PROCEDURES

Cosmetic Eyelid Surgery

Cosmetic surgery on the lids of the eyes can help improve vision, reduce bags and puffiness under the eyes, and give a more energetic and alert appearance.

What is cosmetic eyelid surgery?

This common procedure is performed to help enhance the appearance of the patient’s eyes. This is accomplished by using various surgical techniques on the lids of the eyes and sometimes on the tissue surrounding the eyes. Also known as blepharoplasty, this elective procedure was the fourth most commonly requested cosmetic procedure in 2012.

Upper eyelid surgery

Siems Advanced LASIK and Eye Care Center | Las Vegas & Henderson NV | Blepharoplasy
This procedure is most often performed on patients with droopy lids, in order to give them a younger appearance and possibly to enhance their vision. During the procedure the ophthalmologist will mark the natural creases of the lids to keep scarring at a minimum and within the natural folds of the lids. After making an incision, excess fat in the lid is either repositioned or removed, followed by the removal of skin and any loose muscle. The incision is closed with ultra-thin sutures which help minimize the visibility of possible scars.

Prior to having any Cosmetic Eyelid Surgery, the patient must stop taking aspirin for 7-10 days.


Lower eyelid surgery

This procedure is most commonly performed to minimize the appearance of bags and puffiness under the eyes, giving people the appearance of being refreshed, as opposed to looking tired. An incision is made in an inconspicuous place along the lower lashes. The ophthalmologist then removes excess skin, muscle, and fat. Fine sutures, invisible to the naked eye, are then used to close the incision.

Treatable eyelid conditions

There are several treatable conditions that can be improved with cosmetic procedures on the lids of the eyes, including:

  • Bags under the eyes
  • Sagging skin
  • Lower droopiness
  • Excess fatty deposits

Good candidates for cosmetic eyelid surgery are:
Non-smokers, in good mental and physical health, typically over the age of 35, without any major eye conditions, and with realistic and positive expectations of the outcome of the cosmetic procedure.

Avoid eyelid surgery if you have the following conditions

  • Graves’ disease
  • Hypothyroidism
  • Cardiovascular disease
  • Diabetes
  • High blood pressure
  • Detached retina or glaucoma

Recovery from eyelid surgery

A certain amount of bruising and swelling can be expected. Keeping the head elevated and applying cold compresses can help reduce the swelling and relieve any discomfort. For 10 days following the procedure, the eye area must be kept very clean and the ophthalmologist may recommend the patient apply an ointment or eyedrops to keep the eyes from feeling itchy, dry, or sticky. Strenuous activities and bending down should be avoided for the first week or two.

Finding a surgeon

Dr. Siems of Las Vegas is a skillful ophthalmologist with extensive experience in performing cosmetic surgery on the lids of the eyes. Cosmetic Eyelid Surgery is the ideal solution to slow the effects of the aging process or correct issues involving the skin around the eyelid. Dr. Jon Siems has been successfully performing this cosmetic eyelid surgery for over 10 years.

Dr. Siems will expertly remove extra skin and tissue from around the eye during cosmetic eyelid surgery and help eliminate the wrinkling that occurs during the aging process. Puffy eyes are a result of excess fatty tissue and will be removed with cosmetic eyelid surgery. Dr. Siems helps each patient look their best by removing the bags that form under the eye and will repair any scars that are causing issues around the eyes.

Dr. Siems performs an exhaustive exam to determine the exact nature of the problem and will discuss the patients options in cosmetic eyelid surgery. Each patient will learn the outcome that will be achieved from undergoing this form of cosmetic surgery.

Hear Dr. Jon Siems talk about cosmetic eyelid surgeries, an ideal solution to slow the effects of the aging process or correct issues involving the skin around the eyelid.



Eyelid Malformation Surgery

Siems Advanced LASIK and Eye Care Center | Las Vegas & Henderson NV | Eyelid MalformationA pterygium is a painless, non-cancerous growth of the conjunctiva, the lining that covers the white part of the eye. The pterygium may grow on the cornea, which covers the iris, the colored part of the eye. A pterygium usually begins at the nasal side of the eye and can be different colors, including red, pink, white, yellow or gray.

Patients with pterygium often first notice the condition because of the appearance of a lesion on their eye or because of dry, itchy irritation, tearing or redness.

Pterygium is initially noticed when it is confined only to the conjunctiva. At this stage of development it is called a pinguecula. As it extends to the cornea it is termed a pterygium and can eventually lead to impaired vision.

Pterygium is diagnosed after a thorough medical examination of the eyes. A slit-lamp examination will allow the physician to examine the cornea, iris and lens to confirm diagnosis.

Causes of Pterygium

While the causes of pterygium are not entirely known, it is believed to be caused mainly by exposure to UV light. Other suspected causes include living in a dry, dusty, and windy environment. People who live near the equator or play water sports such as surfing and fishing are more likely to develop pterygium. Prolonged exposure to these conditions causes the conjunctiva to thicken and the eye to become red and irritated. Collagen in the eye begins to deteriorate, and the eye weakens.

Studies show that there may also be a genetic predisposition to pterygium, with a higher prevalence occurring in men more than women.

Symptoms of Pterygium

Symptoms of pterygium include:

  • Tissue in the inner or outer corner of the eye
  • Dry eyes
  • Redness of the eye
  • Irritation
  • Inflammation
  • Tearing
  • Burning of the eye
  • Blurry vision

In more severe cases, the pterygium may grow over the pupil and limit vision.

Surgical Treatment of Pterygium

In most mild cases of pterygium, artificial tears can be used to reduce dryness and irritation. For those patients with severe cases of pterygium and whose vision has been affected, different types of surgery are available. Surgery is the only way to definitively remove a pterygium, but it is not a perfect solution; it requires long-term follow-up, and the recurrence rate is between 30 to 40 percent.

Autologous Conjunctival Auto-Grafting

A safe and effective technique to surgically remove a pterygium is autologous conjunctival auto-grafting. The pterygium is removed as well as the tissue covering the conjunctiva. The tissue that is removed from the sclera is replaced by tissue that has been removed from the inside of the patient’s upper eyelid.

Amniotic Membrane Transplantation

Amniotic membrane transplantation is another safe and effective procedure to remove a pterygium. Donor tissue from an inner layer of the human placenta is used to reconstruct the surface of the eye. This type of graft encourages healing and reduces swelling.

Prevention of Pterygium

To minimize the risk of the pterygium re-occurring, even after surgery, a radiation treatment using strontium may be recommended. Strontium plaque therapy produces beta particles that penetrate the cornea and prevents the regrowth of blood vessels that occur when the pterygium returns.

Sunglasses that block UV rays, particularly sunglasses that provide side coverage, are a good means of protection against pterygium. Wearing a hat with a brim to limit or block sunlight is also helpful. In hot, dry climates, artificial tears should be used to help lubricate the eyes.

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Call our offices for a consultation appointment with Dr. Siems: 702-948-2010 | 702-685-2410.