There are many conditions that can affect the eye and its surrounds and require cosmetic surgical intervention. Oculoplastics involves the management of the eyelids, tear ducts and reconstructive surgery.
An Oculoplastic surgeon is an Ophthalmologist who has undertaken further specialist training in plastic surgery. Their primary focus remains the health and safety of our eyes but they also have additional skills as plastic surgeons.
Conditions and Treatments:
Brow Lift Surgery
As we age, our skin loses its natural elasticity and wrinkles appear. Excess skin can cause our brow to descend and leave our eyes looking droopy, often making us appear older than we are or changing our expression. Brow Lift Surgery helps restore brows to their original position to provide a more youthful appearance. Surgery usually entails making incisions in the hairline, removing excess tissue and tightening of the skin and muscles to create a smoother-looking brow.
Very commonly, as we age, we develop excess eyelid skin which can change our appearance as well as our eyelid function. Cosmetic eyelid surgery aims to restore a youthful appearance to the eye region through a procedure called a Blepharoplasty which reduces excess upper eyelid skin. The lower eyelids can also be rejuvenated by contouring the lower lid fat and tightening the skin. Sometimes best results can be achieved when combined with brow lift surgery (see above).
Eyelid skin cancer removal and reconstruction (see also Skin Cancer)
The eyelid region is one of the most common sites for non-melanoma skin cancers and comes with significant risk of tissue damage to nearby vital structures and even blindness in some extreme cases. Surgical treatment to excise any tumour requires specialist oculoplastic expertise to reconstruct the eyelid to return its normal appearance and function. Reconstruction and recovery will vary greatly depending on the type and extent of your cancer and can only be carried out once all the cancer is removed.
As we age, we may experience some “sagging” of the skin – this not only changes our appearance but can cause eye health issues as well and cosmetic intervention is often used with very good results. Conditions include:
- Drooping lower eyelid (ectropion)
- Turned in eyelid (entropion)
- Ptosis (drooping upper eyelid)
All of these conditions can cause unwanted symptoms varying from visual field obstruction, dry or watering eye to unwanted facial asymmetry and altered appearance. Using the Blepharoplasty (see Eyelid) surgical technique to remove and tighten excess skin produces very good outcomes.
Blocked tear duct
A blockage in the lacrimal gland can cause persistent eye watering or chronic eye infection. Endoscopic lacrimal surgery, using miniature cameras to operate on the tear ducts internally via the nose, allows your oculoplastic surgeon to perform ‘scarless’ surgery without a skin incision. (see Tear ducts)