Oculoplastics

Newton Wellesley Eye Associates offers both medical and cosmetic eyelid procedures including eyelid lifting surgery, the surgical correction of malpositioned eyelids, reconstruction after skin cancers, as well as minimally invasive periocular rejuvenation.

Cosmetic and Functional Blepharoplasty

Blepharoplasty is a surgical procedure in which excess skin, muscle and/or fat are removed from the eyelids.  In the upper eyelids, it is sometimes performed for cosmetic purposes to help restore a more youthful appearance. In more severe cases, it is performed to improve visual function.  In the lower eyelids, blepharoplasty is performed to improve the cosmetic appearance puffiness and lower eyelid bags. 

Ptosis Repair

Ptosis is a condition that causes the upper eyelids to droop due to a weakened muscle. As a result, the eyelid may partially or entirely cover the eye, impacting vision. You can have ptosis in one or both eyes. Ptosis repair tightens or repositions the weakened muscles that lift the eyelid to help improve vision and appearance.

Entropion

Entropion is an eyelid condition that occurs when the eyelids turn inward, and the eyelashes begin rubbing against the eye. When this happens, it causes irritation, discomfort, and potential damage to the cornea.  Entropion repair is performed to surgically correct the malposition. The eyelid is placed back into its normal position by tightening and repositioning muscles and tissues in order to prevent further damage to the eye.

Ectropion

Ectropion is a condition in which the eyelid turns outward, leading the eye to be exposed to dryness and, as a result, irritation and tearing.  An ectropion repair restores the eyelid’s natural position by tightening and repositioning tendons, tissues, and muscles. Restoring the eyelid’s natural position allows the eyelid to properly protect the eye with the goal of reducing exposure of the eye and associated irritation and tearing.

Eyelid Growths

Just like elsewhere on the body, the eyelid can develop growths. Some growths are benign while others can be cancerous. In instances where the growth is causing eye symptoms or the nature of the growth is uncertain, an excision can be performed.  How an excision is performed depends on the size, nature and location of the growth, but can often be performed in the office. During a lid lesion excision, you’ll receive local anesthesia to numb the area and ensure you won’t feel any pain. Next, your oculoplastic surgeon will remove the lesion. In instances where the nature of the lesion is uncertain, the tissue is sent to a pathologist for evaluation.

Reconstruction After Skin Cancer Removal

The eyelids are a delicate area and critical in maintaining the health of your eye. Proper reconstruction after skin cancer removal on or around the eyelid is paramount to maintaining eyelid and eye function. Specialty training and careful reconstruction are required to ensure that the reconstruction is performed in a manner that maintains the eyelid’s function while optimizing the cosmetic outcome.  

Minimally Invasive Periocular Rejuvenation

Neuromodulators (Botox, Dysport, Xeomin, etc) are an excellent way to maintain a youthful appearance and to prevent more permanent changes in the face such as wrinkles. Whether you’re bothered by frown lines, forehead lines, or laugh lines, neuromodulators like Botox are a temporary way to reduce the appearance of lines and wrinkles while still looking like your natural self. 

Fillers help to add volume to your face in areas where volume has been lost with time and age and in suitable candidates can help to achieve a more youthful appearance.