Advantages and disadvantages of direct brow lifting Direct brow lifting has many advantages over other forms of brow lifting, and one major disadvantage. I’ll start with the disadvantage: there is a scar above the eyebrow. That is not to be…
“I can see!” That was the greeting I got from our 90+ year old postoperative patient last Friday. She had previously be unable to do the things that she really enjoyed, like knitting and crafts, because of her upper lid…
Dr. Walrath continually getting awards from vitals.com for compassionate care and regularly receives the “Patient’s Choice Award”! (Well, except for 2015, when compassion was apparently in short supply! LOL!)
Compassionate Doctor Award
This patient complained of visual obstruction from the upper lids.
The upper lid tissue folded over the lashes and into the visual axis. It was appropriate to consider upper lid surgery to be medical in nature, and formal visual field testing was performed. The upper blepharoplasty was covered by insurance.
Further discussion with this patient centered on the cosmetic impact of his brow position. The angulation of the brow gave him an angry appearance. The patient elected a cosmetic direct brow lift. The brow incisions were placed directly above the brow, centered on the inner portions. (This technique leads to very good incision camouflage in patients with thick brows.)
The bottom photo was taken a few months after surgery. The brow position is now more neutral. There is no angry appearance. The incisions have healed, and the symmetry is excellent.
It would appear that healthgrades.com has figured out that Dr. Walrath does the most oculoplastic surgery in the region!
Being a specialist, I don’t often get the chance to perform comprehensive eye care. In fact, I have very little interest in performing comprehensive eye care! I’ll stick with eyelid and eye socket surgery, thank you very much. Nevertheless, I…
This 81 year old gentleman came to see me because he had poor vision from a drooping brow, and discomfort from a folded out lower lid. He had a significant history of sun exposure throughout his life and developed an…
This 51 year old patient presented with complaints of upper eyelid tissue obscuring her vision. She also was unhappy with the appearance of her lower lids. She had significant laxity of the lower lid tissue that mandated an open lower…
This patient is seen 5 months after reconstruction of a left lower lid defect. The tumor was removed with the Mohs technique, performed by a specially trained dermatologist. The reconstruction was performed by Dr. Walrath.
Office injections are a huge part of my practice, whether they are cosmetic injections of Botox or fillers, injections in the periocular region to remove or biopsy lesions, or injections prior to major surgical procedures like upper and lower blepharoplasty.…
