My eyes are dry since my eyelid surgery. Is there any help?
Dry eye after a recent eyelid surgery is not necessarily cause for alarm, but certainly something you and your doctor should monitor together and take steps to relieve. Eyelid surgery is a complex procedure that has many rewards and is considered very safe, yet it’s not without risk. This is the case of every medical treatment or surgery. It is likely that your surgeon discussed with you the possibility of dry eye and included this among the possible issues after surgery in your surgery consent. Hearing about it pre-surgically and experiencing post-surgically are two very different realities.
At the beginning of your post-operative healing, dry eyes, swelling, and lids not closing properly are common experiences, but usually these are temporary and naturally resolve as the swelling goes down and you heal. Think of your eyelids as windshield wipers that move tears over the eye surface. With surgery, the eyelids swell and function less well as tear movers contributing to dry eye sensation. The swelling generally subside sufficiently in the ten days after surgery to make a noticeable difference in eye comfort. However, swelling is not the only reason the eyelids may not function well. Certain eyelid surgeries actually injure the motor nerves to the orbicularis oculi muscle close to the eyelid margin. These injuries can be temporary or permanent and also effect how well the eyelids move tears over the eye surface. It seems that some of these injuries do get better with time but some persist and can permanently contribute to dry eye. Symptoms that persist longer than 6 months tend to be permanent. Because of this, we can think of post-operative experiences as immediate (within the first six months) and long-term (thereafter).
The way to address a concern over dry eyes depends on when you are experiencing this issue, and the actual basis for the symptoms. This means that a detailed eye exam by a board certified ophthalmologist is needed to assess these symptoms. Normal post-operative dryness can usually be helped with over-the-counter eye drops. We also strongly recommend you talk to your surgeon openly about your healing process and remain in regular communication. Dr. Steinsapir closely follows his patients to monitor their progress, answer questions, and be available to address any complication in the unlikely case that they arise. As we said, no surgery is without risk, and a surgery can tip a compensated dry eye. For this reason, Dr. Steinsapir recommends that eyes be thoroughly assessed before surgery to look for evidence of dry eye. Knowledge of the dry eye status before surgery should influence the surgeon to perform more conservative eyelid surgery, prompt a referral to a cornea specialist when needed prior to surgery, and in rare cases, recommend against eyelid surgery in the most severe cases.
In communicating with your surgeon, if artificial eye drops do not seem adequate, he or she may prescribe ophthalmic ointment before bed. In some cases, tear drains can be temporarily closed to improve symptoms. If these do not work, there are additional mechanical treatment options such as taping of the eyelids at night or swimming goggles at night in the most extreme cases. Long term when these measures do not provide sufficient relief, careful assessment for eyelid reconstruction may be indicated. The solution will depend upon your symptom severity, and the timing and precise anatomic cause of the problem. A range of options are available to improve eyelid closure with blink, which helps spread tears over the surface of the cornea and contributes to eye comfort.
If you wish to seek a second opinion, Dr. Steinsapir is available to assess your particular situation. He provides compassionate care whether you live locally or find it necessary to fly to Los Angeles for his assessment and input. He regularly helps individuals who require reconstructive surgery and corrections, and he is also thoroughly knowledgable on what to expect as part of the normal healing process. Your reconstructive surgery, when necessary, can be performed in his state of the art office based surgery center or on an outpatient basis at the Ronald Regan UCLA Medical Center, where is on staff. We invite you to call us today to schedule a time to discuss your particular concerns and options.
About Dr. Steinsapir
Dr. Steinsapir is a board certified eye surgeon and fellowship-trained in oculoplastic surgery and cosmetic surgery in Los Angeles where he specializes in balanced facial cosmetic surgery for natural results, with an emphasis on minimally invasive techniques, fast recovery time, and leadership in medical technology. Dr. Steinsapir has a private practice and also serves as an Associate Clinical Professor of Ophthalmology at the Jules Stein Eye Institute, at the David Geffen School of Medicine at UCLA. Contact us today to learn how Dr. Steinsapir’s experience and training make him an expert in cosmetic surgery, which can be a vital part of your evidence-based treatment plan.
Services described may be “off-label” and lack FDA approval. This article is informational and does not constitute an advertisement for off-label treatment. No services should be provided without a good faith examination by a licensed physician or surgeon and an informed consent with a discussion of risks, benefits, alternatives, and the likelihood of treatment success. Only you and your treating physician or surgeon can determine if a treatment is right for you.
