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OCULOPLASTY AND AESTHETICS

The Ophthalmic Plastic Surgery Service focuses on functional disorders of the eyelids, orbits, and lacrimal drainage system as well as on the cosmetic enhancement of the eye zone (eyes, lids, upper cheeks, brow and forehead), and removal of hemangioma.

image2Ophthalmic plastic surgery is a unique specialty that relies on a surgeon’s technical ability and artistic skill. Our surgeons are qualified to perform aesthetic and reconstructive procedures in and around the delicate eye structure.

Eye and Orbital Plastic Surgery (Functional/Reconstructive)

Surgeons visiting in the Ophthalmic Plastic Surgery Service correct impaired vision and eye function by addressing the underlying functional problems of the eye and its surrounding structures.

Ptosis Repair

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Ptosis is the medical term for drooping of the upper eyelid(s). Ptosis may be mild to severe. For example, with severe ptosis the lid partially or completely covers the pupil, thus blocking one’s field of vision.

Orbital Tumors and Inflammation

The orbit contains the bones of the eye socket, the eyeball, the eye socket muscles, the optic nerve and the surrounding fat. Any of these structures may degenerate into a tumor. Orbital tumors can potentially affect both adults and children. The evaluation of a patient begins with a careful history and examination by a specialist trained in orbital diseases.

Thyroid Eye Disease

image4The most common inflammatory disorder which is associated with Graves’ thyroid disease. Patients may experience bulging of the eyes, an increased opening of the eyelids, misalignment of the eyes resulting in double vision, and in rare cases, compression of the optic nerve with resulting diminished vision. The service offers a wide range treatments of thyroid eye disease including eyelid, eye muscle and/or eye-socket surgery.

 

Tear Ducts (Lacrimal Drainage)

The lacrimal gland is an important part of the eye. It is responsible for making tears and keeping the eye moist. A delicate balance is maintained by the lacrimal glands, which manufacture the tears, and the tear ducts, which are responsible for draining the tears from the eyesBlockage of tear ducts can lead to continuous watering of eyes. This can affect either one eye or both eyes. Our oculoplastic surgeons are equipped to deal with such conditions by performing a procedure known as dacryocystorhinostomy(DCR) in which we create an alternative passage for drainage of tears.

Traumatic Lacerations and Fractures

image5Orbital trauma includes injuries to the orbit or to the tissues surrounding the eye. Examples of orbital trauma include:

  • Orbital foreign body
  • Orbital penetrating injuries
  • Fractures and traumatic optic neuropathy
  • Injury to the optic nerve

 

Removal of Eyes (Enucleation)

Eyes can be lost to trauma (such as a sport injury), infection or disease. Improvements in technology and extensive research have provided great strides with the treatment plan that is available for a patient who has lost an eye.

Advancements have occurred in:

  • Surgical procedures for removing the eye (enucleation)
  • Replacement of the eyeball with an implant
  • Fitting of a prosthesis (“glass eye”) by an ocularist to maximize each patient’s appearance and function

Frequently Asked Questions: Ophthalmic Plastic Surgery

 

What should I expect from the consultation?

Consultations vary from patient to patient. During the initial visit, the surgeon will discuss functional/cosmetic goals, assess physical health, provide education and information, as well as provide an opportunity to explore the options and discuss various procedures. It is important to establish goals and expectations with the surgeon during the initial consultation visit.

How soon can I go back to work?

In most cases, recovery time is between five and 10 days, depending on factors such as age, general health and the extent of the procedures. Patients find they can often return to telephone and computer work within days of their procedures.

Are there scars after surgery?

Incisions always leave scars. However, surgeons will strive to hide the incisions in natural creases on the face. In many cases the scars are hidden and so small that they are not noticeable.

Is cosmetic surgery right for me?

Cosmetic surgery is performed on people of all ages who want to improve their self-image, whether it is to look younger or look rejuvenated. Eye plastic surgery is not the answer to eternal youth, but it can effectively reduce puffy eyelids, bags below the eyes, wrinkles, acne scars, growths and sun-damaged skin.

Ophthalmic Cosmetic Procedures

 

Ophthalmic Cosmetic Surgery: Aesthetic Eyelid Surgery (Blepharoplasty)

image6Sagging eyelids and puffy bags can make you appear older and more tired than you feel. Eyelid surgery, or blepharoplasty, is a procedure that strives to minimize those effects and restore a more youthful appearance.

  • Upper eyelid blepharoplasty: Used to remove puffiness in the upper eyelids, or remove excess or loose skin that hangs from the upper eyelids and hides the natural creases
  • Lower eyelid blepharoplasty: Used to remove “puffy bags,” dark circles, and excess skin from the lower eyelids

Forehead/Brow Lift

The natural process of aging, combined with the experiences of one’s daily stresses and aggravations, can cause the forehead area to develop deep furrows. Frown lines may appear between the eyes and excess skin around the brows may begin to droop.

A forehead/brow lift removes the excess skin that causes wrinkles and drooping brows, tightens loose skin, and if necessary, removes part of the muscle that causes vertical frown lines between the eyebrows.

Wrinkle Management: BOTOX®, Restylane® and Other Injectables

image7BOTOX®      

                 
Every smile, laugh and frown leaves a permanent record on the face. Examples of these are the deep wrinkles seen on the forehead, the frown wrinkles seen between the eyes when angry, and the lines that extend from the nose to the mouth. Over time, wrinkles and lines are likely to become deeper.

Dynamic lines (caused by the contractions of the underlying facial muscles, such as furrows and frown lines) can be dramatically softened through a series of injections with Botulinum Toxin Type A, better known as BOTOX® Cosmetic. BOTOX® blocks the nerve impulses to the facial muscles that control expression lines and relaxes them so they do not contract. The result is that the overlying skin remains smoother and unwrinkled.

Deeper lines that are present at rest may respond to injectable substances beneath the skin’s surface (e.g., collagen). Many new alternatives are also being introduced for such problem areas.

BOTOX® is a registered trademark of Allergan, Inc.

Restylane®

Restylane® is a safe and natural cosmetic dermal filler that restores volume and fullness to the skin.it is U.S FDA approved.
Restylane® is made of  synthetic hyaluronic acid that is completely biocompatible with human hyaluronic acid.
Restylane® maintains its shape using the body’s own moisture. The hyaluronic acid in Restylane® is hydrophilic or “water loving.” As hyaluronic acid gradually degrades, each molecule binds to more water and over time, the same volume can be maintained with less hyaluronic acid. This ability of hyaluronic acid to bind to water is what helps provide lasting results.