Reconstructive and Cosmetic Surgery

Reconstructive and Cosmetic Surgery:

Facial Wrinkles and Spasm
Botox™ treatment weakens the muscles which cause facial wrinkles around the eyes and forehead

Facial Spasm
Botox™ also valuable to treat facial spasms called blepharospasm

Upper Lids:
Heavy Skin
Some people are born with heavy lid skin while most develop heavy upper lids due to time and relaxation of the lid skin. This results in poor vision and fatigue due to excessive efforts to raise the lids. Surgical removal of excess skin, loose muscle and fat creates better vision and a more natural rested appearance. 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.

Weak upper lid muscle or ptosis
Sometimes a droopy lid is due to a weak muscle with or without excess skin. This condition will result poor vision due to the obstruction. The surgery strengthens the opening muscle to raise the lid to a more normal and comfortable position and better vision. This can be congenital in infants or gradually develop with time in adults.

upper lid blepharoplsaty

Upper lid blepharoplasty

brow lift

Brow life, lower lid blepharoplasty with skin and fat removal Botox™

Lower Lids:
There are two basic problems: excess fat and excess skin.

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 eye surgery

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.

blocked tear duct

Infant with blocked tear duct resulting in tearing and infection. This condition occurs in adults, too.


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.


Ophthalmic plastic surgery deals with damage to the eyelids and tear ducts but also with repairing fractures of the bone around the eye.

eye injury

Right upper lid ptosis due to trauma.

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