Before and After Gallery
Select an image at bottom of page to view larger Before and After Images.
Occasionally, the eyelid develops a tendency to turn out or possibly turn
in. This is almost always accompanied by looseness of the eyelid. It must
be remembered that the lower lid is like a hammock. If both ends of the
hammock are tightened, you will get good lifting of the hammock above the
ground. However, if the hammock is only lifted on one end, it may not
provide adequate lifting so that one does not drag on the ground. For
this reason, the lower eyelid must be tightened like a hammock depending
on the end that is loose.
In many cases, it is necessary to raise the eyelid on both the nose side
as well as on the outside. The outside lift is performed by creating what
is called a tarsal strip. A small portion of the tarsus (the supporting
structure of the eyelid) is exposed and reattached and tightened to the
bone on the outside portion of the orbit. This is one of the most common
procedures Dr. Bowden does to restore the tone and function of the
Below are some pictures of an eyelid with very severe laxity. It would be
corrected by a tarsal strip to tighten the outside corner.