Cosmetic Eye Surgery Options

hands touching a woman's faceCosmetic eye surgery, called oculoplastic surgery is corrective and reconstructive surgery of the eyelids, tear ducts and orbit of the eye rather than corrective surgery to the cornea or lens of the eye itself. Oculoplastic surgery can correct a number of cosmetic problems including dropping or sagging eyelids, bags under the eyes, growths on the eyelid and blockage of the tear duct.

While many of these procedures can be performed by a plastic surgeon, Key-Whitman Dallas oculoplastic eye surgeons are board certified M.D.s who specialize in eye surgery and the tissues surround the eye, rather than general plastic surgery. Their limited focus on the eye means they are highly knowledgeable and skilled in dealing with the eye. The primary goal of an oculoplastic surgeon is providing reconstructive results while maintaining the health of the eye.

Some oculoplastic procedures may be considered medically necessary, while others are purely cosmetic.

Conditions in which oculoplastic surgery is medically necessary:

  • Ptosis – Drooping of the upper eyelid caused by aging, contact lens wear, injury and sometimes cataract or other eye surgeries. If the condition interferes with vision, oculoplastic surgery to correct the drooping eyelid is considered medically necessary.
  • Entropion – A condition in which the upper or lower eyelid turns inward, causing the skin and eyelashes to rub against the eye. May result in redness, irritation, excess tearing, crusting of the eyelid, mucous discharge, foreign bodies in the eye and decreased vision.
  • Ectropion – A condition in which the lower eyelid sags and turns out, resulting in exposure of the eyeball. This condition may be caused by aging, injury, eyelid growths or facial paralysis. May cause tearing, redness, crusting of the eyelid, mucous discharge, irritation, scarring of the cornea and decreased vision.
  • Eyelid growths – Growths on the eyelid or face may be benign, but they can also be malignant. Your doctor will determine if it is medically necessary to remove a growth on the eyelid.
  • Blockage of the tear duct – This condition may appear at birth, or as a result of injury, disease or infection. Symptoms of tear duct problems include pain, chronic tearing, crusting and watering or discharge. If surgery is required, a new “bypass” route may be constructed to connect the upper tear ducts to the nose for drainage of tears.
  • Reconstructive surgery – Following injury, burns or birth defects, reconstructive surgery of the eyelid or repair of fractures in the orbital bone may be necessary.

Conditions in which oculoplastic surgery may only be cosmetic:

  • Blepharoplasty – This procedure corrects excessive skin on the upper or lower eyelids and bags or extra fat above and below the eyes.
  • Brow ptosis – A drooping eyebrow may or may not interfere with vision. If it does, surgery to correct the condition would be considered medically necessary. Otherwise, correction of a drooping eyebrow is cosmetic.

If you have an eye condition requiring cosmetic or medically necessary oculoplastic surgery, choose a doctor who specializes in the eye. While there are many skilled general plastic surgeons out there, your eye and vision are very delicate, and you will be in the best hands with a doctor whose primary focus is oculoplastic surgery.

If you are considering oculoplastic surgery, contact us at Key-Whitman Eye Center today to schedule a comprehensive exam.

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