Corrective & Reconstructive Procedures

Eyelid Lesion Removal

Eyelid lesions, commonly described as “lumps” or “bumps,” are very common and may be either benign or malignant. Because appearance alone cannot always determine the diagnosis, a biopsy is often recommended.

When a lesion appears benign, complete removal (excisional biopsy) is commonly performed for both diagnosis and treatment. If malignancy is suspected, an incisional biopsy may be performed to obtain a tissue sample for detailed pathological evaluation. Treatment recommendations are based on the biopsy results.

Eyelid Retraction Repair

Eyelid retraction occurs when the upper eyelid sits too high or the lower eyelid sits too low, causing the eye to appear unusually open or exposed. This condition can lead to eye irritation, dryness, tearing, light sensitivity, and discomfort due to increased exposure of the ocular surface.

Common causes of eyelid retraction include thyroid eye disease, facial trauma, scarring, and previous eyelid surgery. In some cases, patients may also experience difficulty fully closing the eyes or changes in appearance that affect confidence and comfort.

Treatment depends on the underlying cause and the severity of the condition. Surgical repair is designed to restore a more natural eyelid position, improve eye protection, and enhance comfort and appearance. Procedures may involve releasing tight or scarred tissues, repositioning the eyelid, or placing grafts to provide additional support and elevation when necessary.

Blepharospasm

Blepharospasm is a neurological condition characterized by involuntary spasms or forceful closure of the eyelids. Symptoms can range from increased blinking to difficulty keeping the eyes open, significantly affecting daily activities.

Although there is no cure, treatment can effectively reduce symptoms. Botulinum toxin injections such as Botox®, Dysport®, and Xeomin® are considered the most effective treatment options. In select cases, oral medications or surgery may also be recommended.

Eyelid Gold Weight Implantation

Facial paralysis and Bell’s palsy can impair blinking and eyelid closure, leaving the eye exposed and vulnerable to dryness, irritation, corneal damage, and vision loss.

Gold weight implantation is a specialized procedure in which a small gold or platinum weight is placed inside the upper eyelid to help restore natural blinking and eye closure. The weight is carefully selected to provide effective protection while maintaining a natural appearance.

Epiphora (Watering Eyes)

Epiphora, or excessive tearing, occurs when tears do not properly drain through the eye’s natural drainage system. Instead, tears overflow onto the face, causing chronic watering, irritation, and blurred vision.

There are many possible causes of epiphora, including blocked tear ducts, eyelid malposition, irritation, or overproduction of tears. Treatment is tailored to the underlying cause and may range from conservative therapies to surgical procedures designed to restore proper tear drainage.

Orbital Fracture Repair

Orbital fractures are breaks in the bones surrounding the eye socket, typically caused by significant facial trauma. These injuries can lead to pain, double vision, eye displacement, or restricted eye movement.

Surgical repair may be recommended to restore the normal structure and function of the orbit. During surgery, the fractured area is reinforced—often with a specialized implant—to support the eye and surrounding tissues. Each repair is customized to the patient’s specific injury and anatomy.

Tarsorrhaphy

Tarsorrhaphy is a procedure in which the eyelids are partially closed to better protect the eye. The eyelids and tear film play a critical role in keeping the eye moist, clean, and protected.

Conditions such as facial paralysis, severe dry eye, thyroid eye disease, or corneal exposure can threaten the health of the eye and cornea. Temporarily or permanently narrowing the eyelid opening can help preserve vision and protect the ocular surface while the underlying condition is treated.

Orbital Tumor Treatment and Removal

Tumors and inflammatory conditions can develop within the orbit, the space surrounding the eye. These growths may be benign or malignant and can cause symptoms such as bulging of the eye (proptosis), pain, double vision, or vision changes.

Treatment depends on the type and location of the tumor and may include observation, medication, surgery, radiation therapy, or a combination of treatments.

Trichiasis

Trichiasis is a common eyelid condition in which the eyelashes grow inward toward the eye instead of outward. These misdirected lashes can rub against the cornea and conjunctiva, leading to irritation, redness, tearing, light sensitivity, and a sensation of something being stuck in the eye.

Treatment depends on the severity and underlying cause. Lubricating eye drops or ointments may help reduce irritation temporarily, while more definitive treatments may include removal of the lashes or minor surgical procedures to correct the eyelid position and prevent recurrence.

Enucleation (Removal of the Eye)

Enucleation is the surgical removal of the eye while preserving the surrounding eye muscles and orbital tissues. This procedure may be necessary in cases of severe trauma, painful blind eyes, or certain ocular tumors.

Following enucleation, patients are typically fitted with an ocular implant and custom prosthetic eye designed to restore a natural cosmetic appearance.