Annapolis Oculoplastic Surgeon
692A Ritchie Hwy., Ste. 2B
Severna Park, Maryland 21146 US
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4.2 out of 5 stars 4.2 stars from 6 reviews See details Hide details
4.0 out of 5 stars Doctor's bedside manner
4.0 out of 5 stars Answered my questions
4.0 out of 5 stars After care follow-up
4.0 out of 5 stars Time spent with me
4.0 out of 5 stars Phone or email responsiveness
5.0 out of 5 stars Staff professionalism & courtesy
4.0 out of 5 stars Payment process
3.0 out of 5 stars Wait times
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Treatment results may vary

5 out of 5 stars Botox

I had an amazing experience

Over the span of 3 appointments, Dr. Pacheco was able to subtly take 20 years off of my appearance! I look and feel great! Dr. Pacheco included me in each step of the treatment process and was very respectful of my desire for only subtle changes in appearance

5 out of 5 stars Eyelid Surgery

Wow! What a Difference! - Serena Park, MD

I reluctantly decided to undergo eyelid reconstruction because my field of vision was beginning to be seriously impaired. I cannot begin to explain how great it is to be able to have that peripheral vision back. However, the amazing thing is that I look 15 years younger! What a great job Dr. Pacheko did! After my last recheck, I decided to allow them to perform Thermage on my face. My...

5 out of 5 stars Botox

Makes You Feel Wonderful About Yourself After a Treatment - Severna Park, MD

My feeling is it doesn't get any better than Dr. P. She's caring, concerned about the well being of me, a person. Dr. P is truly interested what is going on in my life and how my family is doing. She always asks what I want to accomplish at each visit. She is suggestive, honest, creative and a master of the skill of facial rejuvenation. I would recommend her to anyone - friends, family...

5 out of 5 stars Dysport

Excellent Bruising Pain - Severna Park, MD

Dr Pacheco listens and takes time to create a plan for your total rejuvenation ....working within your budget and time constraints.

3 out of 5 stars Thermage

Full Face and Neck Thermage - Severna Park, MD

At age 48 I was recommended Thermage for jowling and under eye wrinkles. I had full face and neck Thermage done in Sep 11. Didn't like the fact that the procedure was perfomed by a tech and not the doctor. It was pretty painful (as many reviewers state), and I saw no improvement in the jowling and wrinkles. Biggest waste of money! I had an S-lift (face and neck) with lipo done in Dec 12...

2 out of 5 stars Eyelid Surgery

Blepharoplasty & Injectables - Baltimore, MD

My last visit to her office December 2013 she brought in an observer to watch her give filler and botox injections. Her attention was on the new doctor who wanted to know how to make his fortune doing injections. I was not asked If I had a problem being used in a teaching environment. I was not offered a reduced payment for being used in a teaching environment. The result of this appointment was 2 black eyes - one was immediate before I left the office. The bottom lip left side is still noticeably larger after 2 months and only the right side of my forehead received botox. The wait times for appointments are extreme. I was forgotten in an office for 2.5 hours once and at a follow up visit for the one in office laser treatment to correct my uneven eye lift performed by an assistant I was left 2 hours waiting for her, only to be told when I finally walked out that she wasn't even in the building. I would give zero stars for wait times if it was possible. do not recommend this doctor.

*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.

Personal Statement

Dr. Elba Pacheco is one of the area’s pre-eminent, Oculoplastic (eye plastic) surgeons. With over 25 years on the John Hopkins faculty, Dr. Pacheco combines consummate medical experience with the artistry of subtlety and detail.

Board Certifications

Board-certified by the American Board of Ophthalmology

Awards & Recognition

RealSelf Top Doctor

Hospital Privileges

Dr. Pacheco has hospital affiliations at Johns Hopkins Hospital .


  • Undergraduate & Medical School

    Undergraduate: BA, Molecular Biology, Wellesley College , 1981
    Medical: MD, College of Physicians and Surgeons of Columbia University, 1985
  • Post-Medical School Training

    Ophthalmology, Bascom Palmer Eye Institute, Miami, FL, 1989
    Pediatric Ophthalmology and Strabismus, The Wilmer Eye Institute, 1990
    Oculoplastic and Reconstructive Surgery, Wilmer Eye Institute - The Johns Hopkins University, 1991

Treatments offered at Center for Eye & Laser Surgery

Most popular answers from Elba Pacheco, MD

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Can adjustments be made to make eyes appear more symmetrical? My right eye and brow sits noticeably lower than my left. (photo)

Hi, and thank you for your question. In order to make a recommendation about your brows, one would have to know whether you prefer the higher or the... READ MORE

Drooping of left eyelid? (Photos)

Hi, and thank you for your question. Judging from your photos, one of your eyes is ptotic, or droopier than the other. This should be evaluated by an... READ MORE

2 weeks post op. My eyes are asymmetrical and my eyelids have almost returned to their presurgical appearance. Normal? (Photo)

The photo you provided shows an improved, less prominent fold on one side I n the early post op period. This will change further, so give it a good... READ MORE

I have genetically protruding eyes. Do I pursue orbital decompression or upper bleph with a lower orbital implant? (photos)

Thank you for an insightful question. I am an Oculoplastic surgeon, with extensive eyelid and orbital experience, so here's my opinion. First of all,... READ MORE

Botox brow lift - where do you inject?

Weakening the muscles in the glabellar and outer brow area, the depressor muscles of the brow/forehead, lifts the brows naturally. So the key is to... READ MORE

Drooping of eyelid. What can I do without surgery? (Photo)

Botulinum injections can be customized to lift the eyelids. Find an experienced injectornin your area READ MORE

My eyes are uneven. Is there a surgery or treatment I can go under to help this? (Photos)

Subtle asymmetries are present in all of us. Your photos show a subtle difference, and this is normal. One of your eye sockets (the bones around your... READ MORE

What can be done about these eye bags? (Photos)

Cheek position, projection and volume influence what lower eyelid fat is visible. In your pictures, your cheeks are low, causing a longer lower eyelid... READ MORE

Is surgery the only option for the bags, cheek loss? (photo)

Your photo shows some wrinkling of the eyelid skin in addition to the "bag" and adjacent trough. A filler could correct the trough and create a single... READ MORE

2 1/2 years post blepharoplasty large bumps are appearing on suture lines. What's happening? (Photo)

Cysts can sometimes form along suture lines when skin cells get trapped during the healing process. Those trapped cells slowly produce keratin which... READ MORE

Videos by Elba Pacheco, MD

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Natural Eyelift Results Using Surgical and Non-Surgical Techniques

Dr. Elba Pacheco is live in Nashville with RealSelf at AAFPRS 2016 to discuss how to get full, natural results for eyelid surgery and what techniques are used to achieve them. WATCH VIDEO

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*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.