It is not uncommon for patients to seek consultation with Dr. Walrath after having already undergone prior cosmetic surgeries in the past. The woman depicted below had underwent cosmetic upper lid surgery in Dallas in the past on two occasions. Preoperative: She wanted to see more of her upper eyelids. She is depicted below after a 45 minute
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Grave’s Disease is a systemic disease that can have significant effects on the eyelids and eye socket. Initially, an immune response is directed against the thyroid; however, the response becomes confused and attacks tissues around the eyes. It can effect the eye socket fat, the eye socket muscles, the eyelids. It can effect one side, or the other side,
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Dr. Walrath performs a mix of insurance-related upper eyelid surgery and cosmetic upper eyelid surgery. As a rule of thumb, Dr. Walrath may consider a patient’s lids to be “cosmetic” when the patient does not have a significant visual complaint or when the patient does not meet certain published testing criteria. Upper eyelid surgery is quite often covered by
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Lower blepharoplasty is individualized, in terms of fat handling and lid anchoring. It is important not to remove too much fat — oftentimes, using the fat as “filler” can softer the lines around the eyelid / cheek junction. This patient below had very little fat removed for her lower blepharoplasty. Preoperative Postoperative, 3 weeks. The same patient after lower
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Dr. Walrath’s publication, Implants in Ophthalmic Plastic Surgery, was recently published by the American Academy of Ophthalmology. This publication is intended to update practicing ophthalmologists and oculoplastic surgeons on the state of the art of implants used in cosmetic and reconstructive surgery around the eyes.
Lateral brow definition is something that almost all women appreciate after upper blepharoplasty. Precise measurement and placement of the incisions is critical to achieve this endpoint. In the patient below, a ptosis repair was performed (the lid was lifted, so that more of the eye could be seen). The upper blepharoplasty was performed at the same time, to remove excess
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Cosmetic reconstruction refers to the repair of eyelid malposition after previous cosmetic surgery has been performed. Dr. Walrath sees a significant number of people who are unhappy with their appearance, or whose eyes are uncomfortable, due to complications of prior cosmetic eyelid surgery. Surgery is almost, but not always, an option. But the reconstruction does not stop when
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Grave’s disease (thyroid eye disease) can be a very difficult medical and surgical problem to treat. The first consideration in Grave’s disease treatment is to make sure that the disease is stable (inactive). Operating during unstable or active Grave’s disease can cause the inflammation associated with the disease to get worse, thus making the problems worse. The other important consideration
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Dr. Walrath will be participating in a series of lectures to regional eye doctors in Cumming at Northside Forsyth on Wednesday 4-24, in the evening. If you are an optometrist interested in attending, please contact our Cumming office at 678-845-0466.