I have had a heavy upper eyelid since childhood. What are my options?
There is often confusion regarding what part of the eyelid is heavy. Eyelid surgeons draw an important distinction between a full upper eyelid fold (which is actually part of the eyebrow just below the eyebrow hair) and a heavy or ptotic eyelid margin. Ptosis means fallen and it is a general term than is used to describe a number of anatomic issues. How we address a ptotic upper eyelid margin and how we deal with a heavy eyebrow are very different. Upper eyelid ptosis where of margin of the upper eyelid rests low on the eye itself, is often present from childhood onward. The condition can pose both aesthetic and functional problems. Depending on the nature of your case, you may be dissatisfied with a “droopy” appearance of the eyelid, you may have concerns about asymmetry noted by other people, or you may have visual impairment and diminished peripheral vision. Heavy eyelids may be described as “bedroom eyes,” or sleepy eyes. Because the heavy eyelid convey a lack of attention, the presence of upper eyelid ptosis can be undesirable in both social and work situations. In contrast, an eye that is open correctly makes you look alert, interested, and engaged and is socially desirable in both work and social situations.
Ptosis usually does not go away on its own, particularly if this is a problem you’ve had since childhood. Ptosis can also develop after childhood. Considering how the upper eyelid tendon in held in the eyelid, it is actually quite amazing that more people do not have this condition. After a few million blinks of the eyelids, it is common to see some degree of upper eyelid ptosis. If you have a bothersome heavy upper eyelid and are beginning to consider your treatment options, it is important to research upper eyelid ptosis and clearly understand your choices. Ultimately there is no substitute for consulting with a qualified oculoplastic surgeon because every eyelid is different.
Correcting eyelid ptosis requires upper eyelid surgery. The challenge is determining the best approach that is right for your needs. This is not a place for having work done by a non-specialist lacking training, skills, and experience. Having ptosis correctly diagnosed increases the likelihood that surgery will correctly address your issues. Having things done the right way the first time is so much better than needing to undo the wrong surgery. Ptosis surgery can often be done in conjunction with other cosmetic eyelid procedures. The surgery will elevate the eyelid to an appropriate, natural level. It can also address eyelid asymmetry. Having the heavy eyelids corrected can make a huge difference in your confidence level, the business world, and personal interactions.
The first step is to consult with a cosmetic surgeon who specializes in eyelid surgery, including concerns related to ptosis, heavy eyelids, and asymmetry. At your consultation, your physician should give you a close and thorough examination, discuss your options and probable outcomes, and the likelihood of a surgery’s success and factors that can complicate surgery. The doctor will also make a formal diagnosis at this time, which will identify the ptosis and any compounding issues. For example, some individuals also have a heavy brow or dark under-eye circles, which may exaggerate the problem. Your surgeon should specialize in understanding on how each part of the face functions and relates to the other parts, and also advocate for nonaggressive surgery for natural-looking results. He or she can then design an individual treatment plan for you that leaves you with an overall balanced look.
The first step really begins by seeing the right surgeon. The key to being happy with your results is to never take a shortcut in choosing a surgeon. Your surgeon must be a true specialist in ptosis correction, and similarly will not take any shortcuts or use a “one size fits all” approach to your care. It is important to understand the value of seeing an aesthetically oriented, fellowship trained oculoplastic surgeon. The plastic surgeon who did your girlfriend’s breast surgery or nose is all too often the wrong choice because they lack specialized training in ophthalmology and in oculofacial surgery. To be a fellowship trained oculoplastic surgeon means the surgeon is board certified in ophthalmology and has spent a minimum of two additional years training in eyelid plastic surgery. Dr. Steinsapir is board certified in ophthalmology and completed three years of training in oculoplastic surgery fellowships and two additional years of cosmetic surgery fellowship training. This advanced training early in his career has helped propel him to the forefront of his field.
A highly qualified cosmetic eyelid surgeon is the best option. Surgeons do vary, so it is recommended that you review unretouched before-and-after photos of eyelid surgery; spend time with the surgeon beforehand discussing your options, plan, and follow-up care; and understand your doctor’s treatment philosophy, which should advocate for a nonaggressive, individualized approach.
