There is no perfect answer, Torontonian. First, it would be important to know what your eyeglass prescription was prior to have your procedure 18 years ago. In addition, it would be important to know you previous and current corneal thickness and topography. Furthermore, how old are you now? A couple things to consider are that you are likely or soon to be likely presbyopic; which means that you are approaching the age where up-close vision is difficult without glasses. Since you are a -2.00 right now, you may not feel that difficulty. However, if you undergo a second laser procedure (given that you are a candidate), you may need glasses for reading at some point in the future. One option may be to consider Monovision - correct only one eye for distance and keep the fellow eye at -2.00D. Lastly, there is no guarantee that your cornea will be stable for the future years to come, meaning regression is likely possible. As far as fibroids are concerned, they should not impact your laser vision correction. Hope the answer helps. Good luck.
I agree with your physician. Often volume loss in the cheeks can not only elongate your lower lids accentuating deeper and more aged tear troughs, but also deepen your nasolabial folds. The root issue is volume loss of the cheeks as a flattened malar eminence. I would agree with the above physician to inject Juvederm Voluma XC. It lasts two years, reversible in the rare event of a side-effect, and will shorten your lower lids (appearing more aesthetically pleasing), and soften your nasolabial folds. Upon treatment with Voluma, you can then "spot" treat with Juvederm Ultra or Ultra Plus.
This is an excellent question. Think of the eye as a camera. Laser vision correction essentially reshapes the lens of the camera with a laser to allow light to properly focus on the film of a camera. Eyes that have a squint or lazy eye, do not develop the proper neural connections to allow the camera to "see". In other words, even though the eye is normal in shape and anatomy, if the connections do not develop by age 7 then that eye has a limited visual potential that cannot be regained. So in short, laser vision correction will not correct your squint eye fully.
