Male upper blepharoplasty can be performed for medical reasons, cosmetic reason, or both. Upper lid position becomes medical when it obscures vision. A good rule of thumb is that if the upper lid tissue encroaches on the visible pupil, upper…
Asian, Blepharoplasty, Cosmetic, Ptosis
Severe congenital ptosis in the Asian upper eyelid
by josephwalrathmd •
I recently encountered a young Asian woman in the office with severe congenital ptosis. The upper eyelids drooped severely, no matter how hard the patient tried to lift them. This is because the muscles were malformed at birth. She underwent…
Blepharoplasty, Cosmetic, Ptosis, Reconstruction
Congenital ptosis and cosmetic blepharoplasty
by josephwalrathmd •
Uncategorized
Upper eyelid internal ptosis repair performed while awake
by josephwalrathmd •
Want to learn more about what types of surgeries and patients are suitable for office procedures? Look here.
Brow lifting, Cosmetic, Reconstruction
Direct brow lift: a cosmetic and reconstructive (but mostly reconstructive) procedure
by josephwalrathmd •
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…
Canthoplasty, Ptosis, Reconstruction
“I can see!!!”
by josephwalrathmd •
“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…
Blepharoplasty, Cosmetic, Cosmetic Reconstruction, Eyelid Malposition, News, Reconstruction, Tearing
Bringing home the hardware annually!
by josephwalrathmd •
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
Blepharoplasty, Brow lifting, Cosmetic
Cosmetic and Medical Upper Lid and Brow Procedures in Men
by josephwalrathmd •
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.
Dr. Walrath, Eyelid Malposition, News, Qualifications
The internet takes notice!
by josephwalrathmd •
It would appear that healthgrades.com has figured out that Dr. Walrath does the most oculoplastic surgery in the region!
Reconstruction
Case Report: Treatment of Complex Eyelid and Eye Socket Trauma
by josephwalrathmd •
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…