A cautionary tale! Everted, drooping lower eyelids that could not close, the worst pain of a lifetime, until SLC brought them back to normal

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The whole SLC building was shocked! A patient arrived with severely everted, drooping lower eyelids! This case shocked the doctors and staff throughout the building when a patient came in with clearly everted, drooping lower eyelids and could not close their eyes completely. Every blink was painful, stinging and agonising. Many people might think this condition cannot be fixed and that you just have to live with it. But not here! “Dr. Tae – Dr. Nattapol Pokawattana” (Medical licence no. 35810), an ophthalmologist at SLC Hospital, corrected it successfully with a special technique. How he did it is explained in this article.

What causes everted, drooping, pulled-down lower eyelids? 

The problem of everted, drooping lower eyelids usually has several contributing factors. In this patient’s case, they had previously had lower eyelid fat bag removal surgery before. The cause of the condition was that the scar tissue from the old wound was excessive, pulling on the skin of the lower eyelid 

so that the lower eyelid sagged down so much that the inner surface of the eyelid was clearly visible. Because the eyelids could not close completely, the eyes became irritated, dry and inflamed more easily than normal, causing constant stinging and irritation. 

Problems caused by everted, drooping lower eyelids 

Having eyelids that do not close completely is a health problem that should not be overlooked, because it has many effects, such as 

  • Dry eyes , which make patients feel stinging and irritation, often with burning eyes after using them for long periods, such as reading or using a computer 
  • Higher risk of infection , because when the eyes do not close completely, they cannot keep their surface moist 
  • Reduced quality of life : patients feel self-conscious and suffer in daily life, cannot close their eyes completely, and everyday life becomes a heavy burden 

Assessment by an ophthalmologist 

After a detailed assessment and examination, Dr. Tae found that the condition was caused by scar tissue from the old wound pulling the lower eyelid down, and that no other method could correct it as well as a special surgical technique that brings the eyelid back to the correct position. 

Correction technique 

This surgical treatment used a specialised surgical technique, which involved: 

  1. Dissecting out all of the scar tissue to reduce the tension 
  2. Correcting it with the under-eye fat bag revision programme 
  3. Then tightening the lower eyelid tendon with sutures, to bring the pulled-down lower eyelid back to its original position so the eye closes completely 

Result: after surgery, the patient can close their eyes completely. The eyes that used to bulge are back to normal, and the stinging and eye pain are gone, because the problem was corrected the right way by a skilled ophthalmologist.

Self-care tips after surgery 

Looking after yourself after surgery is important for a fast and safe recovery. The doctor recommends: 

  • Cold compresses to reduce swelling in the first 48 hours
  • Avoid rubbing your eyes or pressing hard on the wound
  • No eye makeup or contact lenses until your doctor says it is OK
  • Attend your follow-up appointments so the doctor can check the results
     

FAQ: common questions from a real case 

1. What are everted, drooping lower eyelids?

Answer: Everted and drooping lower eyelids are conditions in which the lower eyelid cannot close completely, causing stinging, dry eyes and irritation, because the muscles or skin around the eye have become lax or been damaged by an accident, incorrect surgery, or ageing. 

2. What causes everted, drooping lower eyelids?

Answer: This condition can have several causes, such as 

  • Incorrectly performed lower eyelid bag removal surgery that causes extensive wounds or scar tissue that pulls on the eyelid 
  • Age-related degeneration that weakens the muscles and skin around the eyes 
  • Accidents or eye injuries that leave the eyelid structure abnormal 

3. What are the symptoms of everted, drooping lower eyelids?

  • Dry eyes or frequent irritation 
  • Stinging eyes or pain when blinking 
  • A drooping lower eyelid that exposes the inner surface of the eyelid 
  • Eyes that do not close completely, making it hard to sleep properly 

4. How can everted, drooping lower eyelids be treated?

Answer: Treatment for this problem depends on the cause and severity of the condition. The usual treatment is 

  • Corrective surgery using a technique that restructures the lower eyelid 
  • Using a special suturing technique to minimise scarring and speed up recovery 
  • Surgical results can be seen within 7 days after treatment 

5. How long does corrective surgery take?

Answer: The surgery takes only about 1-2 hours, depending on the case, and patients can go home the same day. 

6. Is surgery to correct everted, drooping lower eyelids risky?

Answer: The surgery is low-risk when performed by specialists in a facility that meets proper standards, such as SLC Hospital. The results will be good and safe, but there are still the general risks of surgery, such as infection or swelling. 

7. How do I know if I should have surgery?

Answer: If you find that your lower eyelids are everted or drooping to the point that they cause stinging or eye pain and affect your daily life, you should consult an ophthalmologist to assess the condition. If the symptoms are severe or do not go away, surgical treatment may be needed. 

8. How long is the recovery?

Answer: Patients can return to normal life within 6 days after surgery, but following all of your doctor’s self-care advice will help you recover faster. 

9. When can I return to work or other activities?

Answer: After surgery and recovery during the first 7-14 days, patients can return to general activities such as working and driving, but should avoid activities that put heavy strain on the eyes at first, such as long hours at a computer screen or strenuous exercise. 

Summary: a lesson that stays with you, turned into renewed confidence at SLC

Everted, drooping lower eyelids may sound like a minor issue, but they can really affect your daily life and eye health. If you are facing this problem or have any unusual eye symptoms, don’t wait for it to get worse. Come and consult Dr. Tae or an ophthalmologist at SLC Hospital. We are ready to help correct this problem so you can have beautiful, healthy eyes again. Don’t let eye problems become an obstacle in your life! Contact SLC Hospital to consult Dr. Tae and start taking care of yourself today. 

Under-eye fat repositioning and eye bag removal revision: smooth scar, no eyelid eversion

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