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What is an Oculoplastic/Facial Plastic Surgeon?
An oculoplastic surgeon and facial plastic surgeon (or an ophthalmic plastic and reconstructive surgeon) is a surgeon who has first been trained as an eye surgeon and then has done additional training in the field of functional and cosmetic eyelid and facial surgery. Dr. Jaffe has received the specialized training required to diagnose and manage a wide range of disorders affecting the eyes and has acquired the skills needed to perform highly delicate surgery on the eyes. He has then received additional highly specialized training (often referred to as subspecialist fellowship training) in oculoplastic surgery which provides the skills required to perform both cosmetic eyelid surgery (also referred to as blepharoplasty or eye bag removal), brow lift and mid-face lift surgery and functional/rehabilitative surgery around the eyes. This specialist knowledge and training is essential when performing very delicate surgery relating to the upper and lower eyelids and other structures around the eyes e.g. the tear drainage pathway.
Why seek the skills of an Oculoplastic/Facial Plastic Surgeon
The eyelid and other areas around the eye are delicate structures that need special understanding and care. Very often the problem at issue is not just cosmetic but interferes with visual function, comfort and well being. It therefore makes sense to entrust such work to Dr. Jaffe, who has completed years of additional training in plastic surgery as it relates to the eyes and their surrounding facial structures. Dr. Jaffe’s sole focus and practice is devoted to these areas.
In recent years, many more people have become aware of the options for cosmetic eyelid surgery, or 'Blepharoplasty'. This procedure recontours the upper and mid-face face by removing obvious signs of sagging and ageing. An increasing number of patients consider blepharoplasty before undertaking a full face-lift. Blepharoplasty is a less invasive procedure and has many positive and long-lasting results. It can be combined with a number of non-surgical facial treatments to help to enhance and maintain the results.
Dr. Jaffe’s expertise includes reconstructive and cosmetic eyelid surgery, laser surgery, treatment of orbital tumors and inflammations (such as thyroid eye disease), and treatment for traumatic lacerations and fractures. Back to Top
Using the latest technology
Laser eyelid surgery is used to reduce or remove puffy or sagging skin around the eyes. Individuals using laser eyelid surgery are able to markedly decrease signs of aging and fatigue. At an increasing rate, laser eyelid surgery is replacing the standard method of incision using traditional surgical techniques. Dr. Jaffe performs laser eyelid surgery as an outpatient procedure, allowing patients to return home immediately following surgery.
Plastic surgeons performing laser eyelid surgery use a laser beam to make a small incision, sometimes from inside the eyelid. Dr. Jaffe prefers this method, as the laser actually cauterizes (seals) blood vessels during the incision; laser eye surgery patients bleed less than patients in traditional surgeries, allowing him to perform the laser eyelid surgery to clearly monitor the progress of the surgical treatment. Another major advantage of laser eyelid surgery over traditional methods is the lack of scarring following the procedure, and generally speaking, laser eyelid surgery patients also experience less bruising, swelling, and discoloration. This means that recovery following a laser eyelid surgery usually takes far less time than traditional eyelid surgery. Back to Top
Am I a good candidate for eyelid surgery?
Any one or combination of the following conditions may indicate that you may be considered a good candidate for eyelid surgery:
-Excess skin obscuring the natural fold of the upper eyelids
-Loose skin hanging down from the upper eyelids, perhaps impairing vision
-A puffy appearance to the upper eyelids, making the eyes look tired
-Excess skin and fine, “crepe paper type” wrinkles of the lower eyelids
-Bags and dark circles under the eyes
-Lower eyelid droopiness
Aesthetic eyelid surgery can usually correct these problems, though other treatments may also need to be considered. Some examples follow. If the upper eyelid condition is accompanied by sagging of the eyebrows, then a forehead lift may be recommended. Smoothing of crow's feet may be accomplished with Botox®, Dysport®, Xeomin® procedures. Circles beneath the eyes caused by dark pigmentation may be treated with fillers. Dr. Jaffe can provide further information if you have an interest in any of these additional procedures.
***To avoid an inappropriate, unexpected, or disappointing result, surgery must take into account individual pre-existing anatomical limitations as well as the expectations (both realistic and unrealistic) of each patient. Back to Top
The Eyelid Aging Process
As skin ages, it gradually loses its elasticity. A lack of elasticity, combined with the constant pull from gravity causes excessive skin to collect in the upper and lower eyelids. Excess skin on the lower eyelid causes wrinkles and bulges and on the upper eyelids an extra fold of skin forms which can hang over the eyelashes and obstruct vision.
The fat that cushions the eyeball from the orbit can also cause bulges in the upper and lower eyelids. The thin membrane that holds the fat in place weakens with age, allowing the fat to protrude into the lids. Back to Top
Is there any way of prevention?
Most cases of droopy eyelid are associated with aging, so there is really no prevention available. Back to Top
We have our New Patient Information form available to download here. You can complete the form at your convenience and bring it with you on your first visit. This will help expedite your wait and reduce paperwork necessary when you come in.
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