Dr. Joseph Walrath Gallery

Interactive Before & After

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Upper and Lower Blepharoplasty

upper and Lower Blepharoplasty with Skin Pinch

Midforehead Brow Lift and Midface Lift

Ptosis Repair

Upper Blepharoplasty

Upper Blepharoplasty & Ptosis Repair

Lower Lid Retraction Repair

Upper Blepharoplasty

Right Upper Blepharoplasty, Left Upper Lid Ptosis Repair

Upper & Lower Blepharoplasty

Upper & Lower Blepharoplasty, & Brow Lift

Lower Blepharoplasty

Upper Blepharoplasty

Upper Lid Ptosis Repair

Upper & Lower Blepharoplasty

Upper Blepharoplasty

Upper & Lower Blepharoplasty, Upper Ptosis Repair, Right Brow Lift

Right Upper Ptosis Repair, Bilateral Upper Blepharoplasty

Ptosis RUL & 4 Lid Bleph

Lower Blepharoplasty

Ptosis & Blepharoplasty

Retraction repair

Asian ptosis & blepharoplasty

Ptosis & Lower Blepharoplasty

Right Upper & Lower Lid Cosmetic Reconstruction

Cosmetic

Numerous patients and their surgical results are shared below. All of patients enjoyed significant cosmetic benefits; some procedures were covered by insurance because they were undertaken to improve visual function.

Preoperative: Before Upper and Lower Blepharoplasty

Preoperative: Before Upper and Lower Blepharoplasty with Skin Pinch

Preoperative: Before Upper blepharoplasty, transconjunctival lower blepharoplasty, canthopexy, and skin pinch excision (Dr. Walrath patient)

Preoperative: Before Upper Blepharoplasty (Dr. Walrath patient)

Preoperative: Photo demonstrates some excess fullness of the upper lids and mild brow asymmetry. (Dr. Walrath Patient)

Preoperative: Before lower blepharoplasty. (Dr. Walrath Patient)

Preoperative: 72 year old women with medical ptosis on the left side and cosmetic skin excess on the right side. (Dr. Walrath Patient)

Preoperative: Photo demonstrates ptosis and excess upper lid skin. (Dr. Walrath Patient)

Preoperative: Right upper lid ptosis repair and left upper lid blepharoplasty. (Dr. Walrath Patient)

Preoperative (Dr. Walrath Patient)

Preoperative: This patient complained of heavy upper lids. He also had a brow configuration (with the inner portions pointing downwards) that evoked an expression of anger. (Dr. Walrath Patient)

Preoperative: This patient complained of heavy upper lids, eyebrow asymmetry, and some circles beneath the lower lids. (Dr. Walrath Patient)

Preoperative: This patient has visually significant upper lid droop, as well as cosmetic complaints of eyebrow asymmetry and ‘puffy’ lower lids. (Dr. Walrath Patient)

Preoperative: This patient has visually significant upper lid droop, giving her a tired appearance. (Dr. Walrath Patient)

Preoperative: This patient complained of puffy lower lids. (Dr. Walrath Patient)

Preoperative: This patient had upper lid droop that was affecting his vision. He was also concerned about tissue “bags” in the lower lids. (Dr. Walrath Patient)

Preoperative: This patient complained of a retracted left upper eyelid, making the left eye appear to bulge. (Dr. Walrath Patient)

Preoperative: This patient has visually significant upper lid droop, giving her a tired appearance. (Dr. Walrath Patient)

Preoperative: This patient complained of upper lids obscuring his vision, as well as lower lid bags. (Dr. Walrath Patient)

Preoperative: This patient complained of upper lids obscuring her vision, as well as lower lid bags. (Dr. Walrath Patient)

Preoperative: This patient complained a heaviness of the upper lids and desired Asian blepharoplasty. (Dr. Walrath Patient)

Preoperative: This patient complained a heaviness of the upper lids as well as some age-related changes in her lower lids. (Dr. Walrath Patient)

Preoperative: This patient complained a heaviness of the upper lids and also wanted lower blepharoplasty. (Dr. Walrath Patient)

Preoperative: This patient complained of drooping upper lids, and also wanted her lower lids to look more youthful. (Dr. Walrath Patient)

Preoperative: This patient complained of excess tissue on both upper lids, as well as puffy lower lids. Additionally, she had ptosis (true eyelid droop) on the right side, making her eye look a little smaller on that side. (Dr. Walrath Patient)

Cosmetic Reconstruction

Dr. Walrath operates on a significant number of patients who have endured complications from previous upper and lower lid blepharoplasty. Dr. Walrath has expertise in fixing these complications and has recently written articles on the subject.

