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Medspa

Reconstructive

Surgery

Eyelid Malposition Surgery in Beverly Hills & Los Angeles

Eyelid malposition, including ectropion and entropion, causes more than cosmetic concern. It often leads to eye irritation, tearing, and long-term damage to the surface of the eye. Dr. Kami Parsa’s oculofacial plastic surgery practice in Beverly Hills offers surgical correction for patients from across Los Angeles, including West Hollywood, Santa Monica, and Brentwood, with a focus on precise, natural-looking outcomes.

Correcting a malpositioned eyelid requires knowing exactly why the eyelid moved out of place, and Dr. Parsa’s academic work spans each of the common causes. He has lectured nationally and internationally on the management of eyelid retraction and on eyelid malignancies, and he co-authored the chapter on eyelid lacerations in the Elsevier textbook Ocular Trauma. He completed his ophthalmology residency at USC’s Doheny Eye Institute and a two-year fellowship in oculoplastic and reconstructive surgery at Bascom Palmer Eye Institute, and he serves as an Adjunct Clinical Professor at the Keck School of Medicine of USC. With more than 20 years devoted to the eyelids and orbit, he is also a member of the American Academy of Ophthalmology. His full background is available on his credentials page.

“The eyelid sits against the eye for a reason. When it turns in or out, the goal is not just to reposition it, but to find the cause and correct that, so the repair holds.” — Dr. Kami Parsa

Understanding Eyelid Malposition and Its Effects

Eyelid malposition is more than an appearance issue. It can lead to problems with the ocular surface. As the tissues that support the eyelid lose tone with age, conditions such as ectropion and entropion become more common. They may also result from trauma, burns, facial paralysis such as Bell’s palsy, or scarring after previous surgery.

Malpositioned eyelids disrupt the normal tear film, leading to symptoms such as excessive tearing, redness, burning, or a gritty, foreign body sensation. Left untreated, these conditions can cause corneal damage or repeated infections. Treatment addresses both function and appearance, restoring comfort while protecting vision.

If you develop severe eye pain, increasing redness, light sensitivity, or a change in vision, seek prompt medical care, since these can indicate corneal injury.

Ectropion Surgery: Personalized Repair Plans

Ectropion is an outward turning of the eyelid that leaves the eye exposed and vulnerable. Patients commonly experience dryness, tearing, and irritation. Dr. Parsa tailors treatment based on the underlying cause. For age-related ectropion, he typically performs a lateral canthoplasty or lower eyelid tightening to restore eyelid tone. When ectropion results from scarring or previous trauma, a skin graft, often taken from the upper eyelid or behind the ear, may be used to rebuild the area. You can learn more on the ectropion repair page.

Procedures are performed at an accredited outpatient surgical center in Beverly Hills. Many patients notice improved comfort and reduced tearing as healing progresses.

Entropion Correction: Restoring Comfort and Eye Health

Entropion causes the eyelid to turn inward, which makes the eyelashes rub against the cornea. This can be painful and may lead to surface scratches, ulcers, or infection. It typically affects the lower eyelid and is often related to aging or to scarring from prior surgery or trauma.

Depending on your anatomy and medical history, Dr. Parsa may tighten the eyelid, reattach the eyelid retractors, release scar tissue, or place a mucous membrane graft. These are outpatient procedures designed for limited downtime. More detail is available on the entropion repair page.

How We Support You Through the Process

Every visit begins with a thorough evaluation that includes functional testing, imaging when appropriate, and a detailed discussion of your symptoms. The team takes time to explain your condition, outline treatment options, and give you a realistic outlook for recovery and results.

The Beverly Hills team handles preoperative coordination, including insurance pre-authorization when applicable. From your first consultation through postoperative care, you will receive attentive support from staff experienced in reconstructive eyelid care.