Dr. Steinsapir is highly qualified to treat eyelid ptosis, asymmetry, and related concerns. With particular attention to individualized care, multiple fellowships in eyelid surgery, and a specialization in ptosis correction, he can help you with your goal to realize a bright and natural appearance. Dr. Steinsapir is internationally regarded as a top eyelid surgeon. Call us today to schedule a consultation and finally take that next step in addressing your longstanding concern. You shouldn’t have to wait any longer.
About Dr. Steinsapir
Dr. Steinsapir is a board certified eye surgeon and fellowship-trained in oculoplastic surgery and cosmetic surgery in Los Angeles where he specializes in balanced facial cosmetic surgery for natural results, with an emphasis on minimally invasive techniques, fast recovery time, and leadership in medical technology. Dr. Steinsapir has a private practice and also serves as an Associate Clinical Professor of Ophthalmology at the Jules Stein Eye Institute, at the David Geffen School of Medicine at UCLA. Contact us today to learn how Dr. Steinsapir’s experience and training make him an expert in cosmetic surgery, which can be a vital part of your evidence-based treatment plan.
Services described may be “off-label” and lack FDA approval. This article is informational and does not constitute an advertisement for off-label treatment. No services should be provided without a good faith examination by a licensed physician or surgeon and an informed consent with a discussion of risks, benefits, alternatives, and the likelihood of treatment success. Only you and your treating physician or surgeon can determine if a treatment is right for you.
My lower eyelid is sagging after eyelid surgery-what should I do?
First take a deep breath. Things happen after eyelid surgery. Many things fix themselves with a little time. Before surgery, your surgeon went through a lengthy list of things that might happen with surgery. Of course it is human nature to think that none of that will happen to you. In some cases I think that the surgeon sends a subliminal message that even though all this stuff is in the consent, it is a mere formality. Having an issue after surgery is an unwelcome shock. If you trust your surgeon, that confidence should help get you through the rough patches after surgery.
There can be a number of reasons for why the lower eyelid sags after surgery. In some cases swelling can push the lower eyelid away from the eye. This can occur in conjunction with a process called chemosis. Chemosis is the medical term for swelling of the white of the eye or the conjunctiva. Just as the eyelid will swell after surgery, the conjunctiva can swell. When it is swollen, the conjunctiva has been described to look like “jelly.” The best treatment for this is ocular lubrication and time. This often resolves with tincture of time.
Another cause of lower eyelid sagging is preexisting laxity of the lower eyelid. Swelling after surgery causes the laxity to be exaggerated resulting in the unsatisfactory position of the eyelid. In many cases again time is the best treatment.
When the surgeon cuts the skin of the lower eyelid to remove “extra lower eyelid skin,” malposition of the lower eyelid can be more serious. Under these circumstances the lower eyelid can be short of skin or the muscle that helps hold the lower eyelid against the eye can actually be damaged by the surgery. Rather than allowing this to heal, surgeons often feel the need to provide an early fix. That early fix can help resolve the issue or make it worse.
Generally, due to mechanical issues, some of the simple treatments can actually be helpful. These include steroid injection, mechanical finger winking, and when appropriate a pull up suture placed to support the eyelid corner for a few weeks. When these measures fail, it is best to let the eyelid heal before attempting revisional surgery. So often Dr. Steinsapir is called in to fix an eyelid where the original surgeon has made several well meaning attempts to “tuck up” the eyelid early after the original surgery with each procedure making the situation worse.
What will your eyelid need? It often depends on precisely what factors are contributing to the circumstance. If your surgeon was not a fellowship trained oculoplastic surgeon, it is often helpful to see someone who is. The additional training and experience may be precisely what is needed to address the situation.
About Dr. Steinsapir
Dr. Steinsapir is a board certified eye surgeon and fellowship-trained in oculoplastic surgery and cosmetic surgery in Los Angeles where he specializes in balanced facial cosmetic surgery for natural results, with an emphasis on minimally invasive techniques, fast recovery time, and leadership in medical technology. Dr. Steinsapir has a private practice and also serves as an Associate Clinical Professor of Ophthalmology at the Jules Stein Eye Institute, at the David Geffen School of Medicine at UCLA. Contact us today to learn how Dr. Steinsapir’s experience and training make him an expert in cosmetic surgery, which can be a vital part of your evidence-based treatment plan.
