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  • Droopy Eyelids and Revisional Eyelid Ptosis Surgery

    When droopy eyelids are caused by unsatisfactory results from a previous surgery, the patient can opt to undergo revisional ptosis reconstructive surgery. To tighten or move the levator muscle of the orbit, an oculoplastic surgeon can lift the upper eyelid. Depending on the condition’s severity and patient’s surgical history, the success rate of this procedure varies.

    However, if an experienced oculofacial plastic surgeon conducts a revisional ptosis surgery, the surgeon’s extensive background can improve the patient’s chances of a favorable outcome even with the presence of scar tissue. Dr. Robert Schwarcz is a board-certified oculoplastic surgeon who has performed numerous eyelid surgeries. He is a facial surgeon who has the ability to correct droopy eyelids caused by a brow lift, previous blepharoplasty, or canthoplasty. During the consultation, Dr. Schwarcz will recommend the best treatment option depending on the patient’s facial structure, concerns and goals.

    Revisional Eyelid Ptosis Candidates

    Scar tissue or other complications from a prior eyelid surgery can contribute to the complexity of a revisional ptosis procedure. However, patients with these issues may still be candidates for corrective surgery. Additionally, the surgical area after an eyelid surgery often takes 3 months to 6 months. As the healing progresses, some problems may resolve themselves. Therefore, patients should wait until they have fully recovered before consulting with an oculoplastic surgeon.

    Revisional Ptosis Surgery

    In order to repair the flaws created by a previous procedure, cosmetic surgeons utilizes a specialized revisional technique for the eyelids. This type of surgery is performed as an outpatient procedure in Dr. Schwarcz’s New York offices. Before starting the surgery, the patient is given local anesthesia. When the operation is finished, the patient can look forward to symmetrical, youthful eyelids.

    Revisional Ptosis Recovery Period

    After the procedure is completed, the patient may experience bruising, mild discomfort and swelling. The patient must keep the incision site clean at all times per the surgeon’s instructions. For the first few weeks, superficial healing will occur. However, the total recovery time takes up to several months.

    An Eyelid Specialist

    The results of a cosmetic eyelid surgery should look natural and preserve the eyelids’ function. Individuals who have an eyelid procedure performed by an inexperienced surgeon are at a higher risk of experiencing unwanted results such as an unnatural appearance, dry eyes. eyelid damage, visual problems and other issues. As a board-certified oculoplastic surgeon with a strong background in ophthalmology, reconstructive facial surgery and revisional eyelid surgery, Dr. Schwarcz has the experience to produce optimal results for his patients who suffer from droopy eyelids.

  • The Mid-Face Lift and Cheek Augmentation

    Age, gravity and sun damage can eventually cause fat deflation and facial descent. In the mid-face from the nasolabial folds to the lower eyelids, these issues are particularly noticeable. As a person grows older, the mid-face may deflate, flatten and fall, causing the face to prematurely age.

    To reverse these signs of aging, a cosmetic surgeon can lift the mid-face. In comparison, the surgeon can perform a full face-lift as well.The surgeon may also give the patient malar implants or fat injections during a mid-face lift procedure to make the area more convex and increase the mid-face’s fat volume, creating a more youthful appearance.

    As a board-certified oculoplastic surgeon, Dr. Schwarcz specializes in reconstructive and cosmetic procedures with a focus on the eyes and face. Dr. Schwarcz often performs cheek augmentations, face lifts and mid-face lifts for his patients in NYC and Scarsdale.

    Mid-Face Lift Techniques

    The patient may be an excellent candidate for one or more mid-face lift techniques, including a transconjunctival mid-face lift, transtemporal mid-face lift and endoscopic subperiosteal mid-face lift. Several factors will determine the ideal surgical approach, such as the patient’s aesthetic goals, facial structure and facial surgery history.

    Malar Augmentation

    Malar, or cheek, augmentation involves the surgical insertion of implants that create a fuller mid-face. These implants are constructed from solid materials that are designed to be permanent. An implant’s size and shape depend on the area the surgeon augments. To insert malar implants, the surgeon makes hidden incisions in the mouth, on the lower eyelid and along the temple. Once the area heals, the patient will typically feel like the implants are a natural part of their cheekbones.

