Oculoplastic surgery is plastic surgery isolated to the areas around the eyes: the eyelids, orbit (bones behind the eye) and lacrimal (tear drain) system. An oculoplastic surgeon is an ophthalmologist who performs cosmetic and reconstructive procedures on the eyelids, orbit (bones and anatomic structures behind the eyeball) and lacrimal (tear drain) system. The field of oculoplastic surgery combines the precision and microsurgery of ophthalmology with the aesthetic and reconstructive concepts of plastic surgery. Oculoplastic surgery is a small, highly selective subspeciality of ophthalmology.
Blepharoplasty (Eyelid Surgery)
By removing excess fat, skin and muscle from the upper and lower eyelids, blepharoplasty can rejuvenate puffy, sagging or tired-looking eyes. It is typically a cosmetic procedure but can also improve vision by lifting droopy eyelids out of the patient's field of vision. Blepharoplasty can be performed in conjunction with laser skin resurfacing to tighten skin, reduce wrinkles and achieve a glowing appearance.
The procedure is performed in the newest state-of-the-art surgery center in Westchester. Incisions are made along the eyelids in inconspicuous places (in the creases of the upper lids, and just below the lashes on the lower lids). The surgeon removes excess tissue through these incisions and then stitches them closed with fine sutures. In the case that no skin needs to be removed, the surgery will likely be performed through a transconjunctival incision that is made on the inside the lower eyelid with no visible scars.
Stitches are removed after 5 days and most people return to work in 1 week. Contact lenses may not be worn for two weeks. Cold compresses may be applied for 2-3 days after the procedure to diminish swelling and bruising, which usually is apparent for 7 to 10 days.
Correcting eyelid procedures that interfere with your vision may be covered by your health insurance.
Ptosis is a condition in which the eyelid droops. It is caused by a weakness or separation of muscles deep within the eyelid. Ptosis does not involve excess skin or tissue in the eyelid (a condition called dermatochalasis). It is usually a result of aging, but some people develop ptosis after eye surgery or an injury, and some children are born with the condition. A brief surgical procedure can eliminate the drooping. Many young patients with mild to moderate ptosis do not need surgery early in life. Patients who are also suffering from excess skin may choose to undergo blepharoplasty at the same time as ptosis repair. Children with ptosis should be examined regularly to check for other vision problems including amblyopia ("lazy eye"), refractive errors and muscular diseases.