Congenital ptosis repair combined with cosmetic blepharoplasty in a young woman.
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!)
Office eyelid surgery can be performed safely and in a comfortable manner for many types of surgical cases.
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 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.
Many patients cannot close their eyes properly, due to surgical complications or paralysis or aging. This video demonstrates that, in patients with some degree of eyelid function intact, it is often possible to leverage that function with a lid tightening procedure known as a canthoplasty. In these cases, I often prefer to use a drill hole for fixation. This is particularly important for patients who have had multiple cosmetic surgeries, because the tissue itself is abnormal and unreliable. The fixation with a drill hole improves the durability of the procedure.
The video presented is in a gentleman with weakness of eye closure from a partial paralysis. This happens in some people, is a fairly random event, and may be due to some type of common viral infection that comes and goes but leaves the facial nerve damaged. This is called Bell’s palsy.
Preoperatively, closure is poor. However, there is some function. Canthoplasty is my first line of treatment; I reserve upper lid weight implantation if the patient is still having problems after canthoplasty surgery.
Notice that the left upper lid does not close fully, and barely moves during a normal spontaneous eyelid blink. After surgery, spontaneous blink is significantly better and forced closure is complete.