Oculoplastic surgery can be both cosmetic and/or medically necessary, affecting your appearance as well as vision, comfort, and eye health.

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, like Dr Vu, is an ophthalmologist who has undertaken further specialist training in plastic surgery. Their primary focus remains the health and safety of your eyes but they also have additional skills as plastic surgeons.

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Conditions and Treatments:

Brow Lift Surgery

As you age, your skin loses its natural elasticity and wrinkles appear. Excess skin can cause your brow to descend and leave your eyes looking droopy. This can change your expression and make you look older. 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.

Eyelid Surgery

Very commonly, aging causes excess eyelid skin to develop, which can change your appearance as well as your 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. 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.

Eyelid malpositions

Aging typically cases sagging of the skin, which not only affects appearance but can also cause eye health issues, including:

  • 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 and dry or watering eye, to unwanted facial asymmetry and altered appearance. Cosmetic intervention, including the blepharoplasty surgical technique to remove and tighten excess skin, is often used and produces very good outcomes.

Blocked tear duct

A blockage in the lacrimal gland (tear duct) 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).

“Most patients who undergo oculoplastic procedures derive significant quality-of-life benefits.” Dr Phung Vu