    Mid-Face Lift and Malar Augmentation Benefits

    Two signs of beauty and youth in the face are round contours and cheek projection. With a mid-face lift, the patient can obtain a three-dimensional projection and youthful contour to the mid-face. The surgeon can also give the patient fat injections with or without malar implants to enhance the patient’s facial volume, projection and contour.

  • Thyroid Orbitopathy and Thyroid Eye Disease Surgical Treatment

    Thyroid orbitopathy is a type of eye disease that affects the eye socket and surrounding tissues. For example, the condition can affect a person’s eye muscles and eyelids. Some doctors refer to this autoimmune inflammatory condition as thyroid eye disease. Those who have this condition may also develop problems with their thyroid gland.

    What are the Symptoms of Thyroid Eye Disease?

    The symptoms from thyroid eye disease usually develop gradually. In fact, it can take nearly a year for the symptoms to become severe. Patients may experience dryness, redness, eye pressure and irritation. Some of the more severe symptoms include double vision, blurred vision, protruded eyes and loss of vision.

    As the symptoms worsen, patients usually experience a burned out phase. During this phase, a person may need to undergo rehabilitative surgery. For instance, the patient may need to visit an oculofacial plastic surgeon for orbital decompression surgery. Cosmetic and reconstructive surgery can help repair bulging eyes.

    How is Thyroid Eye Disease Treated?

    Most patients need a multidisciplinary form of treatment. For example, they may need the help of an endocrinologist, a thyroid surgeon and an oculoplastic surgeon. Simply treating the eyes will not fix the issue. Doctors must treat the underlying problem before more damage occurs. For example, the patient may need medication, radioactive iodine or thyroid surgery.

    During the inflammatory stage of thyroid eye disease, doctors treat patients by giving them eye lubrication and steroids. They must monitor their patients closely to ensure that no optic nerve damage occurs. Smoking can make thyroid eye disease worse, so doctors usually encourage their patients to kick the habit.

    Orbital Decompression Surgery

    Once the inflammation subsides, patients may need to visit a oculoplastic surgeon like Dr. Robert Schwarcz in New York, to have their eye abnormalities corrected. A surgeon can correct the patient’s bulging eyes so that he or she can see again. Orbital decompression surgery expands the eye socket, which allows the eyeball to move back into position. Besides correcting a person’s vision, this surgery also helps improve the patient’s cosmetic appearance.

    Click here to learn more about other types of reconstructive surgery including eye socket repair, eyelid ptosis repair and more.

  • Orbital Blowout Fracture Surgery

    Injuries to the eye socket and surrounding eye structures are a common occurrence. Blunt force trauma and sharp force trauma due to assaults, athletic activities and falls can lead to canalicular lacerations, eyelid lacerations, orbital fractures and orbital hemorrhages. An oculoplastic surgeon will examine and treat the eyeball in addition to the socket as the eyeball is an injury-prone area. During the consultation, New York oculoplastic surgeon Dr. Robert Schwarcz will examine the patient’s face and eyes and assess the patient’s orbital CT scan results to determine the injury’s severity.

    Orbital Blowout Fractures

    The fragile nature of the orbital bones and adjacent sinuses make it highly likely for eye and orbit trauma to result in an orbital blowout fracture. Often, the fracture occurs in the orbital floor or medial wall. While some orbital fractures do not require surgery, large fractures or fractures that cause enophthalmos or diplopia do necessitate a surgical procedure.

    Surgical Repair of an Orbital Blowout Fracture

    To prevent scarring and increase the procedure’s success rate, an orbital blowout fracture should be repaired no later than 2 weeks after the trauma occurred. In some cases, the surgeon may be unable to repair the site immediately. For example, a sunken eye may appear or become more severe over time; therefore, the patient will need enophthalmos surgery or a filler injection to improve the appearance of the sunken eye.

    Due to the small incisions that remain hidden inside of the eyelids, patients tend to recover quickly from orbital fracture surgery. Dr. Schwarcz performs this surgery while the patient is under general anesthesia. This outpatient procedure takes approximately 1 hour for the surgeon to complete, and the patient will have a follow-up appointment at Dr. Schwarcz’s New York office 1 week after the surgery.

