Eyelid Malpositions Upper East Side

Name: Eyelid Malpositions
Brand: Dr. Allison Coombs
Rating: 5 (126 reviews)

When the eyelids are not in the proper position, even simple functions like blinking or closing your eyes can become uncomfortable, or even damaging. Eyelid malpositions can affect appearance, vision, and eye health.

male patient getting his outer eye looked at by doctor

*Real Patient

*Real Patient

Restore Comfort and Natural Eyelid Function With Surgical Correction Eyelid Malposition Treatment in NYC’s Upper East Side

Eyelid malpositions are more than a cosmetic concern. Left untreated, they can lead to persistent tearing, irritation, exposure-related damage, or infection. As a board-certified oculofacial plastic surgeon and ophthalmologist, Dr. Allison Coombs brings extensive experience in both cosmetic and reconstructive procedures, including ectropion repair, entropion repair, and ptosis repair on the Upper East Side. Her goal is to restore comfort and structure while delivering results that look natural and age well.

What Is Eyelid Malposition?

Eyelid malposition occurs when the eyelids sit in an abnormal position, affecting how they function or altering the way the eyes appear. It may be caused by aging, prior surgery, trauma, or neurological or muscular dysfunction. These conditions are frequently treated through procedures such as ptosis repair, ectropion repair, and entropion repair—all of which are commonly performed by Dr. Coombs in her Upper East Side practice. Common eyelid malposition conditions include the following:

Ectropion

The eyelid turns outward, leaving the inner surface exposed and unprotected.

Entropion

The eyelid turns inward, causing lashes to rub against the eye and cause irritation.

Ptosis

The upper eyelid droops, which can block vision and make the eye appear smaller or uneven.

Retraction

The eyelid is pulled too far away from its normal resting position, often after trauma or previous surgery.

These conditions may also contribute to a tired or aged appearance, making them a common part of a comprehensive plan for eyelid rejuvenation on the Upper East Side.

woman looking at her outer corner of her eye in mirror

Benefits of Eyelid Malposition Surgery

Restoring proper eyelid position can dramatically improve both comfort and facial balance. Patients often report feeling not only physically better but also more confident in their appearance.

Benefits include:

Improved vision and reduced visual obstruction
Decreased irritation, dryness, and tearing
Restoration of natural eyelid function and closure
Enhanced corneal protection
Relief from the discomfort of in-turned lashes or exposed inner lids
A more balanced, refreshed appearance

Are You Considering Treatment for Eyelid Malposition?

You may be a candidate for ptosis repair, ectropion repair, or entropion repair if you’re experiencing persistent tearing, irritation, or visible eyelid changes that affect your quality of life. In some cases, these procedures are combined with other techniques to achieve full eyelid rejuvenation.

The following are ideal candidates:

Individuals who are in good overall health.
Patients experiencing eyelid dysfunction due to drooping, turning, or retraction.
Non-smokers or those willing to stop smoking before and after surgery.
Those free from active infections or conditions that delay healing.
Those who have a clear understanding of what the procedure can achieve and are willing to actively participate in their recovery process.

Schedule A Consultation

Choose Dr. Allison Coombs for Eyelid Malposition Surgery on the Upper East Side

With specialized expertise in ophthalmology and reconstructive oculofacial surgery, Dr. Coombs is uniquely qualified to manage aesthetic and functional aspects of eyelid malposition. She regularly performs ptosis repair, ectropion repair, and entropion repair on the Upper East Side with a focus on safety, precision, and long-term results.

Dr. Coombs is the founder of the oculofacial plastic surgery division at Manhattan Eye, Ear & Throat Hospital. Her background includes advanced training through the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) and top institutions such as Tufts and Weill Cornell. Whether you’re seeking reconstructive relief or part of a broader eyelid rejuvenation on the Upper East Side, you’ll receive personalized care grounded in surgical excellence.

About the Consultation Process

During your consultation, Dr. Coombs will perform a full evaluation of your eyelid position, eye health, and underlying anatomy. She’ll determine whether you need ptosis repair, ectropion repair, entropion repair, or a combination of these procedures, and provide a detailed plan tailored to your specific needs. All recommendations are grounded in your health, comfort, and long-term success.

What is the Cost of Treatment?

The cost of eyelid malposition surgery varies depending on the type and severity of the condition. Procedures such as ectropion repair, entropion repair, and ptosis repair each involve different techniques and levels of complexity, which can influence the overall cost.

During your consultation, you’ll receive a transparent cost estimate tailored to your specific case, along with information about financing options if needed. Additionally, we work with most major insurance providers, and our team can assist you in verifying your coverage and navigating the approval process to help minimize your out-of-pocket expenses.

The Treatment Experience

Eyelid malposition surgery is performed as an outpatient procedure under local anesthesia with sedation or general anesthesia. Dr. Coombs carefully customizes each repair to restore natural positioning and function. The procedure typically involves the following steps:

A small incision is made near the lash line or natural eyelid crease.
Muscles, tendons, or support structures are repositioned or reinforced.
Excess skin or tissue is conservatively adjusted.
Fine sutures are used for optimal healing and minimal visibility.

After Treatment

Mild bruising, swelling, and tightness are common in the first several days. Dr. Coombs may recommend lubricating eye drops or ointments to support healing. Most patients see initial improvements within one to two weeks, with full results settling over the following months. Normal activities typically resume within 7 to 10 days.

Related Procedures:

Upper eyelid ptosis repair
Canthoplasty or canthopexy
Lower eyelid retraction repair
Eyelid reconstruction after trauma or Mohs surgery
Botox or fillers for temporary eyelid support or symmetry correction

FAQ Eyelid Malposition

Are there risks?

Yes, as with any surgery, risks include infection, asymmetry, or recurrence. Choosing a specialist like Dr. Coombs minimizes these risks significantly.

Will I have visible scars?

Incisions are placed in discreet locations and typically heal with minimal visibility.

Is this the same as cosmetic eyelid surgery?

No, ectropion repair, entropion repair, and ptosis repair are reconstructive procedures. However, at our Upper East Side clinic, they are often combined with cosmetic eyelid rejuvenation for a comprehensive result.

Will insurance cover my procedure?

If your eyelid malposition affects vision or causes medical symptoms, your surgery may be partially or fully covered. Dr. Coombs' office can assist with documentation and insurance verification.