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COSMETIC EYE SURGERY

What is Cosmetic Eye Surgery?

cosmetic eye racine KenoshaPlastic or Reconstructive surgery of the eyelids & eyebrows, cheeks, orbit, and lacrimal (tear) system.

What procedures are considered "Cosmetic"?
Eyelid (cosmetic eyelid surgery)
Upper and lower eyelid blepharoplasty (eye lift)
Repair of ptosis (drooping eyelid)
Management of dry eye
Evaluation of eyelid laxity
Facial (cosmetic surgery around the eye and eyelids)
Direct Browlift
Skin Resurfacing using a CO2 laser

Orbital (reconstructive surgery involving the bones around the eyes) Evaluation and repair of lacrimal (tear) system Orbital reconstruction following trauma Surgeries for Grave's Disease (thyroid)

BLEPHAROPLASTY

Cosmetic eyelid surgery, or blepharoplasty, is a surgical procedure which can improve the appearance of the lower and upper eyelids. The area around the eyes is also rejuvenated, which makes you look rested and alert.
Blepharoplasty can specifically treat:
Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision
Excess fatty deposits that appear as puffiness in the upper eyelids
Bags under the eyes
Droopiness of the lower eyelids, showing white below the iris (colored portion of the eye)
Excess skin and fine wrinkles of the lower eyelid
Surgery Description
There are three major steps in a blepharoplasty procedure:

  • Step 1 - Anesthesia: This surgery is done under local anesthesia with sedation from Valium or in combination with Zanax in our outpatient surgery area in the office or it can be done under general anesthesia in the hospital
  • Step 2 - The Incision: Incisions are carefully made with a CO2 laser in the natural contours of the eyelid in order to conceal any scars.

Drooping upper eyelids can be corrected through an incision along the natural crease of the upper eylid allowing the repositioning of fat deposits, the tightening of muscles and the removal of excess skin.

Conditions of the lower eyelid may be corrected with an incision just below the lower lash line. Through this incision, excess skin in the lower eyelids is removed. A transconjunctival incision, which is hidden inside the lower eyelid, is an alternate technique to correct lower eyelid conditions and redistribute or remove excess fat.

  • Step 3 - Closing the incision Eyelid incisions are typically closed using one of the following methods:
  • Removeable or absorbable sutures
  • Skin adhesives
  • Surgical tape

The results of eyelid surgery will appear gradually as swelling and bruising subside to reveal a smooth, better-defined eyelid and surrounding region, and an alert and rejuvenated appearance.

Risks
The decision to have Blepharoplasty is extremely personal and you’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.
The physicians at The Eye Centers of Racine & Kenosha will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks and potential complications. 

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DIRECT BROWLIFT

A Direct Browlift is a surgical procedure which can improve the appearance of the brow and forehead area. The area is given a rejuvenated, more youthful appearance rather than appearing angry or tired.
Direct Browlifts can specifically treat:

  • Drooping or sagging brow that may impair vision
  • Excess fatty deposits that appear as puffiness in the area above the eye
  • Excess skin and fine wrinkles in the area between the eyebrows

Surgery Description
There are three major steps in a blepharoplasty procedure:

  • Step 1 - Anesthesia:  This surgery is done under local anesthesia with sedation from Valium or in combination with Zanax in our outpatient surgery area in the office or it can be done under general anesthesia in the hospital
  • Step 2 - The Incision: Incisions are carefully made just above the eyebrows in order to conceal any scars in the hair of the eyebrow.

After the incision is made, excess skin is removed in order to lift the brow.

  • Step 3 - Closing the incision Eyelid incisions are typically closed using one of the following methods:
  • Removeable or absorbable sutures
  • Skin adhesives
  • Surgical tape

Risks
The decision to have a brow lift is extremely personal and you’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.
The physicians at The Eye Centers of Racine & Kenosha will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks and potential complications.

Have a question? ASK US

Call us today! 262-637-0500 to schedule consultation.

