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Facial Cosmetic Surgery

Face Lifts & Cosmetic Surgery

At Carolina Eyecare Physicians, our doctors not only provide the eye care but also provide oculoplastic surgeries such as surgical ptosis correction and blepharoplasty. Do you want a more youthful appearance, or have droopy, saggy eyes been blocking your vision? Blepharoplasty or ptosis repair may be for you!

Patients who have undergone blepharoplasty and ptosis repair often report that the surgery has changed their lives for the better. They look younger, they feel younger, and they no longer have to deal with the frustration of droopy eyelids getting in the way of their vision.

Our excellent doctors at Carolina Eyecare Physicians have the experience and talent to help you achieve a more awake, youthful appearance! If you have any questions about blepharoplasty or ptosis repair, give us a call and we will schedule you a consultation with one of our doctors to see if surgery is right for you.

Facial Cosmetic Surgery

Blepharoplasty is a type of surgery that repairs droopy eyelids and may involve removing excess skin, muscle, and fat. As you age, your eyelids stretch, and the muscles supporting them weaken. As a result, excess fat may gather above and below your eyelids, causing sagging eyebrows, droopy upper lids, and bags under your eyes.

Besides making you look older, severely sagging skin around your eyes can reduce your side vision (peripheral vision), especially the upper and outer parts of your field of vision. Blepharoplasty can reduce or eliminate these vision problems and make your eyes appear younger and more alert.

However, in some cases, the surgery may be necessary to remove overhanging skin folds to improve the function of the upper eyelid, as well as to improve vision. A visual field test is performed to determine if the surgery is medically necessary.

You might consider blepharoplasty if droopy or sagging eyelids keep your eyes from opening completely or pull down your lower eyelids. Removing excess tissue from your upper eyelids can improve your vision. Upper and lower lid blepharoplasty can make your eyes appear younger and more alert.

Blepharoplasty may be an option if you have:

  • Baggy or droopy upper eyelids
  • Excess skin of the upper eyelids that interferes with your peripheral vision
  • Excess skin on the lower eyelids
  • Bags under your eyes

You may undergo blepharoplasty at the same time as another procedure, such as a brow lift, face-lift or skin resurfacing. Lower lid blepharoplasty is almost always done for cosmetic reasons.


Ptosis is when the upper eyelid droops over the eye. The eyelid may droop just a little, or so much that it covers the pupil (the black dot at the center of your eye that lets light in). Ptosis can limit or even completely block normal vision. Children and adults can have ptosis. Fortunately, this condition can be treated to improve vision as well as appearance.


Adults get ptosis (called involutional ptosis) when the levator muscle stretches or separates away from their eyelid. This can be caused by aging or an eye injury. Sometimes ptosis happens as a side effect after certain eye surgery. Rarely, diseases or tumors can affect the eyelid muscle, causing ptosis.

Your ophthalmologist will find the cause of your ptosis in order to recommend treatment. They will do a complete eye exam, and may also want you to have blood tests, X-rays, or other tests. The ophthalmologist will likely recommend surgery to help the eyelid muscle work better.


Ptosis surgery is done as an outpatient procedure in your ophthalmologist’s office. Local anesthesia will be used to numb your eye and the area around it. Sometimes, the surgeon may only need to make a small adjustment to the lid’s lifting muscle. Extra skin from the eyelid also may be removed to help the eyelid lift properly. For more severe ptosis, the levator muscle may need to be strengthened and reattached to the eyelid. As with any type of surgery, there are possible risks and complications with ptosis repair. Your ophthalmologist will discuss these with you.

Before eyelid surgery, be sure to tell your ophthalmologist about all the medicines you take. Include all prescription and over-the-counter medications, vitamins, and supplements. It is important for your eye surgeon to know if you take aspirin (or aspirin-containing drugs) or blood thinners, or if you have a bleeding problem.

BOTOX Cosmetic

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