How necessary is a lacrimal gland biopsy with prolapse? (Photo)

Question

If lacrimal gland prolapse is suspected, why would some doctors want to do a biopsy before resuspension (insurance covers)? Is it necessary to rule out medical causes? Is there any reason not to have the biopsy with the resuspension? Other doctors are saying it's purely cosmetic (insurance doesn't cover) and no biopsy needed so I'm confused. Want to have it done right. All doctors are certified ASOPRS doctors.

Mehryar (Ray) Taban, MD, FACS · Answer

If there are suspicious signs or the gland looks abnormal, then biopsy is warranted. Otherwise biopsy is not necessary for purely prolapsed lacrimal glands especially when both sides are prolapsed as in your case.

Kenneth D. Steinsapir, MD · Answer

The biopsy supports that argument that it is being done for medical reasons rather than cosmetic reasons. I would not fault a surgeon for biopsy. However, there is no reason to think this herniated lacrimal gland is abnormal. I would biopsy this gland but the procedure is cosmetic but insurance would likely cover the pathology fees. For peace of mind, you may want the biopsy. There is very little downside.

Ivan Vrcek, MD, FACS · Answer

typically the biopsy and repositioning can be done all in the same surgery. Yes, I would always recommend a biopsy in this situation. Even a normal appearing lacrimal gland can sometimes have issues that would only be revealed by biopsying in the tissue. Best of luck!

Kamran Khoobehi, MD · Answer

The picture shows upper eyelid ptosis and herniation of the lacrimal gland. You use your forehead muscle to see better and that causes over stretched upper lids. There is no need for biopsy. You should have do both(ptosis and herniated gland) at the same time. Please see the link

How necessary is a lacrimal gland biopsy with prolapse? (Photo)

Answers (4)

Answer: Eyelid ptosis and lacrimal gland suspension.

Answer: Eyelid ptosis and lacrimal gland suspension.

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Everything you need to know about Eyelid Surgery

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How necessary is a lacrimal gland biopsy with prolapse? (Photo)

Answers (4)

Answer: Eyelid ptosis and lacrimal gland suspension.

Answer: Eyelid ptosis and lacrimal gland suspension.

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.