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oculoplastic subspecialty

Aesthetic Eyelid Surgery
Aesthetic eyelid or eye plastic surgery is a form of cosmetic surgery that enhances the look of the area around the eye by removing the excess skin, fat and reshaping the eyelid contour to create a more youthful and fresh appearance.

Upper and lower eyelid
   Blepharoplasty (Eye lift
   and eye bag surgery)
As one ages, the tone and shape of eyelids can stretch, loosen and sag. Surgical repair of this condition can give the eyes a more youthful look by removing excess skin, bulging fat, and lax muscle from the upper or lower eyelids. In the upper eyelids, excess skin can result in a tired appearance or in severe cases obscure vision. As a result, some forms of upper eyelid blepharoplasty are considered a medical necessity (non-aesthetic). Lower lid blepharoplasty (eye bag surgery) is almost always for cosmetic indications. The modern approach to lower eyelid blepharoplasty focuses on fat conservation and mid face rejuvenation by fat repositioning and tightening the soft tissues to restore youthful contour to the lower eyelid and midface region.
Asian Blepharoplasty
   (Double eyelid surgery)
Asian blepharoplasty is a procedure designed to produce a crease in the upper eyelid. The presence of an upper eyelid crease creates an optical illusion of making the eyes appear larger and brighter. There are two main types of Asian blepharoplasty, the suture blepharoplasty (non-incision) and incision blepharoplasty. The surgical technique will be customized to patient's unique eyelid anatomy and will precisely address specific concerns such as presence of excess skin or eyelid puffiness.
FUNCTIONAL EYELID SURGERY
Ptosis Surgery
Droopy eyelid or ptosis (pronounced "toe-sis"�) is due to the abnormality of the muscle which lifts up the upper eyelid. It may be present from birth (congenital ptosis) or acquired later in life. The droopy eyelid can obscure vision, and if present in children, may result in permanent visual impairment from amblyopia (lazy eye). Surgical correction of ptosis will depend on the severity of ptosis and mainly focuses on either tightening the lax muscle (levator advancement) or using a sling (frontalis sling)
Ectropion Surgery
In ectropion, there is outward turning of the eyelid. This may lead to incomplete closure of the eye, severe dry eyes and ocular irritation. It may be due to laxity of eyelid tissues due to aging (involutional ectropion) or paralysis of the nerve which controls eyelid closure (paralytic ectropion), scar on the eyelid (cicatricial ectropion) or a growth on the eyelid which weights the eyelid down causing mechanical ectropion. The technique of ectropion surgery may be varied and will be catered to the underlying cause.
Entropion Surgery
Entropion is the medical term to describe sagging and inward turning of the eyelid. The margin of the eyelid and eye lashes will invert can lead to eye discomfort due to chronic irritation of the eye by the inturned eye lashes, in severe cases, there may be corneal scarring and permanent visual impairment as a result. Entropion is most commonly due to laxity of the tissues cause by aging (involutional entropion) but can be caused by scarring on the inner part of the eyelid (cicatricial entropion) or very rarely congenital.
Epiblepharon surgery
Epiblepharon refers is a condition where there is in-turning of eyelashes in the presence of a normal eyelid position, typically seen in children and young adults of oriental descent. The cause of this condition is attributed to the presence of an abnormal congenital horizontal fold of skin near the upper or lower eyelid margin, causing the lashes to be directed to the eye. The constant rubbing of the lashes against the cornea can cause eye irritation, red eyes and in severe cases can lead to corneal scarring. Epiblepharon surgery focuses on excision of the excess skin fold and repositioning of the lashes so that the lashes are everted out and directly away from the eyes.

Eyelid tumour surgery and reconstruction
Skin tumour can occur in the eyelids and the main treatment is surgical excision of lesion. Reconstruction of the eyelid will be done following the excision and the surgical technique will depend on the type of tumour as well as the size of defect. The main aim of eyelid tumour surgery is primarily curative and targeted towards complete erradication via surgical excision. Reconstructive surgery will focus on attempting to restore a normal appearance by refashioning the eyelids.

   
Right lower eyelid cancer   Right upper eyelid cancer   Left upper eyelid cancer