Oculofacial Plastic Surgery & Aesthetics
What is Oculofacial Plastic Surgery?
Oculofacial plastic surgery is a surgical sub-specialty of ophthalmology that includes cosmetic and reconstructive surgery of the eyelids, brows/forehead, and face. In addition to surgical means of improving facial appearance, non-surgical techniques such as neuromodulators (Botox, Dysport, and Xeomin) and dermal fillers (Restylane and Juvederm) are also utilized. Oculofacial plastic surgeons are also experts in the treatment of disorders involving the tear drainage system, growths/skin cancers around the eyelids and face, and treatment of orbital disease including orbital trauma, orbital tumors, and thyroid eye disease.
Who are Oculofacial Plastic Surgeons?
Oculofacial plastic surgeons are board-certified ophthalmologists, that have years of unique microsurgical training performing surgeries on the inside of the eye and on structures around the eye. After completing a residency in ophthalmology, oculofacial plastic surgeons then complete additional training focused on aging changes and pathology of the eyelids, orbit, brows, and face. These fellowships are extremely competitive and there are only 20 positions a year available between the United States and Canada that are accredited by the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), the governing body for oculofacial plastic surgery.
Where can I find an Oculofacial Plastic Surgeon?
The Center for Advanced Eye Care is proud to have both Dr. Mallon and Dr. Blandford, the only fellowship-trained oculofacial plastic surgeons in Indian River County, Florida.
Dr. Blandford is the only plastic surgeon in the community to complete a 2-year ASOPRS accredited fellowship, which he completed at the prestigious Cleveland Clinic Cole Eye Institute in Cleveland, Ohio.
Why should I see an Oculofacial Plastic Surgeon?
If you or a family member are considering eyelid surgery or surgery around the eyelids and face, you owe it to yourself to see an expert. Oculofacial plastic surgeons limit their practice to surgery on the eyelids, brows, orbit, and face and have years of advanced microsurgical training. This advanced training and commitment to precision translate to the fine delicate structures of the eyelids and face as opposed to surgeons that may specialize in other plastic surgery procedures such as breast augmentation and abdominoplasty.
Also, as ophthalmologists, oculofacial plastic surgeons have the greatest insight into the anatomy of the tissues around the eye and perform minimally invasive, naturally appearing surgeries to ensure the protection of the eye itself.
Eyelid Surgery (Blepharoplasty)
Blepharoplasty repairs droopy eyelids which may involve removing excess skin, muscle and fat. As we age, our eyelids stretch which causes the muscles supporting them to weaken. As a result, excess fat may gather above and below our eyelids, causing sagging eyebrows, droopy upper lids and bags below the lids. This surgery helps not only the eyes to have a more youthful appearance, it also accomplishes the functional needs of many by *enhancing peripheral vision.
*Large amounts of excess upper eyelid skin may actually constrict peripheral vision, making this surgery not only cosmetically beneficial, but functionally necessary.
Ptosis is the medical term for drooping of the upper eyelid. This condition can affect one or both upper eyelids, and can occur as a result of aging, injury, muscular or neurological conditions or may be congenital. Correction of ptosis may be done at the same time as blepharoplasty and is accomplished by repositioning the levator muscle tendon. This surgery is recommended when the eyelid drooping obstructs peripheral vision or becomes cosmetically unacceptable.
Entropion / Ectropion Surgery
An Entropion is an inwardly turned eyelid. Rubbing against the eye leads to redness, irritation, tearing and blurred vision. If uncorrected, serious eye problems can occur, including infection and corneal abrasions, and scarring. This condition can be diagnosed with a routine eye exam and corrected with surgery.
An Ectropion is an outwardly turned or sagging lower eyelid. This malpositioned eyelid leads to an exposed, dry eye and often results in tearing and eye irritation. If uncorrected this can lead to eye infections and serious corneal complications. This condition can be diagnosed with a routine eye exam and corrected with surgery.
Skin Cancer Removal & Reconstruction (Frozen Sections)
Skin cancers on the eyelids and the surrounding tissues are very common and are best treated with surgical removal. Dr. Mallon works closely with a pathologist during skin cancer surgery to ensure complete removal of the tumor, using a technique called Frozen Sections. This technique is highly successful in providing a cure. Once the tumor is removed Dr. Mallon uses his expertise to reconstruct the defects in a manner that preserves the function and cosmetic appearance.
Tear Duct Abnormalities
A blocked tear duct (nasolacrimal duct obstruction) is a condition that most commonly results in chronic tearing (epiphora). It can also result in recurrent eye infections and occasionally, an abscess or a very serious infection of the tissues around the eye may occur. This condition can be diagnosed in the office with special testing and may be treated with a surgical procedure (Dacryocystorhinostomy).
BOTOX® Cosmetic, Dysport and Dermal Fillers
When you smile, laugh, frown, or look puzzled, you contract the muscles of your face. Over time, these contractions produce permanent furrows and wrinkles in the skin, especially around the eyes, between the eyebrows, and on the forehead. These lines can make you look older, sad, angry or tired. BOTOX Cosmetic treatments can not only prevent you from deepening these lines during natural facial movements, they can also lessen these marks of aging, leaving you looking younger and more refreshed.
Prescription Dysport is an injection used to temporarily improve the look of your moderate to severe frown lines without changing the look of your whole face. The untreated facial muscles still work normally, allowing you to freely show facial expressions, such as smiling, in untreated areas.
Perlane is a clear gel formulation of hyaluronic acid that is specifically formulated to act like your body's own naturally produced hyaluronic acid, helping to instantly, visibly reduce moderate to severe facial wrinkles and folds. Come in for a consultation to disucss your options.
Obagi is a brand of skin care products designed to develop and maintain healthy skin through an advanced line of cleansers, toners, eye creams, sunscreens, serums and other beneficial products.
There are three different Obagi systems available, each designed for different skin types.
- Obagi NuDerm helps transform damaged, dry or wrinkled areas into smooth, soft and well-moisturized skin by accelerating the rate of skin cell turnover.
- Obagi ElastiDerm is an advanced eye treatment that helps reduce the appearance of fine lines and wrinkles by restoring elasticity and building collagen in the skin.