Eyesthetica Blog

How to Effectively Treat Annoying Chalazia

How to Effectively Treat Annoying Chalazia

A chalazion is a bump or lump that develops on the eyelid. Most chalazia (plural for chalazion), which are caused by clogged oil glands, are harmless. However, many are cosmetically unappealing, tender or irritating to the eye. Because of their position on the eyelid, they can sometimes interfere with vision. Certain chalazia can be minimized with at-home treatment, whereas others require professional attention. Eyesthetica can safely and painlessly remove chalazia that do not respond to at-home treatment, in our office. At-Home Treatment Methods If you develop a chalazion on your eyelid, our first recommendation is to use warm compresses to try to resolve it. Hold a clean, warm washcloth on your closed affected eyelid for about 10 to 15 minutes, three to five times a day. Make sure the washcloth stays warm by soaking it in hot water. The heat from the compress may help open and drain the clogged oil gland. You can also gently massage the area around the gland with your finger. Do not try to pop the chalazion. Avoid wearing eye makeup or contact lenses until the chalazion has resolved. When At-Home Treatments Don’t Work If your chalazion won’t clear on its own after a few weeks of using warm compresses, professional intervention may be needed. Our doctors can inject a corticosteroid medication into the chalazia to help reduce swelling. Typically the chalazia should resolve within a few days of the injection. A second injection may be recommended if the first doesn’t produce results. If, after a steroid injection, the chalazion still won’t go away, or it is so large that it significantly interferes with...
IPL for Rosacea and Meibomian Gland Disease

IPL for Rosacea and Meibomian Gland Disease

Intense pulsed light (IPL) is a light therapy commonly used to erase sun damage, irregular pigmentation, brown spots or freckles on the face, neck or chest. At Eyesthetica, we have also had great success using IPL to treat two medical conditions: rosacea and meibomian gland dysfunction (a common underlying cause of dry eye). Read on as we explain how we can eliminate the frustrations associated with these disorders with IPL. Rosacea Intense pulsed light treatment is a safe and effective way to reduce the chronic redness and flushing associated with rosacea and dilated facial veins (telangiectasia). The pulses of light injure the blood vessels that contribute to the appearance of rosacea. This then stimulates the body’s natural response, which is to break down and remove the damaged tissue. As a result, the facial redness diminishes. The results of IPL for rosacea are more noticeable and longer-lasting than other treatment modalities like topical creams. Usually a series of treatments is recommended for the best outcomes. Meibomian Gland Dysfunction The meibomian glands in the eyelids secrete an oil onto the surface of the eye that prevents the tear layer from evaporating too quickly. Sometimes these glands become blocked or experience another type of problem, and the tears therefore lack the oily component they need. As a result, the tears evaporate too quickly from the surface of the eye and dry eye symptoms can occur. With IPL, the pulses of light liquify and loosen hardened oil clogging the meibomian glands, and the oil can then be manually expressed. This process helps to stimulate healthy gland function so the tears can better moisturize...
When It’s Appropriate to Perform Laser Resurfacing with Blepharoplasty

When It’s Appropriate to Perform Laser Resurfacing with Blepharoplasty

Laser skin resurfacing and blepharoplasty (a.k.a., eyelid surgery) are both excellent standalone options that address different age-related problems around the eyelid area. Sometimes, the two procedures are performed in tandem to accomplish several anti-aging goals simultaneously. Below, the oculoplastic surgeons at Eyesthetica explain the benefits of this approach and when we generally recommend it to our patients. Blepharoplasty at a Glance Blepharoplasty is an excellent way to address deeper problems with the eyelid tissues, including loose, redundant skin and fat displacement. Upper blepharoplasty is designed to remove lax, saggy eyelid skin that can be heavy and sometimes droop over the lashline, restricting peripheral vision. Upper blepharoplasty can also reposition displaced fat and lift the eyelid skin to create wider, more youthful looking eyes. Lower blepharoplasty is intended to smooth out under-eye bags and puffiness, areas of depression beneath the lower eyelids and excess wrinkles in the lower eyelids. However, the procedure cannot improve the appearance of wrinkles around the corners of the eye, which are known as “crow’s feet.” This is where laser skin resurfacing can be tremendously helpful. Laser Skin Resurfacing at a Glance Laser skin resurfacing is a versatile procedure recommended for many different anti-aging objectives. It is often performed to minimize the appearance of noticeable wrinkles around the corners of the eyes, including crow’s feet. Special lasers are used to remove the outer layer of skin to reveal healthier and fresher skin. At the same time, the heat from the laser stimulates the body’s production of collagen for smoother, firmer skin. Laser skin resurfacing is gentle enough for the delicate skin around the eyes, yet powerful...
Temporal Eyebrow Elevation with the AIRO Implant: Are You a Candidate?

Temporal Eyebrow Elevation with the AIRO Implant: Are You a Candidate?

