Rochester Eyelid Surgery doctors

Brett S. Kotlus, MD Brett S. Kotlus, MD
Rochester Oculoplastic Surgeon
8180 26 Mile Rd Suite 300, Shelby Township
12 answers
Myra Danish, MD Myra Danish, MD
Rochester Facial Plastic Surgeon
4550 Investment Drive Suite 290, Troy
Richard Hainer Richard Hainer
Rochester Plastic Surgeon
441 S Livernois Rd Ste 260, Rochester
Joseph E. Mark, MD Joseph E. Mark, MD
Rochester Plastic Surgeon
1886 W Auburn Rd Suite 200, Rochester Hills

Recent Answers

Broken Orbital Bone and is Sinking, What Should I Do? (photo)

I got punched in the face a lot when I had a drinking problem (sober now) but I'm afraid my eyeball is sinking. I know for sure I broke the orbital floor of my eye at least once (the second time I was in mexico two years and couldn't get a professional opinion). I'd like to know if my eye will keep sinking. Please see the photo and let me know if you think this problem can be fixed. Thank you.

A: What to do after an orbital fracture

If you had a trauma that caused a fracture of the bones around the eye, it is possible that the eye is sinking backward.  In most cases this can be improved with surgery. The first step is to see a surgeon who has experience with orbital trauma such as an oculoplastic surgeon.  Your doctor will want to get a CT to see what is happening with the bones around the eye.  Surgery can be more difficult when the problem has been there for a while but it is still possible most of the time.  

Good luck!

 

Brett S. Kotlus, MD
Rochester Oculoplastic Surgeon
Will Hot Compresses Breakdown Fatty Tissue Under Eyelids?

My Dr tells me I have excess fatty tissue under my eyelids. He said to use hot compresses to breakdown this fatty tissue. Everything I have read in my research says the only way to deal with this is surgery. He never mentioned surgery. I don't know what to do and could use some more information.

A: Will heat reduce under-eye bags?

Many people believe that warm compresses can reduce swelling or edema (fluid) under the eyes.  It will not influence the fat under the eyes.  The best way to address lower eyelid fat pouches is with surgical blepharoplasty or in some cases they can be disguised with injectable fillers. A consultation with a cosmetic surgeon that specializes in eyelid procedures, such as an oculoplastic surgeon will be of benefit. Good luck! 

Brett S. Kotlus, MD
Rochester Oculoplastic Surgeon
What Kind of Surgeon Should I Go to for This?

About 6 years ago I was hit with a baseball on my right eye. Now it is a lot puffier and obviously uneven compared to the left eye. What would be the least invasive surgery to correct this? Also, what kind of surgeon would specialize in this? Thank you!

A: Eyelid asymmetry after trauma

Jessica,

Your photo does show a difference in appearance between the eyelids. Some people have a natural asymmetry and if you have a consultation with an oculoplastic specialist it would be helpful to bring photos taken before the injury to rule out a preexisting difference.

If your previous injury caused a fracture to the bones around the eye (which is not unusual after impact with a baseball), the eye and surrounding fat can sink backward over time, falling into the fracture.  If this is the case, it can often be corrected with a surgery.  In consultation, a specialist can measure the anterior projection of the eyes to see if there is a difference. 

Cosmetic eyelid surgery can also help to match the eyelid appearance if there are no other issues. 

Good luck!

Brett S. Kotlus, MD
Rochester Oculoplastic Surgeon
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