Surgical Procedures

No-Stitch Cataract Surgery

The human eye functions in much the same way as a camera. Light passes through the lens of the camera and is focused on the film.

Your eye also has a lens. But instead of film, the image forms on the retina, which is at the back of the eye. Normally, the lens is a clear, transparent structure through which light can freely pass and focus on the retina.

A cataract is a clouding of this lens. As a cataract develops, the clouded lens reduces the amount of light that can enter your eye, resulting in blurred or foggy vision.

Normal Eye

Eye with Cataract

Eyelid Plastic Surgery

• Droopy Eyelid Repair (Cosmetic Blepharoplasty)
• Acquired Ptosis/Congenital Ptosis
• Entropion (Eyelid Turned In)
• Ectropion (Eyelid Turned Out)
• Eyelid Skin Cancers (MOH's)

  Droopy Eyelid Repair (Cosmetic Blepharoplasty)

Over time, your upper and/or lower eyelids may become "droopy" or "baggy" because the eyelid skin stretches, muscles weaken, and fat pockets bulge and become more prominent around the eyes. your eyebrow also may sag or droop as part of this same process. Aesthetically, such conditions may detract from the overall attractiveness of one's eyes and cause a "fired" or older appearance. When severe, these conditions also may cause functional problems, such as impaired field of vision (baggy upper eyelids) or difficulty wearing glasses (baggy lower eyelids). The goal of this eyelid surgery is to reduce the "baggy" or sagging tissues, which may include skin, muscle, and fat pockets. Blepharoplasty surgery can provide both cosmetic and functional improvement with minimal risk of serious problems. Most patients are quite pleased with the results of their eyelid surgery.

Acquired Ptosis/Congenital Ptosis

Ptosis is the medical term used for drooping of the upper eyelid, a condition that may affect one or both eyes. When the edge of the upper eyelid falls, it may block the upper field of your vision. Symptoms of ptosis include a decreased ability to keep your eyes open, eye strain and eyebrow fatigue from the increased effort needed to raise your eyelids, and fatigue, especially when reading. In severe cases, it may be necessary to tilt your head back or lift the eyelid with a finger in order to see out from under the drooping eyelid(s). You may also complain that your eyes have a tired appearance from "drooping eyelids" even though you are well rested.

Entropion (Eyelid Turned In)

Entropion is the medical term used to describe a condition where the lower eyelid and eyelashes turn or roll inward towards the eye. This causes the eyelid and its lashes to constantly rub against the cornea (the front part of the eye) and conjunctiva (the mucous membrane that protects the eye). Entropion us usually due to a relaxation of the tissues of the eyelid as a result of aging. Entropion can cause chronic irritation to the eyelid and the eye. This can result in excessive tearing, crusting of the eyelid and mucus discharge, a feeling that something is in the eye, irritation of the cornea, and impaired vision. Entropion , if not repaired, could cause permanent damage to the eye.

Ectropion (Eyelid Turned Out)

Ectropion is the medical term used to describe an abnormal lower eyelid that runs outward and no longer touches the eye. As a result, the conjunctiva (the mucous membrane that lines the eyelid) may become red and exposed. Ectropion is usually due to relaxation of the tissues of the eyelid as a result of aging. Ectropion can cause chronic irritation to the eyelid and the eye. This can result in excessive tearing, crusting of eyelid and mucus discharge, infection, irritation of the cornea (the front part of the eye), and impaired vision. If ectropion is due to laxity of the eyelids supporting structures, it is best treated surgically.

Eyelid Skin Cancers (MOH's)

Skin cancer often involves the skin of the eyelid or adjacent face. Eyelid skin cancers occur most often on the lower eyelid, but may be found anywhere on the eyelid margins, corners of the eye, eyebrow skin, or adjacent areas of the face.

Usually, they appear as painless elevations or nodules. Occasionally, the eyelashes are distorted or missing. There may be ulcerations of the involved area, along with bleeding, crusting and/or distortion of the normal skin structure. Such findings need to be evaluated and may require a biopsy to confirm the diagnosis of skin cancer.

What Botox® Cosmetic Is

A Botox® Cosmetic treatment is a simple, non-surgical procedure that smoothes the deep, persistent lines between your brows that developed over time. One ten-minute treatment - a few tiny injections - relaxes the muscles that cause those lines to form and keeps them relaxed up to four months. Botox® Cosmetic has been widely tested. Now it's approved by the FDA.

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