What is Oculoplastics or Oculo-Facial 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.
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.
Types of Surgeries:
• Facial Rejuvenation
• Orbital Surgery
• Eyelid Surgery
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:
• Home care to prevent damage and improve your appearance,
• Minimally invasive office procedures like Botox, restylane, and lasers
• Surgery to lift and sculpt the face and eyes.
• Facial (cosmetic surgery around the eye / eyelids)
• 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 Botox or Xeomin for facial wrinkles or blepharospasm
• Skin Rejuvenation (Fillers, Restylane, Collagen, Cosmetic Botox)
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.
Orbital (reconstructive surgery involving the bones around the eye):
• Evaluation and repair of abnormal (clogged) tear duct system (lacrimal system)
• Orbital reconstruction following facial trauma
• Surgeries for Grave's disease (thyroid)
• Evaluation and repair of fractures
• Evaluation and management of orbital tumors
• Treatment for loss of an eye (anophthalmia)
Droopy eyelids are a major reason why some people consider eyelid surgery (blepharoplasty) to remove and tighten excess eyelid skin for a more alert, youthful appearance.
Sometimes blepharoplasty also can improve your vision by providing a less obstructed field of view, once droopy eyelids are improved.
Blepharoplasty can remove excess skin, muscle and sometimes fat from the upper or lower eyelids. In some cases, you might need only skin removed but not muscle — or you might need the procedure done on both upper and lower eyelids.
An upper eyelid blepharoplasty (sometimes called an "eye lift") should not be confused with upper eyelid ptosis surgery, which is a procedure to raise the position of the upper eyelid margin by tightening the muscle and tendon that normally elevate it. Blepharoplasty surgery sometimes can elevate an upper eyelid margin slightly if the heaviness of the excessive skin actually is "weighing down" the upper eyelid, causing it to droop.
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)