between £1200 and £2000
  • You will have an initial consultation with an expert specialist in this area
Detail of a man's face

You will receive a local anaesthetic at the start of the entropion surgery, so pain or discomfort will not be felt during the procedure.

Entropion surgery usually takes approximately 30 minutes per eyelid.

Results from entropion surgery are usually permanent.

The price for an entropion surgery starts from approximately £3100 which includes both consultant and facility fees. The total cost will be confirmed following the initial consultation.


EAFPS - The European Academy of Facial Plastic Surgery
CareQuality Commission logo
General Medical Council logo
BAAPS logo
RCO logo
BOPSS logo
ESOPR logo
BCDG logo
EADV logo
BMLA logo
BAD logo
rcpsg logo
Royal College of Physicians logo
Royal College of Surgeons of England