Reconstruction

Dr. Walrath performs reconstructive surgery of the eyelids after:

  • Prior complications from cosmetic surgery.  Usually, the problem area involves the lower eyelids.  Over-resection of skin or aggressive laser treatments or chemical peeling of the skin can shorten the lower eyelid — this can be a real problem when the eyelids no longer close.  Over-resection of upper eyelid skin during blepharoplasty can also have the same effect.  (Here is a strategy for reducing your risk of these types of complications when choosing your surgeon.)  In no uncertain terms, patients lose vision from cosmetic surgery when it is not done properly.
  • Trauma.  Most traumas fall into two categories: eye socket fractures, and eyelid lacerations / avulsions.  Half of the “simple” eye socket fractures that I see require observation only; the other half require surgery when the fracture is simply so large that the eye may sink back into the socket over time, or if there is double vision from the fracture.  Eyelid trauma involves the tear drain system more often than not, and this needs to repaired along with the eyelid itself.
  • Resection of skin cancers of the eyelids.  If you would like to learn more about different types of skin cancers that can affect the eyelids, please refer to my recent blog entry on the topic.  That entry will also link you to articles in wikipedia on some of the different types of cancers.  Needless to say, an important component in the treatment of most of these cases is surgery: removal and reconstruction.
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