Some patient are afflicted with lashes that grow from the wrong area on the eyelid (distichiasis) or in the wrong direction (trichiasis) and brush against the eyeball. Examination is necessary to ensure an eyelid cancer or growth is not causing the lash distortion. Plucking of hard to remove eyelashes can be performed under magnification (epilation), but requires repeat treatments as the lashes re-grow. Dr. Reistad performs electrolysis on misdirected eyelashes under the microscope when appropriate, to effect a more permanent lash removal. Treatment is chosen depending on the nature and severity of the condition. If eyelid malposition is responsible for lashes rubbing on the eyeball, this must be corrected.

Some patients suffer from eyelash insufficiency, having short, thin eyelashes. (hypotrichosis). They may be candidates for treatment with Latisse.