Blepharoplasty Broward County, Florida
Upper Lid Blepharoplasty - removes excess skin and fat from the upper eyelid. This is one of the most common procedures for women and men. If the redundant skin is resting on the eyelashes and/or covers the eye so as to cause a loss of upper field of vision, it may be covered by insurance. Photographs and visual field testing are performed and may need to be submitted for insurance prior authorization.
The benefits of upper lid blepharoplasty and ptosis surgery are increased comfort (the patient doesn’t have to elevate the eyebrow to lift the skin off the lashes or raise the eyelid), increased upper field of vision, and cosmetic enhancement. In women, a lid crease and platform to apply make-up on the upper lid can be created.
Ptosis Surgery - reinserts the levator muscle (the muscle that elevates the eyelid) in order to lift a drooping lid (ptosis). It can be done on one upper eyelid or both at the same time if both are drooping. Ptosis may be congenital or due to aging, trauma, or previous eye surgery. There is a characteristic abnormally high lid crease in ptosis, which is corrected by the surgery. If there is redundant skin and fat present, an upper lid blepharoplasty is performed at the same time as the levator surgery.
Lower Lid Blepharoplasty -is almost always cosmetic. Fat that has prolapsed into the lower eyelid creating bags is removed. A small strip of hypertrophic muscle just below the eyelashes is removed to thin out the eyelid. A small strip of skin may be removed to tighten the skin of the lower lid.
Entropion or Ectropion of the Lower Lids - are both caused by laxity of the aging lower lids. Entropion refers to the eyelid rolling in which causes the eyelashes to rub against the eye. Ectropion refers to the eyelid rolling out which causes tearing. Both are corrected by tightening the lower lid so it no longer rolls in or out. A lower lid blepharoplasty, which thins out the eyelid and removes excess fat, is often performed at the same time. If the lower lid ectropion is scared in the rolled out position, a free skin graft from the upper lid may be needed to return the lid to its proper position.
Basal Cell Carcinoma of the Eyelid - may be treated by the Mohs method or removal under frozen section. In the Mohs method, a dermatologist removes the basal cell carcinoma in his office and Dr. Sandberg does the oculoplastic reconstruction of the eyelid at the surgicenter that day or the next day. Alternatively, Dr. Sandberg can remove the basal cell carcinoma and do the reconstruction at the same time, with a pathologist present to make sure the margins are clear under frozen section. Free skin grafts are often used in the reconstruction in both methods. We use whichever method is most appropriate for the patient and the location of the basal cell carcinoma.
Office Oculoplastic Procedures. These procedures are done in the office under either topical anesthesia (eyedrops) or a small amount of local anesthesia.
- Excision of skin lesions and growths of the eyelids with biopsies sent for pathology.
- Chalazion excision (Dr. Sandberg only)
- Drainage of lid abscess
- Opening of blocked tear ducts that are causing tearing. We do this by dilating a closed lacrimal punctum (opening of the tear duct in the lid), probing the tear drainage system and irrigating fluid into the nose. This is both diagnostic and therapeutic. It makes the diagnosis of a blocked tear duct and often cures it.
- Botox injection-both functional and cosmetic. Botox injections alleviate the eyelid spasms of blepharospasm and facial spasms. We use it cosmetically for crow’s feet on the side of the eye, frown lines between the eyebrows, and in the forehead.