    Select a Certified Oculofacial Plastic Surgeon

    Since the orbit and eyelid are complex structures, oculoplastic surgeons undergo specialized training to learn the nuances of eyelid and orbital treatments. Oculoplastic surgeons who are members of the American Society of Ophthalmic Plastic and Reconstructive Surgery are board-certified ophthalmologists who must complete a cosmetic and reconstructive surgery fellowship to receive training on treating issues that involve the eyelids, lacrimal system, orbits and nearby structures. Dr. Schwarcz is an oculoplastic cosmetic surgeon who is an American Board of Cosmetic Surgery diplomat and board certified by the ASOPRS as well as the American Academy of Ophthalmology.

  • Prosthetic Eye and Socket Reconstructive Surgery with an Oculoplastic Surgeon

    An anophthalmic socket is a term used to describe an eyeless orbit. Usually, anophthalmia is acquired, not congenital. The precipitating event that leads to the eye loss causes the patient emotional distress and insecurities. As an oculoplastic specialist in NYC, Dr. Schwarcz can reconstruct the eye socket and eyelid before an ocularist makes a prosthetic eye. The surgeon uses several techniques to restore function to these structures:

    Causes of Anophthalmia

    People of all ages can have an anophthalmic socket. Common causes of anophthalmia are blunt injuries, infections, genetic mutations and prenatal deformities. When an injury is to blame, the patient should visit an oculoplastic surgeon who will work with him or her to create a surgical plan. To determine the best course of treatment, the surgeon must first examine the site of injury at the surgeon’s office. Dr. Schwarcz has two practices where he routinely sees his patients in New York.

    Post-Operative Care

    Patients should expect a recuperation period of several weeks after their anophthalmic socket surgery. Hygiene is crucial during this time. Patients who are given a prosthetic eye must clean it with water and soap every day. Children who have an ocular prosthesis typically require several fittings since their facial structure changes as they grow.

    Choose a Certified Oculoplastic Surgeon

    People should seek a cosmetic surgeon who specializes in reconstructive facial surgery involving the tear drain system, orbit and eyelids. The surgeon should be an American Society of Ophthalmic Plastic and Reconstructive Surgery member, which demonstrates that the surgeon is a board-certified ophthalmologist trained in the areas of ophthalmic cosmetic and reconstructive surgery. Dr. Robert Schwarcz is a board-certified ophthalmologist and ASOPRS member who has a comprehensive background in socket surgery and knows the structure and anatomy of the orbit and eyelid. Those who want to find out what treatment options are available for their anophthalmic socket should contact Dr. Schwarcz’s office in New York City or Scarsdale.

  • Orbital Tumors and Cellulitis

    Orbital cellulitis is an infection that occurs behind the orbital septum. This infection usually develops when there are issues with the eyelids or sinuses, which are adjacent to the orbits. Orbital cellulitis is dangerous and life threatening, so immediate treatment is essential. Those who have this infection need antibiotics and may require surgery. Dr, Robert Schwarcz is an experienced oculoplastic surgeon in New York City who can treat the problem.

    Information about Orbital Tumors and Infections

    Orbital tumors are often congenital, but people can also acquire them later in life. The tumors can be either benign or malignant. In addition, they can also be either painful or painless. Both adults and children can suffer from an orbital tumor. Sometimes, orbital tumors are subtle and grow slowly. Unfortunately, they can also grow rapidly and interrupt a person’s life. For example, patients may experience pressure, eye irritation, swelling, double vision and proptosis.

    Why Do Eye Socket Tumors Occur?

    Most tumors arise from adjacent structures to the eye socket. If left untreated, the tumor can impair a person’s vision and cause his or her eyes to protrude. The most common orbital tumors that form in children are hemangiomas and dermoid cysts. Adults commonly develop orbital lymphomas, metastatic disease and cavernous hemangiomas. Sometimes, people may have another condition that mimics a tumor. Infections, inflammation and Graves’ disease can all lead to eye problems.

    What are the Symptoms?

    Those who have an orbital tumor or infection commonly develop exophthalmos, which is protrusion of the eye. Patients commonly experience vision loss, blurred vision or double vision. When the tumor is small, the two main symptoms are headaches and pressure feelings near the eye socket. Small tumors can also cause moderate vision issues.

    How do Doctors Detect Orbital Tumors?

    Those who are having problems with their eye socket should visit an oculoplastic specialist in New York City. The specialist can take CT or MRI scans of the orbits to detect a problem. If the doctor suspects that a tumor is present, then the patient may need to undergo a biopsy. A biopsy is necessary because it confirms the diagnosis and helps the doctor learn more about the tumor.