Traditionally, the best way to treat sagging, heavy brows was through brow lift surgery. However, brow lift surgery is not suitable to the needs or goals of every candidate. The oculoplastic surgeons at Eyesthetica are thrilled to offer a breakthrough alternative to brow lift surgery: the placement of the Su-Por AIRO brow implant to lift and fill sagging, heavy brows. Below, our doctors reveal signs that you may be a suitable candidate for temporal eyebrow elevation with the AIRO implant. You Are Unhappy with a Sagging or Low Brow The first indication that you may be well suited to placement of the AIRO brow implant is that you are unhappy with the low or sagging position of your eyebrows. This is probably due to the effects of aging, as the aging process is primarily responsible for the gradual descent of the brows. However, genetic or lifestyle factors may also be at play. If you are bothered by heavy, droopy brows and feel they make you look aged, angry or tired, placement of the AIRO implant may benefit you greatly. The AIRO implant is designed to slightly elevate the eyebrows, giving you a more youthful, rested and approachable expression. It is intended to correct both eyebrow ptosis and retro-orbicularis oculi fat (ROOF) atrophy. ROOF is situated beneath the middle and outer thirds of the eyebrow, extending down onto the upper eyelid. ROOF helps support the brow and contributes to eyelid fullness and structure. You Want a Minimally Invasive Solution The second indication that the AIRO brow implant may be right for you is that you have considered your surgical treatment...
Why Are Some People Not Able to Close Their Eyes after Eyelid Surgery?

Why Are Some People Not Able to Close Their Eyes after Eyelid Surgery?

A rare complication after blepharoplasty (eyelid surgery) can rob patients of something that most of us take for granted: the ability to fully close the eyes. Unfortunately this problem, known as lagophthalmos, can make the simplest tasks like sleeping or showering extremely difficult. Lagophthalmos can also increase the risk of conditions like corneal damage. In this post, the eyelid surgery specialists at Eyesthetica take a closer look at why this complication occurs and the steps we take to avoid it entirely. How This Can Happen The eyelid skin is extremely delicate — in fact, it is the thinnest skin on the body. Operating on such delicate skin is complex and requires the skill of an experienced eyelid surgeon. If any of the following happen during the operation, there is a chance that the eyelids may not close completely after surgery: The orbicularis oculi muscle, which is responsible for eyelid closure and a natural blink, is damaged. Too much fat volume is removed and there is no soft tissue support left to maintain the position of the eyelid. There is preoperative eyelid laxity (i.e., looseness) that is not addressed during surgery. Too much eyelid skin is removed. Lack of full eyelid closure after blepharoplasty can be very challenging and physically uncomfortable. Sleeping and bathing can be difficult and the eyes may feel constantly dry and irritated. There is also a heightened risk of corneal irritation due to exposure of the cornea. Avoiding Complications after Eyelid Surgery In many cases, once the eyelid muscles have been damaged by surgery, muscle function cannot be restored. For this reason, it is critically important...
What Can I Do to Get Rid of My Lower Eyelid Bags?

What Can I Do to Get Rid of My Lower Eyelid Bags?

Although they usually aren’t a medical issue, bags under the eyes are a cosmetic concern for many of our Eyesthetica patients, as they can make the face look tired, sad, or sickly. If you are bothered by bags under your eyes, the oculoplastic surgeons at Eyesthetica can help. Read on as we explain what is likely causing your bags and what we can do about it. What Causes Bags Under the Eyes? Several factors can affect the appearance of the area between the lower eyelids and the cheeks: Age: Due to the natural effects of the aging process, the cheeks can lose their youthful volume and fullness over time; this makes the fat underneath the eyes appear more prominent and resemble “bags.” Sun damage: Overexposure to the sun as well as UV damage are particularly damaging to the skin around the eyes, causing changes like wrinkles, pigment changes and contour abnormalities. Genetics: Under-eye bags can run in certain families and develop at an early age (as early as high school). Softening the Appearance of Under-eye Bags Our doctors treat under-eye bags through lower lid blepharoplasty. During the procedure, the fat underneath the eyelids is removed or repositioned to create a better contour and a smoother transition between the under-eye area and the top of the cheeks. Our doctors are careful not to remove too much tissue or fat, as that can produce an unsatisfactory “hollow” result. Our surgeons are also careful to preserve the muscle responsible for giving the eye a natural blink; we don’t want to sacrifice function and comfort for appearance. In some cases, we can use...
How Does the “Chemical Brow Lift” Work?

How Does the “Chemical Brow Lift” Work?

Traditionally, if you wanted to elevate heavy or drooping brows and attain younger-looking eyes, you had to undergo brow lift surgery. Fortunately, advances in cosmetic medicine and injectable products have made it possible to reposition the brows without surgery or the related expense and downtime. The oculoplastic surgeons at Eyesthetica offer chemical brow lift, a non-surgical alternative to traditional brow lift that repositions the brows higher on the face during a single short office visit. What Does a Chemical Brow Lift Accomplish? The position on the eyebrows is primarily determined by two underlying muscles — one of which pulls the brows downward. Chemical brow lift is designed to relax the muscles that pull down on the eyebrows to help lift the brows and open up the eyes, creating a more youthful and energetic appearance. Our team accomplishes this by carefully injecting small amounts of Botox in precise locations just below the brow. As the Botox relaxes the muscle, the brow subtly lifts, and the eyes open up. Sometimes dermal fillers are also used to make the area underneath the brow look plumper, which provides a slight lift. Chemical brow lift is typically recommended if you have mild to moderate brow drooping and not a lot of excess skin that must be removed. If your brows sit very low on your face and you have a lot of excess saggy skin, you may be better suited to traditional brow lift surgery. What to Expect During a Chemical Brow Lift A chemical brow lift can be performed during a short in-office appointment. One of our doctors will examine your face and...
What Can I Do to Stop These Unwanted Tears?

