RECONSTRUCTIVE SURGERY

Reconstructive Surgery is treatment of medical conditions. This is generally covered by medical insurance.

PTOSIS REPAIR

Ptosis is drooping of the eyelid margin which can cover the pupil and obstruct vision. There are several causes, the most common is age-related stretch of the muscle that elevates the eyelid. Repair is an outpatient procedure performed under local anaesthesia.

FUNCTIONAL UPPER EYELID BLEPHAROPLASTY

Excess upper eyelid skin can hang over the eyelid margin and obstruct peripheral vision. Upper eyelid blepharoplasty is removal of redundant upper eyelid skin to restore normal field of vision. If your upper eyelids inhibit your vision, you may be eligible for a functional upper eyelid blepharoplasty.

ECTROPION/ENTROPION

Ectropion and entropion are rotation of the eyelid margin from its natural position. This can cause irritation, tearing, dryness, infection, and damage to the eye itself. Surgical correction is usually straightforward, but can be more complex in certain instances.

TEARING

While tears are natural lubrication for the eyes, excess tearing can lead to discomfort, infection, and blurry vision. Poor eyelid tone, rotation of the eyelid margin, and blockage of the lacrimal system (tear system) are common causes of excess tearing. If the tear duct is blocked, a dacryocystorhinostomy (DCR) bypasses the blockage to create a new tear system.

THYROID EYE DISEASE

Thyroid Eye Disease, also referred to as Graves Disease, is the result of an autoimmune condition. This leads to bulging of the eyes, eyelid abnormalities, double vision, tearing, discomfort and visual loss. A team-based approach with an endocrinologist minimizes disease progression before surgical correction. We perform customized orbital decompression surgery and eyelid reconstruction to restore function and appearance.

FACIAL AND ORBITAL TRAUMA

Accidents happen! Trauma to the eyelids and surrounding structures of the face often result in fractured bones and soft tissue injuries. Not all trauma necessitates surgical reconstruction, but traumatic injuries can have long-term functional and aesthetic consequences if not properly treated.

BLEPHAROSPASM AND HEMIFACIAL SPASM

Benign Essential Blepharospasm and hemifacial spasm are neurological conditions that result in uncontrolled eyelid closure. The majority of patients have excellent results with Botox® treatment. For severe cases, a surgical myectomy (removal of the muscles that close the eyelids) is indicated. We proudly support the benign essential blepharospasm research foundation.

SKIN CANCER

Skin cancers affecting the eyelids are common. Complete removal and meticulous reconstruction is vital. The importance of expertise for reconstruction cannot be underscored as poor reconstruction has aesthetic and functional implications. We work with MOHS surgeons to achieve optimal outcomes.

ORBITAL TUMORS

An orbital tumor is a growth inside the bony socket that contains the eye, the muscles that move the eye, the optic nerve and other important structures. Orbital tumors can be benign or malignant, and do not always require removal. An accurate diagnosis and customized treatment plan ensures the best outcome. For larger tumors, a combined team-based treatment approach with ENT, neurosurgery, interventional radiology or oncology is used to ensure tumor removal with minimal side effects.

LOSS OF EYE

Anophthamia refers to absence of an eye. It can be due to a congenital condition, trauma, or surgical removal. Vision cannot be regained, but normal aesthetic appearance can be achieved with reconstruction and an artificial eye implant.

PEDIATRIC CONDITIONS

Children are not simply smaller adults. There are pediatric-specific conditions that affect the eyelids, tear system and bony structure of the orbit (eye socket). We routinely treat pediatric patients and work with other pediatric specialist to ensure the highest level of care for our pediatric patients, and adults who have congenital conditions.