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corrective and reconstructive procedures

Milan Eye Center, with multiple locations in metro Atlanta, offers a variety of corrective and reconstructive eye procedure and treatments, including:

Entropion Repair – Turning In Of The Eyelid

Entropion is a “turning in” of the eyelid and typically occurs on the lower eyelid, causing the skin and lashes to rub against the cornea.

Entropion treatment depends on the cause:

  • Entropion due to muscle weakness: The surgery may involve the removal of a small section of eyelid to tighten the muscles in the area.
  • Entropion due to scars or prior surgery: The procedure may rely on a skin graft to allow a repositioning of the eyelid.

Ectropion Repair – Turning Out Of The Eyelid

Ectropion is a “turning out” of the eyelid, typically occurring on the lower eyelid, where the skin of the inner eyelid is exposed either in one section of the eye or across the entire eyelid. This prevents tears from draining from the eye correctly, resulting in irritation. For ectropion due to muscle weakness, the surgery may involve the removal of a small section of eyelid to tighten the muscles in the area. When the ectropion is caused by scars or prior surgery, the procedure typically relies on a skin graft to allow a repositioning of the eyelid.


Trichiasis is a common eyelid abnormality in which the eyelashes are misdirected and grow inwards toward the eye. Those inward turning eyelashes rub against the cornea, the conjunctiva and the inner surface of the eyelids, irritating the eye. Lubricants, such as artificial tears and ointments, may decrease the irritant effect of lash rubbing or a surgical procedure may be recommended by Dr. Sajja.

Watering Eyes – Epiphora

Watering eyes, also known as epiphora, is a condition in which there is an overflow of tears onto the face, often without a clear explanation. People with epiphora have insufficient tear film drainage from the eye(s); instead of all the tears draining through the nasolacrimal system, they overflow onto the face. Treatment options depend on the severity of the epiphora and its causes.

Orbital Fracture Repairs

Orbital fractures typically result from severe trauma to the eye socket (the orbit).     The eye socket is typically repaired by reinforcing the fractured area with a synthetic implant. The procedure is designed and tailored to the patient’s specific injury.

Eyelid Lesion Removal / Biopsy

Eyelid lesions (lumps and bumps) are very common and can be benign or malignant. Biopsy is required for the definitive diagnosis as to whether they are benign or malignant.

Typically, when a benign lesion is suspected, patients prefer elimination of the entire growth; in such cases, an excisional biopsy is recommended. Incisional biopsies are performed when malignancy is suspected; the goal of the biopsy is to sample the lesion along an edge, removing a border that includes both normal and abnormal tissue. This border sample may aid in the diagnosis provided by the pathologist.

Eyelid Gold Weight Implantation

The loss of eye closure and blinking is one of the most significant problems associated with Bell’s Palsy/Facial Paralysis. Disruption of this protective mechanism can lead to irritation of the eye, ulceration of the cornea, and blindness. The procedure is initiated by selecting the proper size gold weight for rapid eye closure without the look or sensation of eyelid drooping for natural-looking results.

Tarsorraphy – Partially Sewn Eyelids

The eye needs the eyelid for protection. It also needs tears and periodic blinking to cleanse it and keep it moist. There are many conditions such as Bell’s Palsy/Facial paralysis, Exophthalmos (eyes bulging out of the eye sockets), and Sjogren’s syndrome that impair these functions and threaten the eye, especially the cornea, with drying. Sewing the eyelids partially together helps protect the eye until the underlying condition can be corrected.

Orbital Tumor Treatment / Removal

Tumors and inflammation can occur in the tissues around the eye and may be benign or malignant. Tumors often push the eye forward, causing a bulging of the eye (proptosis). Treatment of orbital tumors includes medication, surgery and/or radiation.

Enucleation – Removal Of Eyeball

Enucleation is the removal of the eye while leaving the eye muscles and remaining orbital contents intact. This type of ocular surgery is indicated for a number of ocular tumors, in eyes that have suffered severe trauma, and in eyes that are otherwise blind and painful.


Blepharospasm is a neurological condition characterized by forcible closure of the eyelids. There is no cure for blepharospasm. It is generally accepted that botulinum neurotoxin injections (Botox, Dysport and Xeomin) are the most effective treatment available for the reduction of symptoms, but for some patients, oral medications and surgery are options that may help patients.

Contact Milan Eye Center In Atlanta

Book a consultation with one of the board-certified eye surgeons at our Cosmetic and Oculoplastics center. Fill out our online contact form or call your nearest Milan Eye Center location.

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“Seeing Dr. Sajja was very easy and efficient. He was very thorough and professional. He was also very honest in what he felt needed to be done. He also had a very good bedside manner and was caring, nothing was painful at all. The surgery was a quick procedure and I was in excellent care. I was amazed that Dr. Sajja himself called me two days after surgery to check-up on me!”

“Dr. Milan Patel is an excellent, caring physician. From the initial exam through cataract surgery he was very patient with explaining the surgery and recovery process. I had both eyes replaced with new lenses and felt extremely comfortable through both procedures. I highly, highly recommend him!”

“I was scared of having my cataracts removed, but the doctor and all of the staff made me most comfortable. There was no pain & the recovery was short. I would recommend Dr. Desai to anyone who needs surgery. And the people who work there are just wonderful”
Deb Hallinyer