Services described may be “off-label” and lack FDA approval. This article is informational and does not constitute an advertisement for off-label treatment. No services should be provided without a good faith examination by a licensed physician and an informed consent with a discussion of risks, benefits, alternatives, and the likelihood of treatment success. Only you and your treating physician or surgeon can determine if a
Eyelid Surgery and Permanent Eye Makeup
Permanent eye makeup is a tattoo that is applied to the eyelid margin to simulate eye liner, or along the eyebrow to fill-in or darken the brows. These services are very popular, but if you are considering permanent eye makeup and are also considering eyelid surgery, Dr. Steinsapir recommends that you have a surgical consultation before receiving permanent makeup. Permanent eye makeup is a tattoo, and therefore is relatively permanent; “relatively” permanent because over time the tattoo will lose color and after a few years you may need the color reinforced. Generally eyelid surgery will have an effect on the shape of the eyelids and on eyebrow position. For this reason, if you are considering doing both services, have the permanent makeup after you have healed from eyelid surgery.
I already have permanent makeup, can I have eyelid surgery?
If you already have permanent makeup, this won’t prevent you from having eyelid surgery. Generally the permanent makeup is placed within the eyelashes and eyelid surgery typically does not require an incision along the lashes. Occasionally, the permanent lower eyelid makeup extends beyond the lower eyelid lashes. The portion of the eye line that extends beyond the lower eyelid lashes may be affected by lower eyelid surgery, but a skilled surgeon can work around this issue and many lower eyelid procedures do not require a lower eyelid incision.
I have permanent eyebrow makeup, can I have a facelift?
Permanent makeup for the eyebrow generally fills-in or darkens your existing eyebrows. As a result, a forehead lift that moves the eyebrow will also cause your permanent eyebrow makeup to move. Occasionally, a woman has plucked her thin eyebrow hairs and penciled in a brow at a higher location. Before considering having this eyebrow location marked permanently with a tattoo, Dr. Steinsapir recommends a cosmetic consultation. In some cases, an endoscopic forehead lift may correct the location of your eyebrows and improve your appearance and make your eyebrows appear more natural. For this reason, before you have your eyebrows tattooed in a higher location, consider having a surgical consultation for an endoscopic forehead lift.
About Dr. Steinsapir
Dr. Steinsapir is a board certified eye surgeon and fellowship-trained in oculoplastic surgery and cosmetic surgery in Los Angeles where he specializes in balanced facial cosmetic surgery for natural results, with an emphasis on minimally invasive techniques, fast recovery time, and leadership in medical technology. Dr. Steinsapir has a private practice and also serves as an Associate Clinical Professor of Ophthalmology at the Jules Stein Eye Institute, at the David Geffen School of Medicine at UCLA. Contact us today to learn how Dr. Steinsapir’s experience and training make him an expert in cosmetic surgery, which can be a vital part of your evidence-based treatment plan.
Services described may be “off-label” and lack FDA approval. This article is informational and does not constitute an advertisement for off-label treatment. No services should be provided without a good faith examination by a licensed physician and an informed consent with a discussion of risks, benefits, alternatives, and the likelihood of treatment success. Only you and your treating physician or surgeon can determine if a treatment is right for you.
Do I need an eye examination before I have eyelid surgery?
Cosmetic surgery clients often wonder what type of examinations they need prior to undergoing eyelid surgery. It’s important for your surgeon to give you a physical examination to fully understand your expectations, your anatomy, and any current health issues before any cosmetic surgery procedure. Before eyelid surgery, the same considerations apply. A detailed assessment of your eye and eyelid health should be performed in advance of eyelid surgery. This information is essential for your surgeon to understand your eye health and how it might be affected by eyelid surgery.
Insurance coverage for eyelid surgery
Insurance companies including Medicare have significantly restricted which eyelid procedures they will cover. In the past, coverage was much more generous; now coverage is greatly limited. Even functionally significant issues may be denied. Many of our patients, upon investigating co-pays and deductibles are surprised to learn that, in some cases, they actually save money by paying out-of-pocket for certain eyelid procedures as cosmetic surgery. Every situation is different, but it’s worth researching the charges you will be responsible for if you use applicable health insurance. It can sometimes be less expensive to pay for your procedure out-of-pocket because often, the rates for medically necessary surgery are much higher than the cosmetic rates. This difference can be particularly acute if you have a high-deductible insurance policy and you have not met your deductible limits. If your issue is not medically necessary, convincing your doctor to submit a false insurance claim is a crime. Just because you know someone who had eyelid surgery covered by health insurance, don’t assume you have the same issues.
