Reconstruction

Drill Hole Canthoplasty to Improve Upper Eyelid Closure

Many patients cannot close their eyes properly, due to surgical complications or paralysis or aging.  This video demonstrates that, in patients with some degree of eyelid... Read More

Reconstructing cancer defects of the cheek

Cheek reconstruction differs from eyelid reconstruction in a few important ways.  One the them is the presence of a large “named” vessel, the infraorbital artery.... Read More

Sometimes it makes sense to do a cosmetic procedure at the same time as a reconstructive procedure

Combined cosmetic and reconstructive procedures Often times, during a reconstruction, it makes good sense to perform a cosmetic procedure at the same time.  For example,... Read More

Reconstructing large eyelid defects after skin cancer removal

One year after cancer removal and reconstruction, a patient with basal cell carcinoma (now disease-free) returned for followup evaluation.  Happily, there was no visible recurrence... Read More

Fixing the multi-operated eyelid

This 62 year old woman came from the Midwest for relief from the following problems: tearing and irritation on the left side.  Her story started in... Read More

Two stage lid reconstruction: when the whole eyelid is lost from cancer

Occasionally, a skin cancer turns out to be significantly larger than is thought at first glance. As a matter of course, for eyelid tumors, a dermatologist trained in... Read More

Eyelid Surgery: What does my insurance pay for, and what is cosmetic?

Insurance is always changing, and patients better believe that covered benefits are only going to lessen, not increase, over time.  If a patient truly believes... Read More

Basal cell carcinoma reconstruction – optimizing cosmetic results

Basal cell carcinoma is quite common, especially on the face, since it is associated with sun exposure. Around the eyelids, it is most commonly found... Read More

Help! My eyes don’t close after my eyelid surgery!

Monday was just another typical day in my office: two more patients, unable to close their eyes after having eyelid surgery done elsewhere. There are... Read More

Surgery for melanoma after cosmetic eyelid surgery

Often, I perform cosmetic surgery at the same time as reconstructive surgery, and the story often involves a patient who has upper lids obscuring his... Read More

Fixing eyelid problems caused by brain tumors

Certain types of brain tumors, and certain tumors involving the main motor nerve of the face (the facial nerve), can lead to problems with eye... Read More

Repair of Upper Eyelid Retraction

Upper eyelid retraction is the most common sign of Grave’s Eye Disease, an autoimmune disorder involving the thyroid and the eye socket. Eyelid retraction can... Read More