Why Choose Dr. Kami Parsa for Eyelid Malposition Surgery

Dr. Parsa’s practice is devoted to the eyelids, orbit, and surrounding facial structures, which matters when the eyelid has turned in or out.

  • Both Directions Treated in One Practice: Whether your eyelid turns outward or inward, Dr. Parsa performs the full range of corrective techniques.
  • Attention to the Underlying Cause: Laxity, scarring, and facial nerve weakness each call for a different repair, and identifying the cause is the first step.
  • Experience With Previously Operated Eyelids: Malposition after cosmetic eyelid surgery is a common reason patients seek his revisional eyelid surgery.
  • Eye Protection First: Repairs are planned to restore eyelid closure, tear flow, and corneal protection.
  • Insurance Support for Functional Cases: The team helps with documentation and pre-authorization when surgery is medically necessary.

Schedule an Eyelid Malposition Consultation in Beverly Hills

If you are dealing with eyelid discomfort, chronic tearing, or have been diagnosed with ectropion or entropion, specialized help is nearby. Dr. Kami Parsa provides eyelid reconstruction for patients across Beverly Hills, Los Angeles, Santa Monica, Culver City, and beyond. Contact the team to begin your path toward clearer vision and greater comfort.

Frequently Asked Questions About Eyelid Malposition

Medically reviewed by Kambiz K. Parsa, M.D. on

What are signs of eyelid malposition?

Common signs include the eyelid turning outward or inward, persistent eye irritation, excessive tearing, and sensitivity to light or wind.

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Is this surgery covered by insurance in California?

When surgery is medically necessary, such as when the condition affects vision or causes chronic irritation, many plans provide coverage. The Beverly Hills staff will assist with insurance verification.

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Do I need a referral to see Dr. Parsa?

No referral is required. Many patients come directly for a consultation after experiencing symptoms or receiving a diagnosis elsewhere.

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What is recovery like in Los Angeles climate?

Most patients experience swelling and bruising that improves over 1 to 2 weeks and can return to light activity within several days. Dr. Parsa provides specific instructions, including how to protect the eye and when to use prescribed drops or ointment.

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What is the difference between ectropion and entropion?

Ectropion is an outward turning of the eyelid that exposes the eye, while entropion is an inward turning that causes the lashes to rub against the eye. Both can be corrected surgically, using different techniques. Read more in Entropion and Ectropion Lower Eyelid.

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Testimonials

4.8 / 5.0

Based on 29 reviews

Dr. Parsa is not only an amazing surgeon! He is also very caring and meticulous! His expertise shows in his wonderful bedside manner overall knowledge of his field. I appreciate his knowledge, advice and professionalism for over 6 years. I trust him with my eyes and refers him to my family and friends! His staff is trusting and caring and I love seeing them!

Erica D.

Words cannot express how thankful and appreciative I am to have found you. I am deeply grateful for you, for your generosity and caring nature as pertaining to my medical condition. As you know, I was apprehensive about having further surgery, but you are and have been reassuring and confident in the type of procedure you would perform in order to fix my eyelid from the beginning. The fact that you are not pushy and gave me the time and space to make the decision on my own allowed me to prepare myself mentally and emotionally, that really made a difference. Besides from that, your continuous generosity made me confident that you were the right doctor for the task at hand. You will never know how appreciative I am of that. I would also like to let you know how pleased I am with the results of the surgery. I have not felt this comfortable in years. My parents are also very grateful since this was my 14th surgery. You have a true gift. Thank you again for your patience, time, concern, and overall care. I pray that God continues to give you strength to help people who truly need life-changing medical procedures.

Sophia P.

Dr. Parsa is an amazing doctor. Warm and very caring. I had my eyes done a couple years ago and I couldn't be happier. Dr. Parsa likes to take the conservative approach which I greatly appreciate in a doctor when it comes to cosmetic surgery. I also go to Dr. Parsa for Botox and he always knows just the right amount. The staff in Dr. Parsa's office are all terrific!

Todd H.