Finding a highly qualified eyelid surgeon
The best course of action is to seek care from a fellowship-trained oculoplastic surgeon. Oculoplastic surgeons are board-certified ophthalmologists who have completed a two-year fellowship in eyelid and facial plastic surgery. They have the necessary experience and equipment to examine you and document your issues. If your problem requires surgery to help improve you quality of life and likely covered by health insurance, your oculoplastic surgeon will inform you of this. On the contrary, if it is not covered, please respect the surgeon’s opinion. For a list of names of qualified oculoplastic surgeons in your area, visit ASOPRS.org. This is the website for the American Society for Ophthalmic Plastic and Reconstructive Surgery and it features a geographic directory.
Cosmetic eyelid surgery
As with any surgical procedure, elective or otherwise, it’s important to find a surgeon who will perform an appropriate consultation. If you’re undergoing revisional surgery with a new surgeon, one who did not perform the original surgery, bringing pre-surgery photographs and any medical records to your examination will help your new surgeon create a treatment plan that will result in the changes you desire. The new surgeon may ask that you release you prior medical records for review before your visit.
About Dr. Steinsapir
Dr. Steinsapir is a board certified eye surgeon and fellowship-trained in oculoplastic surgery and cosmetic surgery in Los Angeles where he specializes in balanced facial cosmetic surgery for natural results, with an emphasis on minimally invasive techniques, fast recovery time, and leadership in medical technology. Dr. Steinsapir has a private practice and also serves as an Associate Clinical Professor of Ophthalmology at the Jules Stein Eye Institute, at the David Geffen School of Medicine at UCLA. Contact us today to learn how Dr. Steinsapir’s experience and training make him an expert in cosmetic surgery, which can be a vital part of your evidence-based treatment plan.
What is the difference between canthoplasty and canthopexy?
For those seeking improvement of the overall face, and more specifically their eyes, don’t neglect the significance of the canthus or canthal angle. The inner and outer canthal angles are the corner of the eyes, and problems with the canthus can lead to a number of aesthetic concerns, like baggy eyelids, drooping eyelids, and eyelid asymmetry. Effective treatment of the canthus can help you to look brighter, younger, and more open to social interactions.
Treatment Options for the Canthal Angle
There are different approaches to correcting problems with the canthus, and the treatment you get should be individualized for your needs. Only a highly skilled surgeon who specializes in oculofacial plastic surgery and has the technical skill and artistic eye should perform this procedure, as the revisions must be made with precise control of the contour’s shape and position.
Canthopexy Basics
The canthopexy is a shortcut procedure in which a supportive suture is used to cinch the lower eyelid, reinforcing the eyelid’s position. There are also more elaborate ways to accomplish this such as with a coronocanthopexy. The aim here is to tighten the outer corner of the eyelid (more technically called the lateral canthal tendon) without actually taking it apart surgically. The problem with these procedures is that they do not provide the posterior vector of support that is needed to correct many lower eyelid issues.
Given the concerns with this procedure, why do some still use this shortcut? The main reason is that many surgeons who do cosmetic eyelid surgery are not fellowship trained in eyelid surgery. They actually lack the training and experience to perform this technical procedure.
Canthoplasty: Definitive Treatment for the Eyelid Corner
The canthoplasty, on the other hand, is the definitive procedure for reforming the outer corner of the eyelids. This procedure is often used as part of other eyelid surgeries and is a better option for tightening the lower eyelid. Here the lateral canthal angle is used as a point of entry to perform other procedures from behind the eyelid so that scarring is not visible, and the angle too is corrected surgically. At this time your doctor can precisely control how tight the eyelid will be as well as where the lateral canthal angle is positioned. A qualified eye plastic surgeon will be able to perform this procedure readily, while a generalist typically doesn’t possess the kind of specialized knowledge needed to create a symmetric, aesthetically pleasing outcome.
Correcting Prior Canthal Surgery
With the proliferation of surgeons attempting canthal surgery without the appropriate training, skill and experience, there is a recent epidemic of unsatisfactory results from these shortcut procedures. The good news is that virtually all of these can be improved with revisonal surgery by an experienced eyelid specialist like Dr. Steinsapir.