SCHEDULE CONSULTATION
 

DRY EYES

Dry Eye is defined as a reduction in the eye's ability to produce sufficient natural tears.
Tear production is vital to your eye because it produces a film, called the tear film,  which covers the surface of the eye. This film is responsible for providing the cornea (the transparent part of the eye that covers the pupil and iris) with nutrients, oxygen and protection from infection.
Insufficient tear production can lead to pain, irritation and possibly scarring of the cornea.


Treatment
Depending on the cause, Dry Eyes can be treated as a temporary problem or a long-term condition. Either way, tears must be conserved or supplemented in order to provide relief.


Short Term Treatments
For less severe cases of dry eye syndrome, the use of artificial tears, or eye drops, is the best treatment option. Unfortunately, prolonged use of eye drops can actually worsen the dry eye symptoms due to preservatives manufacturers use when making eye drops. In situations of chronic dry eye syndrome, eye drops are not recommended.


Long Term Treatments
Chronic dry eye syndrome is treated by conserving your natural tears rather than supplementing them with artificial tears. This is done by either narrowing or closing the natural tear duct. This will conserve your precious natural tears and will eliminate the need for eye drops.


If your dry eye has a dominant evaporative component to its cause, the case for closing the tear ducts is not clear-cut. In these cases temporary dissolvable plugs are sometimes used.
A cotton bud soaked with anaesthetic is held over the tear duct and a tiny dissolvable collagen plug is painlessly inserted into your lower tear duct. The entire procedure is performed in an optometrist's office in a few minutes. Many patients report immediate comfort.


Collagen plugs dissolve within one week. If during this test period you experience relief from dry eye symptoms, you may wish to proceed with the long-term comfort afforded by permanent tear duct closure.  Closing the tear drainage ducts makes a lot of sense. In effect your own natural tears treat your own dry condition. Unless you have purely evaporative dry eye, plugs will help - its just a question of by how much. Some patients find they can stop using eye drops altogether.


Punctal occlusion, the medical name for closing the tear duct, can be achieved by:

  • Laser - Not Reversible
  • Cautersation - Not Reversible
  • Non-dissolvable plugs - Reversible

Punctal plugs can be compared to a stopper in a sink. Placing a tiny silicone insert into the tear duct prevents precious tears from being lost. As the tear reservoir builds - the self lubricating process begins.
Plugs are the least invasive of the long-term solutions to dry eye with a very high rate of success. They can be inserted easily and painlessly and are medically inert. They can easily be removed if too much tearing is produced in the event your dry eye condition improves at a later date. They are ideal in contact lens cases.

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EYELID LAXITY

Ectropion is the medical term used to describe sagging and outward turning of the lower eyelid and eyelashes. The margin of the eyelid and the eyelashes revert (turn out) . This rubbing can lead to excessive tearing, crusting of the eyelid, mucous discharge and irritation of the eye.


Entropion is the medical term used to describe sagging and outward turning of the lower eyelid and eyelashes. The margin of the eyelid and the eyelashes invert (turn in) . This rubbing can lead to excessive tearing, crusting of the eyelid, mucous discharge and irritation of the eye.


Trichiasis is the medical term used for Lashes pointing to theeye Floppy Eyelid Syndrome is the medical term used for when the Eyelid spontaneously inverts.

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PTOSIS

Ptosis or drooping of the upper eyelid, may occur for several reasons such as: disease, injury, birth defect, previous eye surgery and age. In most cases, it is caused by either a weakness of the levator muscle (muscle that raises the lid), or a problem with the nerve that sends messages to the muscle.


Children born with ptosis may require surgical correction of the lid if it covers the pupil. In some cases, it may be associated with a crossed or misaligned eye (strabismus). Left untreated, ptosis may prevent vision from developing properly, resulting in amblyopia, or lazy eye. Patients with ptosis often have difficult blinking, which may lead to irritation, infection and eyestrain. If a sudden and obvious lid droop is developed, an ophthalmologist should be consulted immediately.


