Over time, many people develop excess skin, muscle, and fatty tissue in the upper eyelids. This results in blockage of a portion of the visual field, causing people to raise their eyebrows in an effort to lift the heavy tissues off the eyelids and improve their vision. This can lead to feelings of “heavy” or “tired” eyes, and headaches in the forehead. Upper lid blepharoplasty is a surgical procedure that removes excess upper eyelid tissues, providing the patient relief from the “heavy” or “tired” feeling, and improves the visual field. Most patients also enjoy the more youthful appearance created by the upper eyelid surgery. In many cases, blepharoplasty is covered by your insurance company because the reduced visual field caused by excess eyelid tissue restricts patients’ vision.
Droopy upper eyelids (ptosis) leads to loss of visual field, and a “heavy” or “tired” feeling. Upper eyelid surgery to correct droopy upper eyelids is relatively simple and quick, and covered by insurance.
Laxity of the lower eyelids can lead to many problems, including redness, irritation, tearing, and eyelid malposition. Ectropion refers to an outward rotation of the eyelid, often leading to chronic redness, discharge, tearing, and irritation of the eyelids and eyes. Several options exist to re-establish normal eyelid anatomy, and thereby correct the irritating symptoms associated with eyelid malposition.
Eyelid laxity can also result in an inward rotation of the eyelid, placing the eyelashes in contact with the eye, causing the lashes to rub the surface of the eye, which leads to irritation, and potential damage to the eye. Several relatively simple surgical procedures are available to repair the lower eyelid position, and prevent damage to the surface of the eye.
Lower Eyelid Blepharoplasty:
Many people dislike the “bags,” “puffiness,” and dark circles in the lower eyelids that develop during the aging process. Dr. Berbos offers procedures to improve these issues.
Eyelid Lesions, Bumps, and Skin Cancers:
Any growth on or around the eyelids can lead to bothersome symptoms ranging from unsightly appearance to frank eyelid malposition. In addition, there are several types of skin cancers that start as small bumps on or around the eyelids. Given the delicate nature of the eyelids, and the important role they play in protecting the eye and vision, it is important to have eyelid lesions removed by a surgeon with extensive training in treatment of these conditions. Dr. Berbos is a board-certified ophthalmologist, and thereafter he completed 2 years of training in oculoplastic surgery, and he understands the importance of the eyelids in maintaining ocular health. Most eyelid lesions can be removed during a short clinic visit, and treatment is covered by insurance.
There are many conditions that lead to chronic tearing. Some problems can be corrected during a clinic evaluation, while others require a surgical solution. During your consultation, Dr. Berbos will evaluate the status of your tear drain system, and discuss the cause and potential solutions to your tearing problem.
Several conditions affect the eye socket (orbit) resulting in prominent “bulging” eyes and/or pain behind the eyes. These conditions include infections, tumors/masses, vascular malformations, inflammatory conditions, and thyroid-related eye disease. Dr. Berbos has extensive training in orbital surgery, and provides treatment for any condition involving the orbit.
Facial trauma often results in fractures of the eye socket (orbit). Failure to repair orbital fractures leads to double vision, sunken appearance of the eye, and eyelid malposition. Dr. Berbos is experienced in treatment of facial fractures, and provides a minimally invasive approach to repair of facial fractures, often leaving no visible incisions or scarring.
Facial Twitches and Spasms:
Several conditions result in chronic facial tics, twitches, and spams. Most of these are treatable with botulinum toxin injections. Dr. Berbos trained with Dr. Richard Anderson, a pioneer in the use of botulinum toxin for treatment of benign essential blepharospasm, and other facial twitches and spasms. In most cases, patients suffering from these conditions can be adequately managed with botulinum toxin, performed every 3-4 months.