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Functional Versus Cosmetic Oculoplastic Surgery

Functional vs Cosmetic Eyelid Surgeries

The question of functional versus cosmetic surgery arises often. Here is the difference between the two:

More than 170,000 people in the US each year get some form of eyelid surgery. Most of those people average around 57 years of age. Sometimes , the need is more cosmetic and others, it’s more so for medical purposes like cancer and uncomfortable situations.

What Does “Functional” Surgery Mean?

Functional (or reconstructive) oculoplastic surgery is considered medically necessary and is usually covered by health insurances. It is designed to help with the function of the eyelid or periorbital areas. Examples include ptosis (droopy eyelid), eyelid malpositions (ectropion, entropion), eyelid retraction, eyelid tumors or skin cancer reconstruction, lacrimal tear duct (DCR) surgery, orbital tumors, bulgy eyes, thyroid eye disease, trauma (eyelid laceration, orbital fractures), orbital tumors, eye socket surgery, facial or eyelid paralysis, and facial or eyelid spasms.

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Why Do Eyelids Droop and How Can It Be Fixed?

Ptosis (pronounced “toe-sis”) is the medical term for drooping of the upper eyelid(s). This lowering of the upper eyelid margin may cause a reduction in the field of vision when the eyelid either partially or completely obstructs the pupil. Patients with ptosis often have difficulty keeping their eyelids open. To compensate, they will often arch their eyebrows in an effort to raise the drooping eyelids. In severe cases, people with ptosis may need to lift their eyelids with their fingers in order to see. Children with ptosis may develop amblyopia (“lazy eye”) or developmental delay from limitation of their vision.


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Are Your Tears As Healthy As You Think?

The tear film on the surface of the eye is a critical component of maintaining vision. Tears nourish and lubricate the surface of the eye as well as wash away debris. A smooth, balanced tear film (consisting of water, oil and mucus) also allows light to enter the eye in an optimal fashion. If there is a disturbance of the tear film, patients will often experience tearing, burning, irritation and most importantly blurred vision. Patients who experience tearing, or epiphora, either have a problem with tear production or tear drainage, including dry eyes, blepharitis, eyelid malposition (ectropion, entropion, eyelid retraction), nasolacrimal duct(tear duct) obstruction (congenital and acquired).


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Combined DCR and Rhinoplasty with Septoplasty

Dr. Mehryar (Ray) Taban is the ONLY surgeon in the world who performs combined tear duct surgery (DCR) and cosmetic rhinoplasty (plus functional nose surgery, septoplasty, etc) at the same time (“Rhino-DCR” or R-DCR operation).

Patients with tearing secondary to blocked tear ducts often have concurrent difficulty with breathing secondary to deviated septum or other nasal problem. They often require concurrent nose surgery (septal deviation surgery, turbinate surgery, nasal collapse surgery) along with tear duct surgery (DCR). This is usually done by two different surgeons (oculoplastic surgeon and nose surgeon) at different times, requiring two separate surgeries with two postoperative recoveries. Moreover, many patients are unhappy about the appearance of their nose and for many years, they have thought about undergoing cosmetic rhinoplasty but haven’t done it due to cost, recovery period, or stigmata of having had a “nose job”.

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Your Options in a Lower Eyelid Blepharoplasty

OPTIONS IN LOWER EYELID BLEPHAROPLASTY Under-eye bags and dark circles are common patient complaints. They can make the individual look older and more tired and are most often, as a result of genetics or aging. Depending on the individual, bags or dark circles are simply caused by fullness or relative fullness of the lower eyelids and/or hollowness or … Read more

Eliminate Under Eye Bags & Dark Circles: Without Surgery

TREATMENT OF LOWER EYELID “BAGS” OR “DARK CIRCLES” During the aging process, the lower eyelid fat pads become more prominent (orbital fat herniation), causing relative fullness of the lower eyelids. Moreover, there is fat deflation (loss) and descent of the midface/cheeks which results in relative hollowness below the lower eyelids. It can also be congenital … Read more