The brow position can be modified in selected patients using internal approaches: the muscles that depress the brow medially (toward the nose) can be released from within the upper blepharoplasty incision. In these procedures, no separate incision is required (no incision…
Upper blepharoplasty incisions heal very well when properly taken care of. The same is true for direct brow incisions.
For “standard” eyelid surgery, I find that the level of anesthesia can usually be decided on between the patient and myself. From April 2014 thru June 2014, I performed 155 major surgical cases, of which 140 were eyelid surgeries (the…
A large number of patients say things like “my friend had her upper lids done” and the implication is that all upper lid surgery is the same. Of course, that is not the case. I routinely perform a dozen different…
Monday was just another typical day in my office: two more patients, unable to close their eyes after having eyelid surgery done elsewhere. There are many reasons why people cannot close their eyes after surgery. Some of it is predictable,…
Dr. Walrath also performs a great deal of blepharoplasty and brow procedures for men. Two examples of recent surgical patients are seen below. Both of these patients demonstrate a few important principles: 1. Eyelid and eyebrow position can never be…
Dr. Walrath was selected as a recipient of the 2013 award for “Best Journal Article by a Domestic Author” in the Aesthetic Surgery Journal, a journal with a focus on cosmetic procedures. The article was entitled “Management of Postblepharoplasty Chemosis”, and…
Often, I perform cosmetic surgery at the same time as reconstructive surgery, and the story often involves a patient who has upper lids obscuring his or her vision, but who also wants to have an improvement in lower lid appearance.…
Certain types of brain tumors, and certain tumors involving the main motor nerve of the face (the facial nerve), can lead to problems with eye closure. Sometimes the problem is due to the tumor itself, but most often these nerves…
Upper eyelid retraction is the most common sign of Grave’s Eye Disease, an autoimmune disorder involving the thyroid and the eye socket. Eyelid retraction can also happen in the setting of prior trauma or surgery. Upper eyelid retraction is a…
