{"id":8383,"date":"2026-06-02T11:30:11","date_gmt":"2026-06-02T09:30:11","guid":{"rendered":"https:\/\/institut-uniq.com\/service\/entropion-when-the-lower-eyelid-turns-inwards\/"},"modified":"2026-06-02T11:30:11","modified_gmt":"2026-06-02T09:30:11","slug":"entropion-when-the-lower-eyelid-turns-inwards","status":"publish","type":"service","link":"https:\/\/institut-uniq.com\/en\/service\/entropion-when-the-lower-eyelid-turns-inwards\/","title":{"rendered":"Entropion \u2013 when the lower eyelid turns inwards"},"content":{"rendered":"

Why an entropium is formed<\/h2>\n
\"\"<\/p>\n
\nEntropion is usually not caused by a single factor, but rather by a combination of various anatomical changes. Age-related tissue laxity, loosening of the lower eyelid retractors, changes in the eyelid muscles or instability of the lateral eyelid suspension are particularly common contributing factors.<\/div>\n
\n

As we age, the lower eyelid loses its elasticity. At the same time, muscle fibres and supporting structures shift. As a result, the eyelid tilts increasingly inwards.
\nIn addition, scarring, chronic inflammation, previous surgery or so-called cicatricial changes can shorten the internal structure of the eyelid and exacerbate the misalignment.
\nThis is precisely why entropion often looks similar on the outside, even though the underlying mechanisms may be completely different.
\nAnd it is precisely these differences that determine which treatment will be successful in the long term. <\/p>\n<\/div>\n

The importance of a precise analysis<\/h2>\n
\n

For Dr Richter, treatment always begins with a very thorough functional examination.
\nDuring this, he analyses, amongst other things:<\/p>\n

    \n
  • the horizontal tension of the lower eyelid<\/li>\n
  • the stability of the lateral eyelid suspension<\/li>\n
  • the function of the lower eyelid retractors<\/li>\n
  • the dynamics of the eyelid muscles<\/li>\n
  • possible scarring<\/li>\n
  • as well as irritation of the cornea and the surface of the eye.<\/li>\n<\/ul>\n<\/div>\n
    \n
    One question is particularly important:
    \nWhy does the eyelid turn inwards?
    \nFor it is only once the actual cause has been understood that a stable, long-term correction can be achieved.
    \nThis is precisely where one of the greatest challenges of oculoplastic surgery lies.
    \nEntropion can appear very similar on the surface \u2013 yet have completely different underlying causes.<\/div>\n

    How Dr Richter treats patients<\/h2>\n
    \n

    Treatment always depends on the cause, severity and functional situation.
    \nConservative measures such as eye ointments, lubricating therapy or taping of the lower eyelid may provide temporary relief. In certain cases, botulinum toxin injections may also be appropriate.
    \nIn most cases, however, surgical correction is necessary to stabilise the eyelid permanently.
    \nDepending on the findings, Dr Richter combines different techniques: <\/p>\n

      \n
    • horizontal blepharoplasty<\/li>\n
    • Refixation or tightening of the lower eyelid retractors<\/li>\n
    • Correction of muscle displacement<\/li>\n
    • Treatment of scarring lesions<\/li>\n
    • as well as stabilisation of the lateral canthus by canthopexy or canthoplasty.<\/li>\n<\/ul>\n

      What matters here is not the individual technique, but the right combination.
      \nIt is precisely in this respect, in his view, that the experience of a specialist in oculoplastic surgery comes to the fore:
      \nThe anatomy of the lower eyelid must be understood in three dimensions, both functionally and aesthetically.<\/p>\n<\/div>\n

      Function and naturalness go hand in hand<\/h2>\n
      \n

      For Dr Richter, correcting vision is never the sole priority.
      \nA good result means:<\/p>\n

        \n
      • Stable lid function<\/li>\n
      • Protection of the cornea<\/li>\n
      • complete eyelid closure<\/li>\n
      • harmonious eyelid contour<\/li>\n
      • and a natural look.<\/li>\n<\/ul>\n

        When it comes to the eyelids in particular, a matter of millimetres often makes all the difference in terms of function and aesthetics.
        \nThat is why precise analysis, experience and a cautious approach are crucial.
        \nThe aim is not to achieve maximum tension, but to restore a natural balance.<\/p>\n<\/div>\n

        Complex cases or those involving previous surgery<\/h2>\n
        \n

        Many patients only come to see us after they have already undergone surgery.
        \nEyelids that have undergone multiple previous operations can be particularly challenging, both anatomically and functionally.
        \nScarring, tissue loss or impaired eyelid mechanics often alter the natural anatomy significantly.
        \nIn such situations, Dr Richter frequently develops bespoke, phased treatment plans.
        \nThese allow for:<\/p>\n

          \n
        • a step-by-step reconstruction<\/li>\n
        • less tissue damage<\/li>\n
        • realistic recovery processes<\/li>\n
        • and more stable results in the long term.<\/li>\n<\/ul>\n

