Bringing home the hardware annually!

Dr. Walrath continually getting awards from for compassionate care and regularly receives the “Patient’s Choice Award”!  (Well, except for 2015, when compassion was apparently... Read More

Ectropion Repair and Direct Brow Lift in Treatment of Squamous Cell Carcinoma

This 81 year old gentleman came to see me because he had poor vision from a drooping brow, and discomfort from a folded out lower... Read More

Recent results after reconstruction for basal cell carcinoma

This patient is seen 5 months after reconstruction of a left lower lid defect.  The tumor was removed with the Mohs technique, performed by a... 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

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

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

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

Lower eyelid cancer reconstruction

A squamous cell carcinoma can extend far beyond the apparent borders.  In the eyelids, this can be very problematic along the inner corner, because there... Read More

The surgical treatment of eyelid “webbing” and “folds”

I recently took care of a young girl with a history of blepharophimosis syndrome: the eyelids droop, they are shortened horizontally, and there is a... Read More

Correcting the scarred lower eyelid

Often the most challenging oculoplastic surgical problems may appear to be quite simple to the untrained eye.  Reconstruction of the inner corner of the lower... Read More