Richmond Eyelid Surgery doctors

Gordon Lewis, MD Gordon Lewis, MD
Richmond Plastic Surgeon
1451 Johnston-Willis Drive , Richmond
2 answers
Neil J. Zemmel, MD Neil J. Zemmel, MD
Richmond Plastic Surgeon
14051 St Francis Blvd # 2209, Midlothian
1 answer
Matthew Bridges, MD Matthew Bridges, MD
Richmond Facial Plastic Surgeon
14051 St. Francis Blvd Suite 2211, Midlothian
Burton M. Sundin, MD Burton M. Sundin, MD
Richmond Plastic Surgeon
7611 Forest Ave Suite 210, Richmond
Michael Armstrong, MD Michael Armstrong, MD
Richmond Facial Plastic Surgeon
8700 Stony Point Pkwy Ste 110, Richmond

Recent Answers

No Dramatic Vision Changes After Upper Eyelid Surgery

I am 6 months post op and my prescription will not stabilize and my corrected vision is worse than my uncorrected vision pre op. I have worn gas perm lenses for forty years very successfully and the surgery was due to reduced eyelid openning and not for cosmetic reasons. Any suggestions as to what is happening and what can be done? Dan

 

 

A: no vision change after eyelid surgery

Although it would be helpful to see photos and know what operation you actually had done, I think I can answer your question.

I think you either had an upper blepharoplasty or a eyelid ptosis repair. 

A blepharoplasty can be a procedure covered by insurance if there is skin overhanging the eyelashes and physically blocking your visual fields.   It involves removing the excess skin from the upper eyelid.  There is no surgery on the eye itself.   The benefit is removing the physical block from the upper visual fields.

Repair of ptosis is also sometimes covered by insurance.  This often involves removing skin as well, but the primary goal is to reposition the whole upper lid in relation to the pupil.   This is also a mechanical problem in front of the eye. 

In neither case should you expect a change in your visual acuity.  Unless you also had an operation on your eye itself, ie lasik, cornea transplant, glaucoma procedure, at the same time, your vision should not change.   Your prescription for your glasses is independent on the operations on your eyelids, and is not related.

I would recommend speaking with your surgeon and your ophthalmologist about these issues.

Gordon Lewis, MD
Richmond Plastic Surgeon
Am I a Candidate for an Upper Blepharoplasty?

I feel like my eyes could be more attractive if I reduced the heaviness of my upper eyelids (I also want to reduce the hollowness under my eyes with injections) What do you think? Am I a candidate for an upper blepharoplasty?

A: candidate for upper bleph?

I agree with the above poster, but also suggest that you do have good skin quality and tone and beautiful upper lids.  I would hesitate to recommend a procedure for your upper lids based on your photos.  Only an face to face examination will give you a better idea.

You do have an accentuated nasojugal fold on your lower lid on the pictures you present.  However, in these pictures, you are smiling which tends to increase to visibility of this depression.  If this hollowness persists in a more neutral pose, filler injections can be helpful in improving this contour and may be a reasonable option.

best of luck

Gordon Lewis, MD
Richmond Plastic Surgeon
What Do I Do Now? Chemosis in my Left Eye for 8 Months Now After Blearoplasty

I had blephoplasty 8 mos. ago and still have chemosis in my left eye. My surgeon seems to be oblivious to this and says he would only make it worse by trying to fix it. He obviously took out too much tissue in the lower lid. The bottom of the iris does not touch the lower lid. Will there be negative effects on my vision? What should I do?

A: Chemosis after surgery

Chemosis 8 months after eyelid surgery is unusual and an evaluation by a plastic surgeon specializing in facial rejuvenation and eyelid surgery is warranted.  Your original surgeon should be addressing this problem. 

Neil J. Zemmel, MD
Richmond Plastic Surgeon
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