          A good outcome cannot be forced in eyelid surgery.
          \nEvery single step must be carefully planned and carried out with precision.<\/p>\n<\/div>\n

          Conclusion<\/h2>\n
          \n

          The treatment of entropion is one of the most technically demanding procedures in oculoplastic surgery.
          \nIt requires:<\/p>\n

            \n
          • a thorough understanding of eyelid mechanics<\/li>\n
          • accurate diagnosis<\/li>\n
          • surgical experience<\/li>\n
          • and a tailor-made plan.<\/li>\n<\/ul>\n

            It is precisely in complex cases or where previous surgery has taken place that the importance of specialisation and an understanding of anatomy becomes apparent.
            \nDr Richter\u2019s aim remains unchanged:
            \nNot to alter as much as possible \u2013 but to restore the lower eyelid\u2019s protection, function and natural harmony.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

            Why an entropium is formed Entropion is usually not caused by a single factor, but rather by a combination of various anatomical changes. Age-related tissue laxity, loosening of the lower eyelid retractors, changes in the eyelid muscles or instability of the lateral eyelid suspension are particularly common contributing factors. As we age, the lower eyelid […]<\/p>\n","protected":false},"featured_media":8037,"menu_order":0,"template":"","categories":[58,35],"tags":[],"class_list":["post-8383","service","type-service","status-publish","has-post-thumbnail","hentry","category-eyelids","category-surgery-en"],"acf":[],"yoast_head":"\nEntropion \u2013 when the lower eyelid turns inwards - Institut Uniq<\/title>\n<meta name=\"description\" content=\"Entropion: When the lower eyelid turns inwards. Find out more about the causes, symptoms, diagnosis and modern treatment options from Dr Richter.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/institut-uniq.com\/en\/service\/entropion-when-the-lower-eyelid-turns-inwards\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Entropion \u2013 when the lower eyelid turns inwards - Institut Uniq\" \/>\n<meta property=\"og:description\" content=\"Entropion: When the lower eyelid turns inwards. Find out more about the causes, symptoms, diagnosis and modern treatment options from Dr Richter.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/institut-uniq.com\/en\/service\/entropion-when-the-lower-eyelid-turns-inwards\/\" \/>\n<meta property=\"og:site_name\" content=\"Institut Uniq\" \/>\n<meta property=\"og:image\" content=\"https:\/\/institut-uniq.com\/wp-content\/uploads\/2026\/06\/Entropium-\u2013-wenn-sich-das-Unterlid-nach-innen-drehtEntropium-\u2013-wenn-sich-das-Unterlid-nach-innen-dreht.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1376\" \/>\n\t<meta property=\"og:image:height\" content=\"768\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/institut-uniq.com\\\/en\\\/service\\\/entropion-when-the-lower-eyelid-turns-inwards\\\/\",\"url\":\"https:\\\/\\\/institut-uniq.com\\\/en\\\/service\\\/entropion-when-the-lower-eyelid-turns-inwards\\\/\",\"name\":\"Entropion \u2013 when the lower eyelid turns inwards - Institut Uniq\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/institut-uniq.com\\\/en\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/institut-uniq.com\\\/en\\\/service\\\/entropion-when-the-lower-eyelid-turns-inwards\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/institut-uniq.com\\\/en\\\/service\\\/entropion-when-the-lower-eyelid-turns-inwards\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/institut-uniq.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/Entropium-\u2013-wenn-sich-das-Unterlid-nach-innen-drehtEntropium-\u2013-wenn-sich-das-Unterlid-nach-innen-dreht.webp\",\"datePublished\":\"2026-06-02T09:30:11+00:00\",\"description\":\"Entropion: When the lower eyelid turns inwards. Find out more about the causes, symptoms, diagnosis and modern treatment options from Dr Richter.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/institut-uniq.com\\\/en\\\/service\\\/entropion-when-the-lower-eyelid-turns-inwards\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/institut-uniq.com\\\/en\\\/service\\\/entropion-when-the-lower-eyelid-turns-inwards\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/institut-uniq.com\\\/en\\\/service\\\/entropion-when-the-lower-eyelid-turns-inwards\\\/#primaryimage\",\"url\":\"https:\\\/\\\/institut-uniq.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/Entropium-\u2013-wenn-sich-das-Unterlid-nach-innen-drehtEntropium-\u2013-wenn-sich-das-Unterlid-nach-innen-dreht.webp\",\"contentUrl\":\"https:\\\/\\\/institut-uniq.