Oculoplastic surgery (also known as ophthalmic plastic surgery) is a specialized dynamic field of medicine that combines the microsurgery of ophthalmology with the cosmetic principles of plastic surgery. This branch of ophthalmology focuses on plastic and reconstructive surgery of the eyelids, tear ducts, and orbit, along with cosmetic surgery of the eyelids and brows. Oculoplastic surgeons also perform aesthetic rejuvenation procedures on the face with Botox/Xeomin, and facial fillers like Juvederm, Radiesse, and Belotero.
Blepharoplasty and ptosis repair to correct droopy eyelids are among the most commonly performed procedures by an oculoplastic surgeon. Blepharoplasty is procedure to remove excess sagging skin and muscle from the eyelids to restore a more youthful look and improve peripheral vision. When excess fatty tissue and eyelid bags are trimmed away, the cosmetic benefits of the surgery are more apparent. Ptosis repair is an eyelid lifting procedure to restore the edge of the eyelid (from where the eyelashes emerge) to its normal state above the pupil. Recovery from blepharoplasty and ptosis repair is quick and usually not painful. The procedure is often performed in an ambulatory surgery center on an outpatient basis.
A browlift is a procedure to lift the eyebrows back to their normal anatomic site. In men, the normal brows rest at or just above the frontal bone above the eyes. In women, the normal brows are usually higher and rest above the bone. Surgery can be performed to lift the brows if they are sagging below these areas. Sometimes combined with blepharoplasty and/or ptosis repair, browlifting can also be done at an ambulatory surgery center in an outpatient setting.
The tear ducts are the normal passageway for tears to drain from the eyes and down the nose and throat. A blockage in these tubes will result in tearing of the eyes, sort of like a sink that is clogged. Surgery can be performed to bypass or open the blockage and restore the normal flow of tears. This procedure is known as a dacryocystorhinostomy or DCR. Tiny plastic tubes are often placed in the new tear drain to allow for proper healing around the surgery site. These tubes usually stay in place for three to six months and can be removed in the office.
Tumors around the eyelids and eye socket (orbit) sometimes appear and need to be treated. Whether a benign condition such as a stye or skin tag or a potentially malignant condition such as skin cancer or metastasis, an oculoplastic surgeon can diagnose and treat the condition after a biopsy is performed. In many cases, the biopsy can be performed in the office. Basal cell carcinoma, squamous cell carcinoma, sebaceous gland carcinoma, and melanoma are some of the more common eyelid skin cancers that can appear with sun damage to the area.
Ectropion and entropion are conditions that can effect the position of the eyelids. When the eyelid turns out away from the eye, an ectropion is present. This often results in tearing and constant irritation with discharge. When the eyelid turns towards the eye and causes the eyelashes to rub on the surface of the eye, an entropion is present. Outpatient or office surgery is usually necessary to correct this condition.
Botox, Xeomin, Juvederm, Radiesse, and Belotero are cosmetic injectables that are used to relax fine lines and wrinkles from the face. The glabella and crow’s feet are the most common injection sites with Botox. Other deeper lines around the face can be treated with fillers.
North Shore Eye Care provides oculoplastic surgery services throughout our locations on Long Island. Office testing is usually necessary to make a diagnosis prior to considering a procedure. We look forward to seeing you at a private consultation at one of our convenient locations throughout Nassau and Suffolk Counties.