Reconstructive and Aesthetic Eyelid and Facial Plastic Surgery is a specialized area of ophthalmology that deals with the management of abnormalities of the eyelids, lacrimal (tear) system, the orbit (the bony cavity surrounding the eye), and the overall face. If you are experiencing sagging eyelids and would like to consult with one of our Baltimore Blepharoplasty eye doctors do not hesitate to contact via phone or through one of our ophthalmology website forms.
Because of the very highly focused nature of their field, ophthalmic plastic surgeons are uniquely qualified among plastic surgeons to evaluate and surgically manage the greatly diverse conditions which affect the eyelids and orbits. Reconstructive surgery of the eyelids, for example, may be necessary following trauma, burns, or the removal of skin cancer. Abnormal positioning or contour of the eyelids may also require surgical intervention to restore the normal function or appearance of the eyelids. Conditions that involve orbital surgery include the correction of protruding or sunken eyes, the removal of sight-threatening orbital tumors and the repair of orbital fractures.
Upper Eyelid Blepharoplasty (eye lift): Reduces excess skin and fat in the upper eyelids. This overlapping skin often interferes with normal vision and has to be corrected to regain a functional visual field. During the out-patient procedure, the physician marks the incision sites (one incision on each eyelid), following the contour of the eyelid crease. Excess skin and fat is then removed, and the incision is closed with fine sutures. Typically, the incision is barely visible and fades over time. The physician often recommends blepharoplasty if a significant improvement in the visual field can be achieved.
Lower Eyelid Blepharoplasty: Reduces excess fat and skin in the lower eyelids. The surgeon makes incisions (either inside or outside the lower lid) and excess fat is removed. Incisions made inside the eyelid are not visible; incisions outside the eye are barely visible and gradually fade.
Ptosis Repair: The medical term for drooping of the upper eyelid, a condition that may affect one or both upper eyelids. When the level of the upper lid margin falls, it can interfere with the upper field of vision. Symptoms include a decreased ability to keep the eyes open, eyestrain, and eyebrow fatigue from the increased effort needed to raise the eyelids.
Asian Eyes: The Asian eyelid is significantly different in anatomy and structure than the occidental eyelid. Approximately 50% of Asians have a defined eyelid crease. This crease divides the upper eyelid into two segments also known as a"double eyelid." When present, the shape and location of the eyelid crease are lower and different than the occidental eyelid. It must be made clear that most Asian patients without an eyelid crease who seek cosmetic Asian blepharoplasty do not want to look"westernized," they would like to look like the other 50% of Asians who do have an eyelid crease.
Revisional Eyelid Surgery: Some of the most dreaded complications of plastic surgery are those associated with the eyelids. The eyes and eyelids are very sensitive structures and are not as forgiving. As an oculoplastic surgeon with expertise in ophthalmology and plastic surgery around the eye, a majority of Dr. MacQuaid's referrals are patients who have had previous complications with plastic surgery and now require cosmetic and functional correction around the eyelids. Depending on the specific problem, the necessary correction may involve a simple procedure or a complex eyelid reconstruction. Our goal is to regain normal function while maintaining aesthetic outcome.