    Those who have an orbital tumor may require radiation, chemotherapy or surgery. Treatment options vary based on the tumor. For instance, radiation is the main treatment for eye socket lymphoma. Surgical removal is the primary way to treat a cavernous hemangioma. Cosmetic surgeon Dr. Schwarcz discusses all options beforehand so that his patients can make an informed decision.

  • Almond Eye Surgery

    Almond eyes are characterized by a slightly raised outer corner or canthus and a lower eyelid that sits at the lower edge of the iris. While all eye shapes can be beautiful, almond eyes create an attractive, youthful, and somewhat exotic appearance. Some individuals have almond eyes naturally because of genetics or their ethnicity. For those with a rounded outer canthus or a lower eyelid that is rounded or low allowing the sclera to show, surgery may help improve the shape and appearance of the eye.

    Who Is a Candidate for Almond Eye Surgery?

    Patients considering almond eye surgery should consult a board-certified oculoplastic surgeon to ensure that they have a clear understanding of the type of outcome that they can expect based on their current eye shape and anatomy. In some cases, a lateral canthoplasty is performed to tighten or reposition the outer canthus of the eye. In patients with a lower eyelid that is too low or that is retracted to expose part of the sclera, additional procedures may be necessary to adjust the position and tension of the lower eyelids. It is common for patients to combine almond eye surgery with a brow lift, blepharoplasty surgery, and other cosmetic procedures to achieve their desired result. Almond eye surgery is a very delicate procedure that can be even more complicated in patients who have had prior eyelid surgery or who have protruding eyes, so consulting a specialist in oculoplastic surgery is essential. Dr. Robert Schwarcz of New York is an oculoplastic surgeon and specialist in surgeries involving the eyes. His practices offer surgical services at both the Scarsdale and New York City locations.

    What to Expect:

    The procedure is performed under local anesthesia, and patients are released the same day. While conscious sedation may be used, the patient still needs to be able to open their eyes during the surgery. Mild discomfort is to be expected for the first day following surgery; however, this is normally easily managed with medication. Some bruising and swelling are normal for the first week to 10 days. While most patients return to their normal activities within a week, complete healing can take several weeks to months.

  • Tear Trough Treatment and Sunken Eye Treatment

    Tear trough deformities often occur in those who have certain genes or thin faces. This hollow area under the eyes gives the appearance of dark circles, making the eyes look tired or sunken. Some people may also have bags under the eyes, which worsens the appearance of dark circles.

    People who have mild tear trough hollowness can cover the area with makeup or temporary plumping moisturizer, but these approaches do not provide an effective, long-lasting solution. Luckily, patients in New York have other options. Dr. Schwarcz, a board-certified oculoplastic surgeon, can treat sunken eyes and tear trough hollowness with surgery and cosmetic treatments of the eyes, such as hyaluronic acid gel filler injections, fat transfer injections, tear trough implants and lower blepharoplasty procedures.

    Hyaluronic Acid Fillers

    A cosmetic surgeon can safely inject hyaluronic acid fillers to treat sunken eyes and tear troughs. This non-invasive, reliable procedure only takes several minutes. To prevent discoloration and maintain a natural look, the surgeon will inject a conservative amount of filler into the area below the patient’s lower eyelid. The pain is minimal, and the results can last up to two years. After receiving a hyaluronic acid gel injection, swelling and bruising may last for a couple of days.

    Fat Transfer Injections

    Another sunken eye and tear trough treatment approach is a fat transfer injection. By manually suctioning a minimal amount of fat from the medial thighs or stomach and transferring the fat to the eyelid via an injection, the surgeon can fill the hollow under-eye area. Bruising and swelling may last up to 10 days; however, the recovery process is painless. The effects of a fat transfer injection are often permanent. Residual hollowness may occur; however, the surgeon can inject a touch-up filler if necessary.

    Tear Trough Implants

    A tear trough implant is a safe, effective, permanent way to correct tear trough deformities and sunken eyes. While under conscious sedation, the surgeon makes an incision inside the patient’s lower eyelid. Then, the surgeon places the silicone implant. Although tear trough implant procedures are more invasive than other surgery and cosmetic treatments of the eyes, the results create a natural appearance.

    Lower Blepharoplasty Procedures

    Patients who have excess fat bags may benefit from a lower blepharoplasty with fat repositioning. This procedure involves redistributing the fat bags to make the under-eye area look smooth. To reposition the prolapsed fat without causing a scar, the surgeon will make a transconjunctival incision.

