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What is an Oculoplastic Surgeon

Eye Plastic surgeons, also known as Oculoplastic or Oculo-Facial surgeons are ophthalmologists who have completed extensive post-residency training in this unique sub-specialty.

The training involves plastic and reconstructive surgery of the periorbital and facial tissues including eyelids & eyebrows, cheeks, orbit, and lacrimal (tear) system.

Our site provides in-depth education about cosmetic eyelid surgery by oculoplastic (oculofacial, oculo-facial) trained ophthalmologists (surgeons) skilled in performing eyelid surgery, blepharoplasty, facial plastic surgery.
The word plastic is derived from a Greek word that means to mold or to give form. Plastic surgery is surgery performed by a surgeon that molds or reconstructs parts of the human body.

Ophthalmic plastic surgery, also called oculo-facial surgery, is plastic or cosmetic surgery that is limited to the structures surrounding the eye. Since such surgery can affect one’s ability to see, ophthalmic plastic surgeons, oculofacial or oculo-facial are best qualified to perform this delicate eyelid or facial surgery and also provide any care that the eye itself may need.

What type of surgeries does an Oculoplastic / Oculo-Facial surgeon perform?

• Brow lifts ( direct, indirect and endoscopic)
•  Face and Cheek lifts ( Facelift &, Midface lift)
•  Skin resurfacing using CO2 or Erbium LASER or chemical peel
•  Injections with Botulinum for facial wrinkles or blepharospasm

• Orbital reconstruction following facial trauma
•  Surgeries for Grave’s disease (thyroid)
•  Evaluation and repair of fractures
•  Evaluation and management of orbital tumors

•  Upper and lower eyelid blepharoplasty (“eye lift”)
•  Repair of ptosis (drooping eyelid)
•  Management of dry eye
•  Evaluation of eyelid laxity, malposition and lagophthalmos
•  Cosmetic eyelid surgery

Eyelid Surgery

The eyelids are small but delicate structures integral to protecting and maintaining the health of the eye. A variety of problems can involve the eyelids and oculo-facial plastic surgeons are quite skilled in addressing these issues as they arise. As we age, the skin thins out, tissue stretches and sags and the soft tissue loses volume. Often the first place this becomes apparent is in the eyelids. Heavy upper eyelids (ptosis) may interfere with vision, and if they do, insurance companies will often pay for surgery to lift the lids. Loss of elasticity of the skin and sagging, baggy eyelids can also be treated. Lower eyelid surgery can help rejuvenate your appearance and is a common cosmetic surgical procedure. The same is true of the upper eyelid as well.

ASOPRS members are available for consultation to discuss a variety of eye lid plastic surgery procedures like blepharoplasty, droopy eyelid, eyelid plastics surgery or cosmetic eyelid surgery. Of note, the upper eyelid is in continuity with the eyebrow and the lower lid is in continuity with the cheek. In both these cases, brow lifts or cheek lifts may be needed to obtain the best result possible when sculpting the eyelids. 

In addition to drooping and sagging problems as the eyelids age, they can often turn in towards the eye (entropion) or turn away from the eye (ectropion). The skin is a very active organ in the body and is susceptible to a variety of conditions. A range of problems from benign warts and styes to malignant lesions like basal cell carcinoma can occur on the eyelids. Sometimes, only a biopsy can be done to make the correct diagnosis. As ophthalmologists trained in plastic surgeon the members of ASOPRS are the consummate surgeon for your eyelid needs. 
 

Eyelid (cosmetic eyelid surgery)

• Upper and lower eyelid blepharoplasty (“eye lift”)
• Repair of ptosis (drooping eyelid)
• Excision & reconstruction of skin tumors affecting the skin around the eyes (e.g. basal cell, melanoma
• Management of dry eye
• Evaluation of eyelid laxity, malposition and lagophthalmos
• Treatment of conjunctival / fornix scarring (Symblepharon)

 Orbital Surgery 

The orbit is the bony socket in your skull that contains and houses the eye and all the associated structures that support the function of the eye like muscles, nerves and blood vessels.  The eye and these other structures are surrounded by fat which acts as cushion to protect the eye as we run around or if we inadvertently get hit in the eye. 

Unfortunately, a variety of problems can occur in the eye socket that effect the function of the eye. These processes range from inflammatory disease like thyroid associated orbitopathy as seen in patients with Graves’ disease to tumors, infections, and injuries from trauma.

When these problems occur, patients often have double vision, loss of vision, pain and swelling. Evaluation with a trained specialist is important to appropriately evaluate and treat the underlying problem.

Facial Rejuvenation

There is nothing more important then being happy and feeling good about your self. As people begin to age, sagging around the eyes, heaviness of the face, wrinkles, sun damage and other tell tale signs of the aging process begin to show up. Some people tend to accept these changes while others are motivated to prevent them or even improve upon them. There is an ever growing armamentarium of tools to help patients seek the improvements they desire.

Treatments fall in to three major categories:

1. Home care to prevent damage and improve your appearance,
2. Minimally invasive office procedures like Botox, restylane, and lasers
3. Surgery to lift and sculpt the face and eyes.

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