Facial Wrinkles: Botox™ treatment weakens the muscles which cause facial wrinkles.
Lower Lids: There are two basic problems: excess fat and excess skin.
Upper Lids: Surgical removal of excess skin, loose muscle and fat, to create a more natural rested appearance. Removing heavy upper lid skin improves vision and comfort. This surgery is considered functional (non-cosmetic and therefore covered by insurance) if a loss of vision can be demonstrated or if the excess skin hangs over the upper lid lashes.
Upper lid blepharoplasty Brow life, lower lid blepharoplasty with skin and fat removal
Transconjunctival Blepharoplasty: Cosmetic lower lid surgery involves no skin incision, scars or sutures. Excess fat is removed from the inside of the lid to flatten and smooth the lids.
Lower lid blepharoplasty
Transcutaneous Blepharoplasty: This technique involves a skin incision and is used for removing excess skin as well as excess lid fat. Lower lid blepharoplasty - skin and fat removal
Lacrimal - Disorders of the lacrimal (tear) system
Dry eye or keratitis sicca is one of the most troublesome eye problems. It is a problem caused by deficient tearing. People complain of itching, pain, blurred vision, red eyes, and paradoxically excess tearing. Treatment is copious
lubrication with artificial tears, lubricating gel, ointment, vitamins, and prescription drops.
The Tear Duct (the drainage system) may be plugged to promote greater comfort with less dependence on eye drops. Plugging the drainage system keeps what tears you make around the eye longer for greater comfort.
Tear Duct Blocking is caused when the person experiences sever tearing, irritation, and infections. This problem is corrected with surgical tear duct reconstruction.
Infant with blocked tear duct resulting in tearing and infection. This condition occurs in adults, too.
Tumors
Eyelid tumors are growths that may be malignant and need surgical treatment. Reconstruction, even after major tumor surgery, can result in normal appearing and functioning eyelids. Skin cancer of the eyelid.
Orbital tumors: Tumors of the area surrounding the eye itself need identification so treatment can be started and the eye and eyesight preserved. Surgery usually is necessary to biopsy and often to remove the growth.
Injury
Ophthalmic plastic surgery deals with damage to the eyelids and tear ducts but also with repairing fractures of the bone around the eye. Right upper lid ptosis due to trauma.
Eyelid Malpositions
Ptosis- A drooping eyelid (more than just extra skin) results from a weak elevating muscle. Ptosis surgery strengthens the weak muscle to raise the eyelid and permit normal movement of upper lid. Right upper lid ptosis - congenital
Adult onset left upper lid ptosis
Ectropion- the lower eyelid is pulled down so it cannot protect the eye. The eye is chronically red, irritated, tear, and painful. The vision can be damaged. Surgery is necessary to tighten the lid back into normal position.
Entropion- the eyelid turns inward so that lashes scratch and damage the eye. Surgery is necessary to rotate the eyelid back to normal position so the eye is not permanently damaged.
