Cosmetic Surgery

What About Cosmetic Surgery

We are trained in ocular-plastic procedures

Dr. John Cooksey and Dr. Richard Apt are trained in ocular-plastic procedures. Our most popular procedure is a blepharoplasty. A blepharoplasty is a procedure done in our office under local anesthesia to lift and tighten the upper and lower eyelids. Medical insurance may cover the cost of this procedure. Other cosmetic procedures include entropian or ectropian repair; this is the correcting of the outward or inward turning of the eyelids. Ptosis repair is done to lift the position of the eyelid that may be drooping covering a patient’s line of vision. Brow ptosis repair is done to lift a patient’s drooping brow into a more normal position.

What is Blepharoplasty?

Blepharoplasty is the plastic surgery operation for correcting defects, deformities, and disfigurations of the eyelids and for aesthetically modifying the eye region of the face. With the excision and the removal, or the repositioning of excess tissues, such as skin and adipocyte fat, and the reinforcement of the corresponding muscle and tendon tissues, the blepharoplasty procedure resolves functional and cosmetic problems of the periorbita, which is the area from the eyebrow to the upper portion of the cheek.

Why Should I consider Blepharoplasty?

You may want to consider cosmetic eyelid surgery if you have any of these conditions:

  • Dark circles or large bags below the eyes.
  • Excessive skin or wrinkles around the eyelids leading to a puffy appearance.
  • Excessive skin hanging on upper eyelids.

How long will the results last?

The results of aesthetic eyelid surgery are long lasting, but they may be affected by your heredity and lifestyle factors. There will always be a marked improvement over your pre-surgical state even though some aging can occur over time.

Removal of fat from your eyelids, which is usually the cause of puffiness and bags, is permanent, and these conditions generally will not recur. The skin continues to age, however, and skin laxity along the fine wrinkling of the eyelid area may, at some point, return, although never to the extent that it was present before surgery. Sometimes loss of tone in the forehead causes additional sagging of the eyebrows that mimics a recurrence of drooping upper eyelids. If this happens, correction may require a forehead lift or a secondary eyelid procedure.

What is Ptosis Repair?

Ptosis is defined as drooping of the upper lid, partly covering the pupil. Ptosis causes a tired, sleepy appearance and reduces vision. Repair is intended to provide a more youthful, vibrant appearance as well as to improve your sight.
Some patients with ptosis also have excess skin and fat in the upper lid, which can be corrected at the time of ptosis repair.
Ptosis repair is usually performed by an ophthalmologist, like Dr. John Cooksey, who specializes in eyelid surgery. Ptosis repair requires extensive experience. Care is needed in planning and performing the surgery. Special training is also required in order to ensure the proper lubrication of the eye after surgery.

What is Entropian Repair?

Entropion is a "turning in" of the eyelid. Typically occurring on the lower eyelid, the skin and lashes rub painfully against the cornea. The condition may cause the lid to turn in constantly or only at times when the eyes are closed tightly.

Entropion usually arises as a result of aging since the muscles around the eyes may progressively weaken. A spasm or relaxation of the muscles near the eye can cause the lid to turn inward. Other causes can include injury, congenital defect, skin infections and various inflammatory conditions. You may also be at higher risk for entropion if you have undergone facial surgery or have facial scarring that affects the natural curve of the eyelid.

Lubricating eye drops may be used to lessen certain symptoms such as dry eyes. Temporary relief can also sometimes be found by using Botox, skin tape to hold the eyelid in place or strategically placed stitches. But ultimately, entropion generally needs to be corrected through a brief surgical procedure in which the eyelids are repositioned. The area is numbed with a local anesthetic and sometimes light sedation is provided as well. For entropion due to muscle weakness, the surgery may involve the removal of a small section of eyelid to tighten the muscles in the area. When the entropion is caused by scars or prior surgery, the procedure typically relies on a skin graft to allow a repositioning of the eyelid.

What is Ectropian Repair?

Ectropion is a "turning out" of the eyelid. Typically occurring on the lower eyelid, the skin of the inner lid is exposed, either in one section of eye or across the entire lid. This prevents tears from draining from the eye correctly, resulting in irritation.

Common causes of ectropion include age-related weakening of the connective tissue around the eye, sun damage, tumors, burns and the removal of too much skin during blepharoplasty. In some cases, ectropion occurs as a congenital birth defect or as a result of facial palsy.

Artificial tears can help provide temporary relief from dryness. But for full correction of ectropion, a quick surgical procedure in which the lid is tightened is usually necessary. The area is numbed with a local anesthetic and sometimes light sedation is provided as well. For ectropion due to muscle weakness, the surgery may involve the removal of a small section of eyelid to tighten the muscles in the area. When the ectropion is caused by scars or prior surgery, the procedure typically relies on a skin graft to allow a repositioning of the eyelid.

Cooksey Vision and Cosmetic Center provides Cosmetic Procedures for patients from greater Monroe, Northern Louisiana and Southern Arkansas and is conveniently located for patients traveling from West Monroe, Bastrop, Winnsboro, Rayville, Gilbert, Columbia, as well as Ruston, Calhoun, Choudrant and Eldorado Arkansas. To schedule an appointment for eye lid surgery or Brow ptosis repair please call us in Monroe at (318)388-2020 or in Ruston at (318)255-9686.