Congenital Eyelid Differences Upper East Side

Congenital eyelid differences can affect both appearance and eye function from an early age. With compassionate care and meticulous skill, specialized surgery can restore proper eyelid structure while supporting healthy development and visual comfort.

girl getting her eyelids dotted with pen for procedure

*Real Patient

*Real Patient

Expert Pediatric Eyelid Care Upper East Side Oculofacial Plastic Surgeon

Dr. Allison Coombs brings her competence as a board-certified oculofacial plastic surgeon and ophthalmologist to every case she treats. She has particular expertise in the treatment of congenital eyelid differences, offering families a trusted partner in their child’s care. Her precision techniques are designed to protect eye health while improving facial symmetry in a natural-looking way.

woman with her daughter smiling together

What Are Congenital Eyelid Differences?

Congenital eyelid differences refer to a group of conditions present at birth that alter the shape, function, or position of the eyelids. These differences may be inherited or arise during fetal development and can vary from mild to complex.

Depending on the diagnosis, these conditions may cause incomplete eyelid closure, poor tear drainage, or exposure of the eye. Early treatment helps preserve vision and prevent long-term complications.

What Treatment Can Do for Your Child

With early and appropriate intervention, congenital eyelid surgery can restore both function and facial harmony, supporting a child’s visual development and self-esteem.

The benefits of treatment typically include the following:

Restored eyelid positioning and closure
Reduced irritation, dryness, or tearing
Protection of the eye surface and vision
Improved facial symmetry
Increased comfort and confidence

About Treatment Candidacy

The decision to proceed with treatment depends on the specific eyelid condition, its impact on function or development, and overall health.

The following are ideal candidates:

Infants or children with eyelid malposition or incomplete eyelid closure
Patients at risk for corneal exposure or visual obstruction
Those without uncontrolled health conditions that could impair healing
Children who can safely undergo anesthesia based on pediatric evaluation

Choose Dr. Allison Coombs

Dr. Coombs offers a rare level of specialization in pediatric oculofacial care. Her advanced surgical training allows her to approach congenital eyelid surgery with an emphasis on both functional and cosmetic success. She understands the importance of minimizing scarring and tailoring every treatment plan to the growing child.

She is a member of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) and founder of the oculofacial plastic surgery division at Manhattan Eye, Ear & Throat Hospital. With each young patient she treats, Dr. Coombs applies empathy, skill, and forward-thinking strategy.

About the Consultation Process

Dr. Coombs will evaluate your child’s eyelid condition in detail, using both physical examination and any necessary imaging. She will walk you through treatment options, timing considerations, and what to expect before, during, and after surgery. Families are encouraged to ask questions and take time to feel confident in their care decisions.

Cost

The cost of treating congenital eyelid differences can vary based on the complexity of the diagnosis and the surgical technique required. According to the American Academy of Ophthalmology, pediatric eyelid surgeries for functional issues typically range from $3,000 to $7,000 in major metro areas like the Upper East Side.

The Treatment Experience

Dr. Coombs uses child-friendly approaches to promote healing and comfort throughout the process. Treatment for congenital eyelid differences is performed on an outpatient basis under general anesthesia.

Preoperative evaluation and planning
Precise surgical correction tailored to the condition
Careful closure with pediatric-focused suturing techniques
Postoperative monitoring and care instructions

After the Procedure

Swelling and bruising are common for the first few days. Most children recover quickly, with a return to regular activity in one to two weeks. Follow-up visits help ensure proper healing and monitor visual function.

Types of Congenital Eyelid Differences

Congenital ptosis: Drooping of the upper eyelid due to underdeveloped eyelid muscles
Eyelid coloboma: Notch or gap in the eyelid margin
Epiblepharon: An Extra fold of skin pushing lashes against the eye
Congenital entropion or ectropion: Abnormal turning in or out of the eyelids
Ankyloblepharon: Fusion of the upper and lower lids

Dr. Allison V. Coombs

Techniques Often Performed to Treat Congenital Eyelid Differences

Frontalis suspension: Elevates the eyelid using the forehead muscles
Lacrimal duct probing: Corrects tear drainage issues
Reconstructive eyelid surgery: Repairs traumatic or acquired eyelid defects
Orbital imaging and evaluation: Supports diagnosis of complex craniofacial syndromes

FAQ Congenital Eyelid Differences

Is surgery always needed for congenital eyelid differences?

Not always. Dr. Coombs will determine if observation or early surgery is the best option for your child’s health and development.

Will there be scars?

Incisions are placed in natural creases when possible, and pediatric techniques help minimize visible scarring.

What is the best age for surgery?

Timing depends on the condition. Some surgeries are done in infancy, while others may be delayed until school age.

Can congenital eyelid differences affect vision?

Yes. If not treated, they can lead to amblyopia (lazy eye), corneal damage, or chronic irritation.

Will my child need more than one surgery?

Possibly. As a child grows, additional adjustments may be needed to maintain eyelid function and appearance.

How do I prepare my child for surgery?

Dr. Coombs and her team will provide age-appropriate guidance, comfort measures, and detailed pre-op instructions for parents.

Are congenital eyelid conditions inherited?

Some may be, while others occur sporadically during development. Genetic counseling may be offered for certain diagnoses.