1415 Elm Street
Manchester, NH 03101

Reconstructive Surgery

Ptosis Surgery (Droopy Upper Eyelids)

Ptosis is the medical term for droopy upper eyelid. Ptosis can occur in one or both upper eyelids and most commonly is due to the loosening of the connection between the muscle that raises the eyelid and the rigid support structure of the eyelid (the tarsus). Ptosis can also be congenital, caused by muscular or neurological disorders, previous eye surgery, trauma, or long-term contact lens used. There are several different types of surgery to correct ptosis depending on the cause. Our team will discuss their assessment with you and go over a personalized treatment plan to provide you with the best results.

Eyelid Lesions, Skin Cancer and Reconstruction

Skin cancer and benign lesions often occur on the eyelids. Because of the thin eyelid skin and delicate surrounding anatomy, oculofacial plastic surgeons are the most trusted physicians involved in removing cancers and benign tumors of the eyelids and reconstructing the remaining defect. Their goal is to always provide the best cosmetic outcome while keeping the vital functions of the eye, eyelids, and surrounding structures intact.

Eyelid Malpositions (Ectropion and Entropion)

A normal, healthy eyelid has a natural tension that allows it to cover and protect the eye. Occasionally, as a result of aging, sun exposure, scarring, or trauma, this eyelid tension can become unbalanced and the eyelid can turn inward (entropion) or outward (ectropion). Depending on which problem you have, there are several surgical options to correct the eyelid malposition. Our team will perform a careful evaluation and discuss which personalized treatment plan is best for you.

Tearing and Lacrimal System (Tear Duct)

Tears are produced by the lacrimal gland above the eye and keep the eye lubricated. After tears wash across the eye, they drain into the nose via the tear duct or lacrimal drainage system. Excessive tearing can be caused by overproduction of tears, eyelid malposition, or a blockage of the lacrimal drainage system. Our team will perform a careful evaluation to determine if a surgical procedure is indicated to improve your symptoms.

Dr. Munroe also specializes in the management of:

  • Thyroid Eye Disease (Grave‚Äôs Disease)
  • Eye Removal (Enucleation and Evisceration)
  • Orbital Tumors
  • Benign Essential Blepharospasm (Eyelid Spasms)
  • Trauma (Eyelid Lacerations and Orbital Fractures)

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