Preoperative (Dr. Walrath Patient)

Preoperative: This patient complained of a “small eye” on the right due to improper eyelid anchoring during cosmetic surgery. (Dr. Walrath Patient)

Preoperative: This patient complained of irritation in the left eye preoperatively. The left eye, pictured below, has lost it’s normal attachments to bone. The “white triangle” of the eye can be seen, and it is small compared to the other side. (Dr. Walrath Patient)

Preoperative: This patient could not close his eyes after cosmetic lower eyelid surgery followed by two revisions. The eyelids were simply anchored too superiorly at the outside corners — this interferes with upper eyelid closure, as can be seen in the bottom picture during attempted lid closure. (Dr. Walrath Patient)

Preoperative: This patient had cosmetic upper blepharoplasty that left her right upper lid drooping. (Dr. Walrath Patient)

Preoperative: This patient had prior lower lid surgery with fat injections. That surgery left her with both lids too low. The outer corners of the lids tended to droop as well, leading to a “sad” apperance. There is additional bulk in the right lower lid due to fat injection. (Dr. Walrath Patient)

Reconstruction Prepost Gallery

Dr. Walrath performs many reconstructive surgeries for treatment of the following problems: lid malpositions, prior complications from cosmetic surgeries, skin cancers, and congenital abnormalities.

Examples of some recent reconstructive surgeries can be found below. You can also see a video with results of surgery to improve eyelid closure here.

Preoperative: 78 year old man with left eye irritation and upper and lower lid retraction, left more than right. (Dr. Walrath Patient)

Preoperative: 72 year old women with medical ptosis on the left side and cosmetic skin excess on the right side. (Dr. Walrath Patient)

Preoperative: Lower lid retraction repair. (Dr. Walrath Patient)

Preoperative: Before open lower blepharoplasty. (Dr. Walrath Patient)

Preoperative: After total loss of left lower eyelid from cancer. (Dr. Walrath Patient)

Preoperative (Dr. Walrath Patient)

Preoperative: This patient complained of a left upper lid that was born droopy. She had undergone prior surgery that did not correct the problem. (Dr. Walrath Patient)

Preoperative: This patient complained of eyelids that were low and interfering with vision, as well as giving her a tired appearance. (Dr. Walrath Patient)

Preoperative: This young man had a progressive droop in the left upper lid. (Dr. Walrath Patient)

Preoperative: This gentleman had droop of the eyebrows and eyelids, along with extra skin. The outer eyebrows had fallen from their normal attachements. Simply doing eyelid surgery without brow surgery would have led to an undesirable “low brow” appearance. (Dr. Walrath Patient)

Preoperative: This child was born with a drooping lid on the right which was interfering with normal visual development. (Dr. Walrath Patient)

Preoperative: This gentleman complained of eyelids that were low and interfering with vision, as well as giving him a tired appearance. (Dr. Walrath Patient)

Preoperative: This gentleman complained of eye pain in both eyes and dryness. His left upper eyelid was drooping. The eyelids did not close normally due to an underlying medical problem, nor did they open properly. Our goal was to lift both lower eyelids to improve coverage of the surface of his eye. In addition, a silicone rubber band was inserted to allow his left upper eyelid to open the eye when he lifted his eyebrow. (Dr. Walrath Patient)

Preoperative: This child was born with a droop of the left upper lid (congenital ptosis) that was potentially interfering with her ability to develop normal vision in that eye. (Dr. Walrath Patient)

Preoperative / Postoperative: This young girl had a history of blepharophimosis syndrome: the eyelids droop, they are shortened horizontally, and there is a fold of tissue along the inside corner of the eyelids that runs from the upper lid down to the lower lid (the “epicanthal” fold). It is no simple matter to reduce this type of tissue webbing. A montage of the left eye showing the preoperative and postoperative condition is depicted below. (Dr. Walrath Patient)

Preoperative: This patient had a history of basal cell carcinoma of the left lower eyelid treated with resection and reconstruction using a skin graft. She came to Dr. Walrath because the inner part of the left lower eyelid was pulling down and was no longer contacting the eyeball. During his examination, an additional basal cell carcinoma was detected beneath the site of the original tumor (not depicted). (Dr. Walrath Patient)

Preoperative: This patient had a history of recurrent melanoma at the junction of the right cheek and nose. This was formerly treated with a large skin graft. This photo was taken after a dermatologist removed the residual melanoma with the Mohs surgical technique. (Dr. Walrath Patient)

Preoperative: This patient had a history of basal cell carcinoma of the left lower eyelid. In this photo, the tumor has already been resected by a dermatologist using the Mohs technique. (Dr. Walrath Patient)

Preoperative: This patient had a history of squamous cell carcinoma of the right lower eyelid. In this photo, the tumor has been highlighted. (Dr. Walrath Patient)

Preoperative: This patient had a history of basal cell carcinoma of the right lower eyelid. In this photo, the tumor has been highlighted. (Dr. Walrath Patient)

Preoperative: Prior to resection of the skin cancer of the right upper lid. The skin defect (from ulceration, and from biopsy) is highlighted in blue. (Dr. Walrath Patient)

Disclaimer: Please note that each patient heals differently. Note that every single photo on this website is from a patient of Dr. Walrath’s. These represent personal surgical results. Some surgeons have used photos on these webpages in the past without permission, when counseling their patients, for their own benefit. If that has been your experience, kindly contact Dr. Walrath.