Seek Treatment with the Best
If you are seeking canthal surgery or would just like to learn more about whether it may be a good solution for your concerns, we invite you to a no-risk consultation with Dr. Steinsapir, a cosmetic eyelid surgeon in Los Angeles. Dr. Steinsapir is a caring physician who attended medical school at UCLA, trained in ophthalmology at The University of Chicago, then completed a two-year fellowship in orbital surgery at the UCLA’s renowned Jules Stein Eye Institute, where he also completed a one-year fellowship in oculofacial plastic surgery. Following this is also did a cosmetic surgery fellowship in Rancho Mirage. He is now a leader in the field of eyelid surgery, providing minimally invasive solutions with the goal of achieving a balanced, natural result. Please contact us today to learn more.
Fixing Canthal Surgery
When you have had a disappointing eyelid surgery experience, it can be challenging to trust a new doctor and make the decision to pursue revisional eyelid surgery. At the same time, it is difficult to live with unsatisfactory or disfiguring results. If you are considering having revisional lateral canthal surgery, here are a few items for you to think about before you make a final decision.
No surgery is without some risks. However doing your home work to research the best doctors who specializes in oculoplastic surgery, maintains a faculty appointment at a University Hospital, and actively writes and lectures other surgeons, it is more likely that you will get a satisfactory result compared to surgeons who dabble in eyelid surgery. There is always a risk that the outcome of surgery may be disappointing. Open communication, minimizes the risk of misunderstanding that can lead to disappointment. Dr. Steinsapir is a high trained eyelid plastic surgeon, a Clinical Associate Professor of Ophthalmology in the Division of Ophthalmic Plastic and Reconstructive Surgery at the UCLA School of Medicine. He devotes a significant portion of his practice to addressing unsatisfactory surgery. Patients fly in to see him from all over the world and the country.
Then Benefits of Canthoplasty
The canthus refers to the inner and outer corners of the eyes. Canthoplasty and canthopexy are two surgeries that may be indicated for a number of eyelid concerns, including drooping and baggy eyelids. A canthoplasty can serve to tighten the lower eyelids and is frequently a part of other treatment plans. There are many benefits of canthoplasty, including access to perform procedures from behind the eyelid so that scarring is not visible. Your surgeon can control how much to tighten the canthal angle, as well as the best way to position it. Further, you can have your canthoplasty performed on an outpatient basis under light sedation, which is safer and enables faster recovery time. While a specialized eye plastic surgeon finds a canthoplasty well within his skill set and can make your results symmetrical, a non-specialist may struggle with this procedure.
How to Correct Your Canthoplasty Results
There is no doctor who can specialize in every medical procedure, no matter how great he or she is. That’s why when it comes to repairing your canthoplasty results, needing a new physician to help does not necessarily reflect poorly on your first physician. An experienced doctor can help you achieve better results after your initial surgery, and in many cases this may be your original surgeon. In other cases, you may wish to have an eyelid expert who specializes in fixing eyelid surgery examine you. If you make a hasty decision, you could end up making your concern worse, which is why it’s very important that you take the time to find a doctor who focuses his or her practice to helping situations like yours.
Most often, the surgeon who performs the revisions will need to control the eyelid shape with grafted material, then reconstruct the canthal angle through a carefully planned canthoplasty. Precise control in the position and shape of the contour here is the key to what will improve your appearance. Depending on your situation, other reconstructive steps may be indicated. The only way to know for sure is to ask questions at an individual consultation where your doctor will talk with you and give you an examination to determine your needs and the best approach. Many new patients are socked by the level of detail that characterize Dr. Steinsapir’s approach but this reflects his level of expertise and is the reason why he can often help situations that have frustrated the best efforts of well known or even world famous surgeons.
Consult with a Caring Expert: Dr. Steinsapir Can Help
If you have serious concerns about your canthal surgery results, you need to seek help. While you may need some more months of healing before revisional surgery is performed, it’s a good idea to get a consultation today to find out the best time to undergo corrections, if any are needed. In many cases you may just need more time to heal, in other cases your original surgeon can help you, and still at other times you may have a serious need for a new specialist.
As a highly trained and experienced oculoplastic surgeon in Los Angeles who emphasizes correctional eyelid surgery in his practices, Dr. Steinsapir frequently provides second opinions to those who are concerned about a prior surgery. He can give you advice regarding your best options, sometimes restoring your relationship with your original surgeon, and Dr. Steinsapir can perform revisional surgery in cases where your needs exceed the technical skills of your first doctor and corrections are needed. Please call us today for a no-risk consultation with Dr. Steinsapir to find out how expert care combined with genuine care for your situation can improve your results today.






