Oculoplastic Surgery

Oculoplastic Surgery

What is Ocuplastic Surgery?

Oculoplastic Surgery, also known as Ophthalmic Plastic and Reconstructive, Oculofacial or Eye Plastic Surgery, is a generic term that deals with a large variety of procedures involving the deformities and abnormalities of the orbit, eyelids, tear ducts, and the face. Ocular reconstructive surgery, aesthetic eyelid surgery, facial plastic surgery, and cosmetic procedures also fall into this category. Plastic surgery is most commonly used for moulding or reconstructing several parts and organs of the human body in order for them to function properly. Oculoplastic Surgery is a kind of plastic surgery that specifically pertains to the parts around the eye. Such surrounding areas, especially the eyelids are highly delicate structures which are responsible for preserving the vision of the eye and as well as other features of a normal facial appearance. Carrying out surgery in a highly sensitive area like the eyes can significantly affect the sight. Therefore, the doctors carrying out the oculoplastic surgery, i.e. Oculoplastic Surgeons are highly qualified in order to perform such a delicate surgery and to provide the best kind of eye care.

Oculoplastic Surgeries include:

  • Eyelid reconstruction (used following trauma or tumour removal)
  • Cosmetic eyelid surgery (also known as ‘blepharoplasty’)
  • Eyelid ptosis surgery (used to address droopy eyelids)
  • Epiphoria (also known as ‘dacryocystorhinostomy’ (DCR))
  • Socket reconstruction (dermix fat grafts, orbital implants, mucous membrane grafts)
  • Eyebrow lift (used to address droopy or heavy eyebrows)
  • Eyelid gold weights (used to address facial palsy)
  • Enucleation and evisceration (also known as ‘orbital implants’)

Benefits of Oculoplastic Surgery

 There can are several benefits of getting the oculoplastic surgery done, apart from restoring the function on the affected part around the eye, oculoplastic surgery also helps one in maintaining confidence by fixing the facial experience to some extent. The other benefits of the oculoplastic surgery are:

  • Entropion repair, which fixes the eyelids which are folding inward
  • Ectropion repair, which fixes the eyelids which are turning outward
  • Ptosis repair, which fixes the sagging or drooping of the upper or lower eyelid
  • External dacryocystorhinostomy (DCR), helps to restore the flow of tears
  • Oculoplastic surgery is an outpatient surgery, you can be discharged the same day after the oculoplastic surgery 
  • Recovery is faster

Types of Oculoplastic Surgery

Oculoplastic surgery covers a large array of procedures, both medical and cosmetic, which include:

  • Eyelid surgery, which covers procedures like blepharoplasty, eyelid reconstruction, for ptosis, entropion, ectropion, and eyelid tumors. 
  • Orbital surgery to manage thyroid and eye disorders, tumors, and trauma
  • Pediatric oculoplastic surgery to correct congenital defects and manage eye disorders in children
  • Tear duct surgery
  • Eyebrow and forehead lifts
  • Facial rejuvenation (midface lift, lower face lift, facial implants)

Oculoplastic surgeons perform plastic, reconstructive, and cosmetic procedures in the following categories:


•    Orbital Tumor
•    Graves' Disease
•    Eye Injuries
•    Eye Socket Reconstruction
•    Eye Evisceration and Enucleation


•    Tear Duct Surgery


•    Eyelid Lift
•    Forehead Lift
•    Cosmetic Ptosis
•    Double Eyelid Surgery
•    Brow Lift


•    Fat Grafting
•    Eyelash Growth Stimulation
•    Collagen/Fat Injectable Fillers

Oculoplastic Surgery Procedure

The different oculoplastic surgery procedures belonging to areas around the eye can be described as follows:

Eyelid surgery

Blepharoplasty or the Eyelid surgery, is cosmetic surgery for eyes which is performed to remove excess muscle, skin, and fat deposits from the eyelids. It can be performed on both the upper and lower lids. The main objective of the Eyelid surgery Eyelid surgery is to improve the appearance of wrinkles, puffy upper eyelids or under-eye bags giving the patients a refreshed appearance.

Tear duct surgery 

In this kind of oculoplastic surgery, the doctor makes small incisions cutting via the nose or through the skin which is present in towards the corners of your eye and your nose. 
The doctor creates a new tear drain opening which is made using the blocked sac directly into the nose. The doctor may then leave a stent for some time so that the new duct remains open. In some cases, where the new tear duct can't be created due to blockage, the doctor may place a permanent artificial drain right behind the corner of the eyelids.

Orbital surgery

Before your orbital surgery begins, the doctor will first carry out a radiographic test such as a CT scan in order to assess your eye.
There are many kinds of orbital surgery, and every kind's surgical approach may vary that depending on factors such as the location, size, and extent of disease present around the eye. For example, in some cases, you may require only a small skin incision while in other cases it may not be required at all. In other set of cases, the orbital surgery may essentially require large incisions that may result in visible scars. That's when the oculoplastic surgeon will make a safe removal of the diseased cells and tissues while also carefully preserving eyesight and its function.

Pediatric oculoplastic surgery

When the oculoplastic surgery is carried out in children, the doctor may always have to employ general anaesthesia before the surgery.  The two commonly treated conditions by oculoplastic surgery in children are congenital ptosis and congenital tear duct obstruction. When children get an oculoplastic surgery, they suffer from associated syndromes and perioperative requirements. Therefore, oculoplastic surgery on a child is performed by a pediatric ophthalmologist who has had special training in pediatric oculoplastic surgery.

Eyebrow and forehead lift

The doctor makes a number of small cuts and incisions in the scalp behind the hairline or may create a single but longer incision which can be concealed in the hair of the scalp. After the incision, the doctor removes the excess skin so that the forehead and eyebrows are raised to the normal level. Most of the times, blepharoplasty of the eyelids is coupled with the eyebrow and forehead lift.

Facelift and implants

A facelift surgery, also called Rhytidectomy is a cosmetic procedure carries out to remove extra facial skin in order to make it look fresh and younger and less saggy. The skin around the jawline, known as “jowls”, or the deep creases around the neck and the nose along with extra fatty tissues on the face can lead to an unpleasant appearance of the face. Both men and women have been getting the facelift surgery done, and this surgery has been consistently on the forefront of the widely carried out cosmetic procedure.

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