  • Eyelid Skin Cancer Surgery and Eyelid Reconstruction

    Cancerous and benign skin lesions commonly develop on eyelid skin because the skin is thin, and it receives a substantial amount of long-term sunlight exposure. However, many eye-fold lesions are not cancerous. Dr. Robert Schwarcz, a board-certified oculoplastic cosmetic surgeon, can easily remove these lesions.

    Common Eyelid Cancers

    Squamous cell carcinoma and basal cell carcinoma are the two most common types of eyelid cancers. Basal cell cancer grows slowly, but it does not metastasize. Contrastingly, squamous cell cancer is more likely to spread. Any patient in New York City who has an ulcerated or bleeding lesion or nodule that will not heal should be examined and biopsied by a board-certified oculoplastic cosmetic surgeon. While rare, eye-fold melanoma calls for an aggressive treatment approach.

    Basal Cell Tumors

    Approximately 90 percent of tumors on the eyelid are basal cell tumors. Basal cell tumors may present as pearly nodules that eventually ulcerate. While basal cell tumors do not spread, they can grow into the surrounding tissue. An oculoplastic reconstructive surgeon can remove these tumors and reconstruct the affected area.

    Squamous Cell Tumors and Melanoma

    Squamous cell tumors are more aggressive than basal cell tumors, so they require a more complex skin cancer surgery technique than basal cell carcinomas to ensure the tumors have not spread. The surgeon will coordinate any further treatment with the patient. The severity and size of the tumor will dictate the next step in treatment.

    Mohs Surgery for Eyelid Skin Cancer

    A board-certified cosmetic surgeon has to meet three goals to achieve a successful eyelid skin cancer surgery outcome. The first goal is to remove all tumors. The second goal is to restore the eyelid’s functionality. Lastly, the third goal is to make the area look aesthetically pleasing. To reach these three goals, the surgeon will utilize the Mohs surgery technique. Mohs surgery is designed to carefully excise the cancerous tumor one skin layer at a time without removing a large amount of healthy tissue.

    Depending on the complexity of the patient’s condition, the surgeon may need to either graft skin from another area of the patient’s body or simply suture the area. If the patient requires a skin graft, the treated area may need to be reconstructed in stages. Staged reconstruction is usually reserved for the most severe eyelid skin cancer cases.

  • What Is Asian Blepharoplasty?

    The crease, shape and eye-fold corners of Asian people’s eyelids differ from those of Caucasian people’s eyelids. In those who are of Asian descent, the orbital fat of the upper eyelids is more prominent, and the upper lids have either lower or non-existent creases. Approximately one-half of Asians have single eyelids, which are eyelids without a crease. The other one-half of Asians do have upper eyelid creases, or double eyelids. These creases may be broken, continuous, complete, parallel, partial or tapered. In contrast, Caucasians usually have semi-lunar creases. Many Asian patients also have a Mongolian fold, or epicanthic fold. A Mongolian fold is a common term used to describe upper eyelid skin that covers the eye’s inner corner.

    To alter the appearance of the patient’s eyelids, a board-certified oculoplastic surgeon like Dr. Robert Schwarcz who specializes in eyelid blepharoplasty can perform double eyelid surgery to alter the eyelids’ appearance. During the double eyelid surgery, the surgeon may also perform an epicanthoplasty, which is designed to change the appearance of a Mongolian fold.

    The Eyelid Blepharoplasty Procedure

    Dr. Schwarcz is a New York oculoplastic surgeon who specializes in blepharoplasty and is skilled in creaing the appearance of double eyelids in patients who have asymmetric creases or non-defined creases by using a non-incisional procedure or incisional surgical technique. The incisional surgical technique produces more long-lasting and predictable results than the non-incisional technique. However, those who undergo the non-incisional surgical procedure recover faster. Regardless of the type of surgery performed, the surgeon gives the patient local anesthesia. In some cases, the patient will need to be sedated. Most patients experience bruising and swelling during the 10-day recovery period.

    The ideal goal of blepharoplasty is to give the patient’s eyes a symmetrical look while preserving the characteristics of their top eye skin, so the patient’s eye creases still appear naturally Asian. Our practices are located in New York City and Scarsdale, New York. To schedule a blepharoplasty consultation with Dr. Schwarcz, contact one of our offices today.