Upper Lid Surgeries
- Congenital Ptosis Repair (since birth): Frontalis Suspension, Levator Resection
- Acquired Ptosis repair (adult): External Levator Advancement, Frontalis Sling
- Challenging Ptosis from Systemic Diseases: Myasthenia Gravis, Myotonic Dystrophy
- Skin Cancer Reconstruction including Full Thickness Skin Grafts
Dermatochalasis (or excess eyelid skin) can require removal for either cosmetic or functional reasons. This tissue can cause decreased vision or a fatigued look, and this procedure is covered by insurance when the excess skin is affecting vision.
If the muscle that lifts the eyelid (the levator muscle) has stretched or becomes detached, it can cause drooping of the eyelid which is known as ptosis. This causes decreased vision and is treated by tightening the muscle. This in turn elevates the eyelid to a normal height. Depending on the amount of eyelid drooping and the function of the lifting muscle, the eyelid can be raised using one of three methods. Ptosis can be associated with systemic conditions and oculoplastic physicians are specifically trained to evaluate for these diseases, as they can require additional testing and treatment. This procedure is frequently covered by insurance.
Congenital Ptosis Repair
When an eyelid droops since birth, it is referred to as congenital ptosis. This can block a patient’s vision, and in children it can impair visual development. Elevating the eyelid can reduce the risk of visual loss in children or improve a patient’s peripheral vision. Depending on the function of the lifting muscle, the eyelid can be lifted in one of two ways. This condition is covered by insurance when it is placing a patient at risk for vision loss.
Skin Cancer Reconstruction
There are three common skin cancers of the eyelid as well as numerous rare types. Depending
on the location and size of the lesion, excision of the malignancy can require the involvement of a Mohs surgeon, who is a dermatologist specialized in the excision of malignant lesions. After the Mohs surgeon has successfully removed the malignancy, reconstruction by an oculoplastic surgeon is then performed in order to ensure the eyelid maintains a proper position and function.