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/Entropium-\u2013-wenn-sich-das-Unterlid-nach-innen-drehtEntropium-\u2013-wenn-sich-das-Unterlid-nach-innen-dreht.webp\",\"width\":1376,\"height\":768},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/institut-uniq.com\\\/en\\\/service\\\/entropion-when-the-lower-eyelid-turns-inwards\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Startseite\",\"item\":\"https:\\\/\\\/institut-uniq.com\\\/en\\\/home\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Entropion \u2013 when the lower eyelid turns inwards\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/institut-uniq.com\\\/en\\\/#website\",\"url\":\"https:\\\/\\\/institut-uniq.com\\\/en\\\/\",\"name\":\"Institut Uniq\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/institut-uniq.com\\\/en\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Entropion \u2013 when the lower eyelid turns inwards - Institut Uniq","description":"Entropion: When the lower eyelid turns inwards. Find out more about the causes, symptoms, diagnosis and modern treatment options from Dr Richter.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/institut-uniq.com\/en\/service\/entropion-when-the-lower-eyelid-turns-inwards\/","og_locale":"en_US","og_type":"article","og_title":"Entropion \u2013 when the lower eyelid turns inwards - Institut Uniq","og_description":"Entropion: When the lower eyelid turns inwards. Find out more about the causes, symptoms, diagnosis and modern treatment options from Dr Richter.","og_url":"https:\/\/institut-uniq.com\/en\/service\/entropion-when-the-lower-eyelid-turns-inwards\/","og_site_name":"Institut Uniq","og_image":[{"width":1376,"height":768,"url":"https:\/\/institut-uniq.com\/wp-content\/uploads\/2026\/06\/Entropium-\u2013-wenn-sich-das-Unterlid-nach-innen-drehtEntropium-\u2013-wenn-sich-das-Unterlid-nach-innen-dreht.webp","type":"image\/webp"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/institut-uniq.com\/en\/service\/entropion-when-the-lower-eyelid-turns-inwards\/","url":"https:\/\/institut-uniq.com\/en\/service\/entropion-when-the-lower-eyelid-turns-inwards\/","name":"Entropion \u2013 when the lower eyelid turns inwards - Institut Uniq","isPartOf":{"@id":"https:\/\/institut-uniq.com\/en\/#website"},"primaryImageOfPage":{"@id":"https:\/\/institut-uniq.com\/en\/service\/entropion-when-the-lower-eyelid-turns-inwards\/#primaryimage"},"image":{"@id":"https:\/\/institut-uniq.com\/en\/service\/entropion-when-the-lower-eyelid-turns-inwards\/#primaryimage"},"thumbnailUrl":"https:\/\/institut-uniq.com\/wp-content\/uploads\/2026\/06\/Entropium-\u2013-wenn-sich-das-Unterlid-nach-innen-drehtEntropium-\u2013-wenn-sich-das-Unterlid-nach-innen-dreht.webp","datePublished":"2026-06-02T09:30:11+00:00","description":"Entropion: When the lower eyelid turns inwards. Find out more about the causes, symptoms, diagnosis and modern treatment options from Dr Richter.","breadcrumb":{"@id":"https:\/\/institut-uniq.com\/en\/service\/entropion-when-the-lower-eyelid-turns-inwards\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/institut-uniq.com\/en\/service\/entropion-when-the-lower-eyelid-turns-inwards\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/institut-uniq.com\/en\/service\/entropion-when-the-lower-eyelid-turns-inwards\/#primaryimage","url":"https:\/\/institut-uniq.com\/wp-content\/uploads\/2026\/06\/Entropium-\u2013-wenn-sich-das-Unterlid-nach-innen-drehtEntropium-\u2013-wenn-sich-das-Unterlid-nach-innen-dreht.webp","contentUrl":"https:\/\/institut-uniq.com\/wp-content\/uploads\/2026\/06\/Entropium-\u2013-wenn-sich-das-Unterlid-nach-innen-drehtEntropium-\u2013-wenn-sich-das-Unterlid-nach-innen-dreht.webp","width":1376,"height":768},{"@type":"BreadcrumbList","@id":"https:\/\/institut-uniq.com\/en\/service\/entropion-when-the-lower-eyelid-turns-inwards\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Startseite","item":"https:\/\/institut-uniq.com\/en\/home\/"},{"@type":"ListItem","position":2,"name":"Entropion \u2013 when the lower eyelid turns inwards"}]},{"@type":"WebSite","@id":"https:\/\/institut-uniq.com\/en\/#website","url":"https:\/\/institut-uniq.com\/en\/","name":"Institut Uniq","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/institut-uniq.com\/en\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/institut-uniq.com\/en\/wp-json\/wp\/v2\/service\/8383","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/institut-uniq.com\/en\/wp-json\/wp\/v2\/service"}],"about":[{"href":"https:\/\/institut-uniq.com\/en\/wp-json\/wp\/v2\/types\/service"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/institut-uniq.com\/en\/wp-json\/wp\/v2\/media\/8037"}],"wp:attachment":[{"href":"https:\/\/institut-uniq.com\/en\/wp-json\/wp\/v2\/media?parent=8383"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/institut-uniq.com\/en\/wp-json\/wp\/v2\/categories?post=8383"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/institut-uniq.com\/en\/wp-json\/wp\/v2\/tags?post=8383"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}