Oculoplastic surgery is the reconstructive surgery of the eyelid and facial structures surrounding the eyes, specifically the tear ducts and the orbit (socket). Ophthalmic plastic surgeons are ophthalmologists who have completed several years of additional specialized training specific to plastic surgery, so they are especially aware of the importance of balancing quality cosmetic results and the reconstructive health of the eyes. Oculoplastic procedures are typically performed in an outpatient setting, meaning a same-day discharge and a relatively quick recovery. There are various types of oculoplastic procedures that can be done at Aesthetics by OCLI, including several variations of eyelid repair, orbital reconstruction, tearing surgery, and trauma surgery.
Extropion & Entropion Repair
Entropion and ectropion are two types of eyelid problems that can cause discomfort and irritation of the eyes. Entropion is a “turning in” of the eyelid, causing the skin and lashes rub to painfully against the cornea. The condition usually arises as a result of aging as the muscles around the eyes progressively weaken, but other causes can include skin infections, trauma, or congenital defect. Extropion is a “turning out” of the eyelid, causing the skin of the inner lid to be exposed, which prevents tears from draining from the eye and results in irritation.
Common causes for this include the same age-related weakening of the tissue around the eye, tumors, sun damage, or trauma such as burns. In some cases, ectropion can occur as a result of facial palsy or a birth defect.
Ptosis is the drooping of the upper lid, often occurring naturally with aging, which can cause a tired appearance and simultaneously refuses vision. Repair is intended to improve your vision while creating a younger, more vibrant appearance.
Eyelid and Orbital Cancer Reconstruction
This procedure is more complex, and can last several hours with a longer recovery time due to its location. The purpose is to preserve vision (and in some cases preserve the eye), prevent a malignant tumor from progressing, or to alleviate symptoms of an orbital tumor in order to restore the patient’s health. Depending on the size and location of the tumor, surgeons may be able to enter either from the side, or from above or below the eye by creating incisions along the lid or brow.
This procedure is done to restore the natural flow of tears in the eyes, and can also be referred to as a dacryocystorhinostomy. The surgeon will create a small incision through the nose or the inside corner between your nose and eye, where a new tear drain opening is created from the blocked sac. In cases where the duct obstruction remains blocked, a permanent artificial drain can be inserted behind the corner of the eyelids to maintain tear flow.
Because there are many different types of orbital surgery, the approach that will be chosen depends on the severity of the trauma, typically assessed by a CT scan. Procedures can vary from needing only a small incision, or no incision at all, to a larger incision that could result in visible scars. This is so the surgeon can remove or repair damaged tissues as necessary while being careful to preserve the function and vision of the eye.
Contact us at Aesthetics by OCLI today to find out if any of our services are right for you!