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Oculo Facial Surgery

Oculoplastic Surgery:

With our specialized oculoplastic surgeon, you can be guaranteed the best surgical procedures for the eye, orbit, eyelids and face. Our Oculoplastic surgeons are ophthalmologists who have specialized in eyelid and facial plastic surgery. They understand the delicate anatomy and function of the eyelids and their surrounding structures.

Our Oculoplastic surgeons are ophthalmologists who have specialized in eyelid and facial plastic surgery. Oculoplastic surgeons are trained to do many different types of eyelid and facial surgery, ranging from simple eyelid malpositions to more complex reconstruction involving the eyelids and surrounding forehead. We understand the delicate anatomy and function of the eyelids and their surrounding structures. As well as the eyelids, they specialize in the lacrimal (tear) system, the orbit (bone cavity around the eye), adjacent periocular (around the eyes) and facial structures and the forehead and cheeks.

What areas are covered?

  • Forehead
  • Eyebrows
  • Eyelids
  • Lashes
  • Lacrimal ( Tear passage)
  • Socket ( Eye cavity)
  • Orbit ( Bones around eyes)
  • Eyeball
  • Cheeks

When should One meet this specialist ?
If you have the following complaints/ issues, please visit our Oculoplastic surgeon :

Cosmetic:

  • Facial aging
  • Skin issues
  • Wrinkles/ lines
  • Lumps, Bumps, Cysts
  • Eye bags
  • Droopy lids
  • Puffiness of eyes
  • Lost eye, Artificial eye
  • Scars
  • Dark circles
  • Hollowness under eyes

Non Cosmetic

  •  Watering
  • Itchy and Red eyes
  • Swelling, Mass on eyelids &face
  • Big eyes, Small eyes, Bulgy eyes
  • Thyroid
  • Lid and face injuries, Fractures
  • Eye and Face spasms and twitching
  • Painful Blind eyes
  • Infection on lids and face
  • Tumors , malignancy
  • Inturning and Outturning of lids

Some of the common cosmetic procedures performed are:

Brow Lift:

Brow lift is an approach used for droopy eyebrows, also known as eyebrow ptosis. Eyebrow ptosis can cause significant overhang of upper eyelid skin, also known as baggy lids, over the lashes and interfere with the visual function or appear unsightly. It occurs simply with ageing, due to thinning and descent of the tissue of the forehead.

For a browlift surgery, first the assessment of the appearance of the forehead, eyebrows, upper eyelids and peri-ocular region is done. The forehead lines, how active recruitment of eyebrows ( whether the eyebrows are used a lot to keep the eyelids open, or whether they are immobile, suggesting a nerve palsy) is done. According to the findings, the surgeon may recommend surgical or non-surgical methods of brow lifting.
A direct way of doing it is by removing a segment of scalp tissue from above the eyebrow. It does not correct the forehead position, or get rid of forehead wrinkles and lines, it only corrects the eyebrow position. The other ways of doing a brow lift are browpexy, and endoscopic brow and forehead lift.

Blepharoplasty:

Blepharoplasty is an operation to remove excess tissue from hooded upper and puffy / bags along the lower eyelids. Surgery can be carried out for functional reasons to improve vision if there is increased hooding leading to impairment of vision or causing fatigue. Surgery can also be carried out for cosmetic reasons, where the excess tissue is removed to restore a more youthful appearance. The oculoplastic surgeon will make eyelid and brow measurements and also take photographs.

Upper Lid Blepharoplasty:

Upper eyelid blepharoplasty is usually done under local anaesthesia, as a day care procedure. The amount of excess tissue to be removed is carefully outlined, a short skin incision is made in the natural skin crease and around the area of tissue to be excised, delicate layers of muscle and fat are shaped out. The aim is to remove the excess tissue without damaging eyelid function and eye comfort.

Lower Blepharoplasty:

Lower eyelid blepharoplasty may be done under local or general anaesthesia. Only very small amounts of skin muscle and/or fat are removed from the lower eyelids. There can be the addition of a chemical peel or laser to the skin. The procedure can be done from the skin side and or from the conjunctiva side ( inner layer of eyelid) also known as hidden incision surgery.

After the Blepharoplasty surgery, eyelids will usually appear swollen for a few days. Most forms of light exercise and a normal work pattern may be resumed within a few days of surgery and eyelid make-up worn from about two weeks after surgery.

Eyelid Ptosis:

Eyelid ptosis is a droopy upper eyelid. If the lid edge displaces downwards it can cover part of the pupil and block the upper part of the vision, or cause fatigue. In severe ptosis patients have to tilt their head back, or lift the eyelid with a finger, in order to see out well. It can be present since birth known as congenital ptosis, due to a poorly developed muscle. The other common causes are – age related thinning of the lifting muscle , injuries, surgeries and paralysis.

Eyelid ptosis surgery is usually done under local anaesthesia as a day case. A small bleb of local anaesthetic is given into the upper eyelid to numb the area. A short incision is made in the natural skin crease and the eyelid raising muscle (the levator palpebrae superioris) is identified and shortened to lift the eyelid. Sutures are used inside the lid and on the skin.

Procedures:

Surgical ( around the eyes)

  • Eyelid lift – upper lid blepharoplasty
  • Eye lid bags- lower lid blepharoplasty
  • Droopy or sleepy eyelids- ptosis surgery
  • Blind eye removal and cosmetic rehabilitation
  • Asian eye lids
  • Facial nerve paralysis
  • Sunken eyes
  • Any other periocular work- lumps, bumps etc

Surgical (Face)

  • Brow lifts
  • Midface lift
  • Facelift

Non-surgical (eyes and face)

  • Non-surgical face lift and countering( all indications) – dermal fillers
  • Wrinkle relaxing injections – Botox
  • Twitching of eyes and face muscles- Botox
  • Facial contouring – Botox
  • Dark circles – tear trough correction
  • Obagi / ZO skin care

 

Everyone deserves to look their best.

So do take the first step in making that major change with your body today.

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