EYE  LID  SURGERY
EYE CENTER of MISSOURI
Blepharoplasty is a surgical procedure performed to restore the youthfulness of the eye lids. If
performed correctly, it can freshen up the lids and improve the over all look of them and decrease
signs of aging.    
                                      
In upper lid blepharpoplasty, an incision is made in the lid crease or the fold so the scar becomes
invisible as it heals. Extra skin which is hanging down over the lid margin and excess fat is
carefully removed.                                                      

In lower lid blepharoplasty, an incision is made just under the eye lash line and again it becomes
invisible as it heals. Extra skin and excess fat is removed.                                       

Blepharoplasty is generally considered a cosmetic procedure and is, therefore, not covered by
insurance. However, in some cases upper lid blepharoplasty may be covered by insurance if the
excessive skin is causing loss of  vision. Blepharoplasty procedures are individualized to each
person based on their desire, anatomy, looks and ethnicity and results may vary from person to
person.

Eye Center is a premier location in St. Louis area for the treatment of eye lid problems, cosmetic
and non-cosmetic.
BLEPHAROPLASTY
           PTOSIS
    (Droopy eye lid)

Ptosis  or Blepharoptosis  is a condition of the upper eye
lids in which they  become droopy and quite often cover
the cornea and sometimes the pupil as well and interfere
with the peripheral vision. Droopiness occurs because of
a muscle in the eye lid known as the Levator muscle
becomes weak.   It may be due to aging, nerve palsy,
trauma or familial in nature. In addition it may also have
loose excessive skin weighing down the eye lid, known
as Dermatochalasis.

Ptosis and Dermatochalasis can give the looks of fatigue
and aging despite good health. Ptosis correction, in most  
cases, requires blepharoplasty of the upper lids, as well
as tightening and shortening of the levator muscle to lift
up the eye lid to its normal position. Excessive skin is
removed along with bulging fat pockets, if
any.                        
Since most of the ptosis cases have some degree of
impairment of peripheral vision, and their correction is a
medical necessity,  the procedure may be covered by the
insurance.  
ENTROPION     AND      ECTROPION

These conditions involve lower lids more than the upper.  
Entropion is when the lid margin typically turns
inward and so do the eye lashes. Lashes may rub on the
cornea and cause painful scratches. In addition there may
also be chronic infection of the eye lids known as blepharitis.






  TREATMENT

In early stages, this condition may respond to topical
antibiotics and moisturizing solutions but more often the
permanent cure requires surgical correction .  The procedure
is similar to lower lid blepharoplasty.  In addition, the lid
margin is tightened by canthoplasty and  the thickened
muscle is trimmed and any excess fat is removed.  The
incision is placed under the lash line and leaves minimal or
no scar.

Ectropion, is when the lid margin turns outward and
tears flow over the cheek and the lid may become infected
and look reddish. This may be due to simple aging, chronic
infection in the eye lid, a burn or trauma.  






   TREATMENT

If due to an infection, it may respond to antibiotics but if it
does not then surgery may be required. This procedure
involves tightening  and slightly shortening the lid and lifting it
up to its normal position. If the skin has become scarred from
a chronic infection or other reasons such as trauma or a
burn, a small skin graft may be needed.
Blepharoplasty, before, skin marked
for excision and afte
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St. Louis STL


3535 SOUTH JEFFERSON
ST. LOUIS, MO 63118                     PHONE 314-771-3000

       
    MODERN DAY EYE LID SURGERY

    A majority of eye lid procedures are done on an
    outpatient basis and are done under local
    anesthesia along with some intravenous  
    sedation.                                                       

    Patients may notice mild to moderate bruising
    which resolves in 2-4 weeks. Sutures are usually
    removed in two weeks. Antibiotic ointment is used
    for a couple of weeks following surgery and daily
    activities may be resumed the next  day.   
                                      
    Eye lid procedures are individualized to every
    patient based on their needs, eye lid and facial
    anatomy, ethnicity, extent of the problem and
    patient desire.  The healing process is different
    in each individual and plays a big role in the
    outcome, therefore results will vary  from person
    to person.

    There are numerous eye lid conditions that we
    treat at   the eye center but we cannot describe
    them all here. Most eye lid conditions are medical
    in nature and are, therefore, covered by
    insurance.

    If you would like  something explained, you are
    welcome to contact us at  314-647-4494 or make
    an appointment for a consultation.

                    OTHER COMMON EYE LID PROBLEMS
                          WHICH MAY NEED SURGERY

CHALAZION                                                               SKIN CANCER OF EYELID
                                                                                  (BASAL CELL CARCINOMA)
3535 S. Jefferson, Suite S-4
Saint Louis, MO 63118
Phone   314-771-3000