An ophthalmic surgeon is an eye surgeon or ophthalmologist. Generally you also want to make sure that they are board certified in Ophthalmology with the American Board of Ophthalmology. An oculoplastic surgeon is an ophthalmologist who devotes all of their practice or a significant part of their practice to eyelid surgery. This does not mean that the surgeon is more deeply trained than a general ophthalmologist. For that, you need to look for additional training. The main organization for that training is the American Society for Ophthalmic Plastic and Reconstructive Surgery. They are both the professional society for this subspecialty and the certifying organization for the bulk of the fellowships in oculofacial surgery. ( A small number of fellowships are ACGME accredited). For in depth training in oculoplastic surgery, you need to look determine if your potential oculoplastic surgeon is fellowship trained by an ASOPRS or ACGME accredited fellowship. These are two year training programs that are done after the surgeon has completed an accredited residency in Ophthalmology. The surgical experience in these programs is breathtaking. Typically these fellows are involved in approximately 2500 eyelid, orbital, and facial surgeries during the course of a two year fellowship. Beyond that training, some oculoplastic surgeons do additional training in cosmetic surgery. This can be what is called a preceptorship or a more formal fellowship through the non ACGME board of Cosmetic Surgery.Looking around the country and internationally, it is my opinion that depth of training does make a difference and there is no substitute for this type of training.