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Oculoplastic

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What Is Oculoplastic?

Plastic & Reconstructive Eye Surgery (Oculoplastic) is a general term used to represent a variety of procedures isolated to the areas around the eyes: the eyelids, orbit (bones behind the eye) and lacrimal (tear drain) system. Ocular reconstructive surgery, aesthetic facial plastic surgery, and cosmetic procedures fall into this category:

  • Abnormal Tear Drain (Punctal Malposition or Senosis)
  • Blocked Tear Duct (Nasolacrimal Duct Obstruction)
  • Botox and Facial Fillers
  • Cosmetic Eyelid Surgery (Blepharoplasty)
  • Eyelid Drooping (Ptosis)
  • Eyelid Turning In (Entropian)
  • Eyelid Turning Out (Ectropian)
  • Eyelid Growths (Papilloma)
  • Facial Droop (Bell’s Palsy)
  • Orbital Inflammatory Syndromes
  • Tearing
  • Thyroid (Graves)
  • Tumors

ARE YOU A CANDIDATE?

Do you have

Drooping, or tired, upper eyelids?

Excess Eyelid Skin?

Post-Cosmetic Eyelid Surgery Complications?

Wrinkles?

The objective of Oculoplastic surgery

While you may feel that droopy eyebrows and upper eyelids are “just part of getting old,” the visual field loss caused by these conditions causes decreased quality of life, restricts visual field, and is potentially dangerous.

During your visit to our facility we will determine which factors contribute to restriction of your visual field, and we will discuss the surgical options to correct these problems.


During your visit

During the first consultation, you will meet with our knowledgeable staff for an overview of your medical and eye history. From there, you would meet with your surgeon to review all test results and discuss your personal goals as well as answer any questions you may have.

WHAT TO EXPECT BEFORE, DURING AND AFTER SURGERY

Pre-Operative

Pre-surgical testing will depend on what type of surgery. Inpatient procedures require minimal testing.

If you have local anesthesia, you will remain awake during the procedure, but the area around your eyes will be numbed with a drug administered through a needle. Local anesthesia can be enhanced with the use of systemic sedatives given either orally or intravenously.

We will take photos prior to surgery, and again post-surgery. These photos help the patient and surgeon view the progress of the treatment. Please note: all photos taken are protected by law in the patient’s confidential medical record.

Patients will be marked prior to surgery to avoid removing upper eyelid skin that would leave less than 20–22 mm between the eyelid margin and the brow cilia. We will wipe your skin with alcohol to remove oils prior to marking to ensure the surgical markings will remain after patient prepping. All marks are made with an extra-fine point skin marker by Scanlan™

Procedure

Your procedure depends on the type of Oculoplastic surgery and technique your surgeon uses. However, these are the most common surgery methods practice by our surgeons.

  • Eyelid surgery (Blepharoplasty) – The surgeon makes the incision and then separates the skin from the underlying tissue to remove the excess fat, skin, and muscle. Sutures are then placed in the upper eyelids to close the incisions. The lower lids may not require sutures, depending upon the technique used. The procedure usually takes about two hours if both upper and lower eyelids are done together.
  • Tear duct surgery – Your surgeon will make a small incision through the nose or through the skin on the inside corner of your eye and your nose. A new tear drain opening is created from the blocked sac directly into the nose. A stent may be left in the new tear drain temporarily to keep the duct open. In some cases, the obstruction remains blocked and a permanent artificial drain is placed behind the corner of the eyelids.
  • Orbital surgery – There are many different types of orbital surgery, and the surgical approach that will be chosen in your case depends on the location, size, and extent of disease present. In some instances, only a small skin incision — or no incision at all — is required. In others, large incisions are needed and visible scars may result. Your surgeon will remove or repair damaged tissues as necessary while carefully preserving eye function and vision.
  • Eyebrow & forehead lift – This procedure can be done through several small incisions in the scalp behind the hairline (endoscopic approach) or through one longer incision concealed in the hair of the scalp. Excess skin is removed to raise the forehead and eyebrow.
  • Face lift & implants – Surgeon removes excess fat, tightens underlying muscle, and reshapes the facial skin. An incision is made in the area of the temple hair, just above and in front of the ear, and is continued under the earlobe to the back of the ear, where it blends into the hairline.

Post-Operative

Your post-operative care will depend on the type of Oculoplastic procedure you had. The average recovery time for most procedures is about two weeks. However, many patients are cleared to return to daily activities, like work, three to four days after surgery.

Your surgeon will likely ask you to take it easy and apply cool compresses on your eyelids for the first few days after surgery. Minimal activity is usually recommended to help minimize swelling, bruising, discomfort, and postoperative complications.
Acetaminophen is usually recommended for any discomfort. Your surgeon may prescribe a stronger pain medication based on the treatment protocol for the surgery and your medical history.

The time necessary to recover from Oculoplastic surgery depends on the type of procedure performed, and can vary for each individual. Oculoplastic surgeries are generally free of complications, and most patients report little discomfort during their procedure and recovery.

IS THIS SOLUTION FOR ME?

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