What Can I Do to Stop These Unwanted Tears?

The lacrimal glands in the upper eyelids constantly produce a thin film of tears that keeps the eyes moisturized and healthy. Normally, these tears flow across the surface of the eye and drain through a series of channels in the inner corners of the eyelids, which empty into the nose and throat. In a healthy eye, there is a delicate equilibrium between the amount of tears produced and the amount of tears that drain. If for some reason the lacrimal glands produce too many tears, or the drainage system become blocked or clogged, it can lead to excessive tearing. If you experience constant tearing, red, irritated eyes, ocular discharge or other symptoms, Eyesthetica can help. Here, we discuss some of the common treatments for tearing disorders. What Causes Excessive Tearing? Excessive tearing can be caused by an overproduction of tears, decreased drainage of tears, or some combination of the two. Factors such as allergies, ocular surface irritation, infection, and eyelid inflammation can trigger the lacrimal glands to produce extra tears. Age, injury, or infection can cause a blockage or obstruction in the drainage channels that control the outflow of tears. When this happens, the tears have nowhere to drain and build up on the surface of the eyes. Treatment for Excessive Tearing If you are experiencing excessive tearing, our doctors will perform a comprehensive eye exam and complete some testing to determine the source and severity of the problem. For example, we may perform a non-invasive test in which a salt solution is irrigated through your tear drain. Based on the results of your exam and testing, we can...
What Smoking Does to Your Eyes

What Smoking Does to Your Eyes

Smoking is detrimental to nearly every part of your body, including your eyes. Although many people know that smoking can lead to life-threatening diseases like heart disease and cancer, they tend to be less familiar with the effects of smoking on the eyes and vision. The team at Eyesthetica wants to focus on those risks in today’s post. Eye Diseases Linked to Smoking Smoking is a major risk factor for serious eye diseases including cataracts, age-related macular degeneration, glaucoma and uveitis. If left untreated, these diseases can lead to irreversible vision loss and possible blindness. Smoking can also raise the risk of developing diabetes; the complications of which can significantly affect the health of the eyes. People with diabetes are more likely to develop problems like diabetic retinopathy. Increased Risk of Dry Eye Smokers are nearly twice as likely to have dry eyes as non-smokers. Tobacco smoke irritates the eyes and can worsen the symptoms of dry eye, which include red eyes, itchy eyes, watery eyes and a foreign body sensation (i.e., like something is stuck in the eyes). Smoking While Pregnant Expectant mothers that smoke subject their unborn children to dangerous toxins. These babies are more likely to develop fetal and infant eye disorders, including crossed eyes and an underdeveloped optic nerve (which can lead to blindness). Women that smoke while pregnant are also more likely to give birth to premature babies, putting them at a higher risk of eye problems than babies that are born at full term. Affects Healing and Scarring after Surgery Smoking can be very harmful to someone recovering from eyelid surgery or another...
What to Look for on an Oculoplastic Surgeon’s Website

What to Look for on an Oculoplastic Surgeon’s Website

No search for an oculoplastic surgeon is complete without a visit to his or her website. The website is a great place to start when looking for information about the surgeon’s background and areas of expertise. Below, the team at Eyesthetica reveals four things to look for when visiting an oculoplastic surgeon’s website. Board Certification Oculoplastic surgeons are ophthalmologists with specialized training in cosmetic and reconstructive surgery of the eyelids and surrounding areas of the face. Your prospective oculoplastic surgeon should be board certified by the American Board of Ophthalmology, indicating that they have completed the education and training required to work on such a delicate area of the face, and passed difficult tests evaluating their knowledge and expertise. All of the doctors at Eyesthetica are certified by the American Board of Ophthalmology. Membership to the ASOPRS Another mark of an exceptional oculoplastic surgeon is membership to the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), the primary governing board of oculoplastic surgeons. After passing the board exams, your oculoplastic surgeon should have enrolled in a two-year fellowship program approved by the ASOPRS. Only about 20 oculoplastic surgeons are trained in cosmetic and reconstructive eyelid and facial surgery every year. After the fellowship training, the oculoplastic surgeon must pass written and oral exams and write a scientific thesis before being accepted into the elite ASOPRS organization. All of the doctors at Eyesthetica are members of the ASOPRS. Before and After Images After confirming your oculoplastic surgeon’s board-certification and membership to the ASOPRS, you will want to take a look through their before-and-after photo gallery. Focus on the photos...