Symptoms
The most obvious sign of ptosis is the drooping eyelid. Depending on how severely the lid droops, people with ptosis may have difficulty seeing. Sometimes people tilt their heads back to try to see under the lid, or raise their eyebrows repeatedly to try to lift the eyelids.

The degree of droopiness varies from one person to the next. If you think you may have ptosis, compare a recent photo of your face to one from 10 or 20 years ago, and you'll likely see a difference in the eyelid skin.


Surgery Description
Ptosis repair is usually completed under general anesthesia in infants and young children and under local anesthesia in adults. The surgeon must make an incision in the drooping eyelid, and carefully advance and tighten the levator muscle, which elevates the upper eyelid. The eyelid is often carefully compared to the opposite eye in terms of lid height in awake patients, however, this is not possible in patients under general anesthesia (infants and young children). In children with poor levator muscle function, a “levator sling” may be used. This is a more complex procedure in which muscles of the brow or forehead may be used to assist in elevation of the upper eyelid. Once the lid height is secured in the desired location, the eyelid incision is closed with tiny sutures. One or both eyes may need to be treated.

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SKIN RESURFACING

Skin Resurfacing is a cosmetic procedure used to rejuvenate the skin. A CO2 laser is used to gently remove the old and damaged skin. Then the natural healing powers of the body create new, youthful looking skin to replace the aged skin removed by the laser.
What is a CO2 laser?
The CO2 laser is a high energy infrared beam of light which is used in both surgical and cosmetic procedures due to it's level of precision and short healing times.
The laser emits a short burst of energy which vaporizes the outer layer of the skin, without damaging any of the underlying layers.
Procedure Description
The procedure is performed in our outpatient area usually lasts around an hour depending on the extent of resurfacing needed.

Step 1 - Anesthesia: Some discomfort is to be expected during the procedure. Our doctor will discuss the options available to minimize the discomfort during the procedure.

Options may include:

  • General Anesthesia
  • Pain Medication

Step 2 - Resurfacing

  • Our doctor will begin by making one pass with the CO2 laser to remove the outermost layer of skin. This is the layer containing most surface blemishes and fine wrinkles.
  • Then a second pass will be made to precisely tighten and shrink the aged and damaged collagen containing structures, which cause deep wrinkles.
  • Some patients with severely damaged skin may require additional passes.

After The Procedure
After a skin resurfacing procedure your skin will be very delicate and sensitive. For most patients, it will take 7 to 10 days for the skin to rejuvenate itself.
Below is a list of things to keep in my mind while your skin is healing:

  • During the first few days after the procedure your face will be wrapped with a bandage to help control secretions from the skin and promote faster healing.
  • After resurfacing it is normal for the skin to "weep" and crust over until the new skin has grown. Dressings may be applied as well to aid in the healing process.
  • Over the first few weeks after the procedure your fresh pink skin will turn to a more natural tone.
  • Sun block should be worn when in direct sunlight.
  • Make-up can be worn after the first week.

Suggestions From Other Patients
Below is a list of helpful tips from previous resurfacing patients:

  • When scheduling your procedure, check your calendar for any special events that might occur within 3 weeks of the operation.
  • Keep in mind that anything you use or wear for  several days might be stained by the ointment used on the healing skin.
  • Have a good supply of clean towels and wash cloths on hand.
  • To minimize discomfort after the procedure, use a straw when drinking and eat foods that do not require you to open your mouth very far.
  • Wear tops that button because it may be uncomfortable to pull shirts over your head.
  • Avoid getting close to a stove or oven for a few days after your procedure as it may produce a burning sensation similar to a sunburn.
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The Eye Centers of Racine and Kenosha provide the on-line information above solely for educational and communication purposes. Nothing contained on the site should be misconstrued as personal medical advice. None of the information published on the Eye Center website is intended to replace, supplement, or augment a medical visit with or medical advice from an eye care professional concerning the medical care of the viewer / user of the site. The Eye Centers of Racine and Kenosha disclaim any and all liability for injury or other damages resulting from the use of any information obtained from this website.

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