My initial consultation with Dr. Conger was for basal cell skin cancer in my lower eyelid. Unrelated to the basal cell cancer, was previously 10 months of hell with severe eye irritation that 2 optometrists and numerous prescriptions could not correct. On the day of my consult with Dr. Conger, he examined my eyes and immediately noticed that both eyes did not shut completely. He prescribed medication that cleared my eyes up within 2 days. Such relief!! That was the moment I realized there was no second opinion needed for the surgery to remove the skin cancer in my lower eyelid. From his assistant, Donovan, to the surgical nurse, Mercy, the entire staff was excellent.Dr. Conger removed the basal cell, confirmed clear margins on the cancer site, as well as performed a procedure to allow my eyes to close correctly.At all times, he took the time to fully explain the procedures, accommodated me with appointments due to the distance I lived from his offices; ensured that my post-surgery prescriptions were available for pick up prior to the surgery and faced timed me in the evening of my surgery at home to check on me.In this age of big business Health Care, I was overwhelmed with gratitude of the first-class treatment of these medical professionals. Amazing…
Good morning, To answer your question directly, yes. With uneven eyebrows, application of botox or neurotoxin to the frontalis muscle in the forehead can help to drop the eyebrow on the higher side to match the lower side. However, this is not an exact science and asymmetries may still remain. An important question, however, is why do you have brow asymmetry. May times, one is lifting the eyebrow to try and compensate for eyelid ptosis (or droopy eyelids). Ptosis is when the eyelid position is low. Imagine taking a light and flashing it at your eyes. You will see a light reflex in the middle of your pupil. The distance between that light and the eyelid margin (area where eyelashes are coming out) is called the margin to reflex distance 1 (MRD1). When that distance is small (the eyelid margin is close to the center of the pupil), you have some degree of eyelid ptosis. Ptosis can be mild, moderate, or severe. If the eyelid ptosis or droop is bad enough, the eyelid can start to block the superior part of your vision in that eye. To try and prevent this, the body uses its forehead muscles to lift the droopy eyelids, but an unwanted side effect is lifting of the eyebrows. With all of this, there can be asymmetry. Now, back to the application of botox to improve symmetry. This can be done, but again there may still be asymmetries. One additional concern is that if you take away the forehead muscles, your brain cannot compensate for the droopy eyelids anymore and one may start to notice eyelid droop or ptosis and a blockage of the superior visual field. Sometimes, fixing eyelid ptosis is actually the right answer. As always, an in person consultation is best to determine what is the right intervention for you. I hope this helps.
Good morning, This is a great question, and one that I get asked about a lot. Ptosis is when the eyelid position is low. Imagine taking a light and flashing it at your eyes. You will see a light reflex in the middle of your pupil. The distance between that light and the eyelid margin (area where eyelashes are coming out) is called the margin to reflex distance 1 (MRD1). When that distance is small (the eyelid margin is close to the center of the pupil), you have some degree of eyelid ptosis. Ptosis can be mild, moderate, or severe, and the treatment options depend on the individual findings. Blepharoptosis levator resect surgery is a way to tighten the muscle inside the eyelid that is responsible for opening the eyelid (levator muscle) to raise the resting position of the eyelid margin (increase the distance between the center of the pupil and the eyelid margin, or increase MRD1). Separately, one can also have heavy upper eyelids. This can be from numerous causes, but most often I see excess skin on the upper eyelids contributing to the heaviness. Additionally, one can also have a degree of eyebrow ptosis. If the eyebrow position is low, this adds extra weight to the eyelids and further causes the heavy appearance. For the heavy eyelids, an upper eyelid blepharoplasty will excess the excess skin (and accumulating fat) to help sculpt and refresh the area. At the same time, doing a brow lift may be helpful to further remove any weight on the eyelids. Depending on your individual needs, a surgeon may recommend doing any combination of the above surgeries (blepharoplasty, levator muscle tightening surgery, or brow ptosis repair). Each intervention addresses a different component of the heavy eyelids. Of course, an in person evaluation is best to determine what is best for you. I hope this helps.
Good morning, I get this question a lot, and hopefully this information will be helpful for you. Under eye bags can become apparent as we get older because our anatomy continue to change as we age. The relative position of fat, skin, bones, cheeks, and ligaments all play a role in the appearance of under eye bags, and each person has a unique combination of these elements. There are both surgical and non surgical options to address under eye bags, but all interventions carry risks and these must be balanced with the possible benefits of the intervention. In general, non-surgical options include filler injections or fat transfer. These options work by helping to add volume to certain areas to help blend the transition between the lower eyelid and cheek. While these options have the benefit of being less invasive, they care risks including lumps/bumps, discoloration (blueish hue to the eyelid), and inflammation. They also may need to be repeated every few years for lasting results. A surgical option for lower eyelid bags is a lower eyelid blepharoplasty. Specifically, a transconjunctival approach, which is from inside the eyelid and is scarless. With this approach, fat can be subtracted or translocated to help address any hollows or excesses in fat. As always, an in person consultation would be best to address your individual concerns. I hope this helps.
Good morning, This is a great question, and one that I get asked about a lot. Ptosis is when the eyelid position is low. Imagine taking a light and flashing it at your eyes. You will see a light reflex in the middle of your pupil. The distance between that light and the eyelid margin (area where eyelashes are coming out) is called the margin to reflex distance 1 (MRD1). When that distance is small (the eyelid margin is close to the center of the pupil), you have some degree of eyelid ptosis. Ptosis can be mild, moderate, or severe, and the treatment options depend on the individual findings. Alternatively, you can also have eyelid asymmetry from other things such as excess skin on the surface of the eye, differences in fat distribution in the eyelid causing relative differences in hollows, or you can have differences in the way the eyelid skin folds. The treatment options depend on a case by case basis. An in person consultation is always best to determine what is the right treatment. I hope this helps.
Good morning, I hear this a lot with patients who are concerned about the appearance of lower eyelid skin. The location of the lines can determine which treatment option is best for you. If the lines are on the outside area of the lower eyelid/lateral canthus, then botox or neurotoxin may be able to relax the orbicularis muscle that is causing the dynamic wrinkles. However, if the lines are more central or towards the tear trough area, then a chemical peel (such as TCA) or a laser (CO2 resurfacing) may address your concerns. Finally, one other option to consider is surgery, which would include a transconjunctival lower eyelid blepharoplasty with a skin pinch to address any fat malposition in the eyelid and the excess skin on the anterior surface of the eyelid. As always, an in person consultation would be best to address your individual concerns. I hope this helps.
