November 16, 2011

I consulted a plastic surgeon for eyelid surgery who said I needed clearance by my general ophthalmologist. Is that really necessary?

Yes, if your plastic surgeon doesn’t specialize in eyelid surgery and lacks board certification in Ophthalmology. Ask yourself if it makes sense to have eyelid surgery by someone who lacks this specialized knowledge and training. Is this really the right surgeon for you?

The only time you need to get clearance from an ophthalmologist is when your plastic surgeon is not appropriately trained to take care of the eyes and is therefore unqualified to properly assess the health of your eyes. Board-certified general plastic surgeons lack the necessary training, skills, and experience to accurately assess eye health. Of course they are not the only surgical specialty that offers cosmetic eyelid surgery without these important skills.  Facial plastic surgeons, dermatologists and cosmetic surgeons of various stripes and background all offer cosmetic eyelid surgery without the detailed knowledge needed to provide care for the eyes. For this reason, if they are performing your eyelid surgery, they should send you to your general ophthalmologist for clearance.

Unfortunately, the general ophthalmologist may not fully understand the procedure, so they might not know what signs to look for in regards to whether you’re a good candidate for the surgery. As a result, the ophthalmologist may unintentionally clear you for a surgery that could compromise your eye health and comfort. It makes sense that a surgeon who is both board certified in ophthalmology and fellowship trained in to perform eyelid surgery will be the best choice.

Without in-depth training in oculoplastic surgery, eyelid surgery performed by general plastic surgeons, facial plastic surgeons and other cosmetic surgeons may not be ideal for your individual needs. Surgeons who lack training in oculoplastic surgery and board certification in ophthalmology don’t have the skills, training, and knowledge to manage post-surgical eyelid issues that may arise. Often this lack of training also means that they lack the finesse that sets the stage for successful results when foreseeable issues are considered and factored into the design of a surgery. Even the choice of which eye drops to use after eyelid surgery to comfort the eyes or a thoughtful discussion before surgery regarding what to expect can make all the difference.

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.

August 17, 2010

Oculoplastic Surgery Southern California – Make the Right Choice

Oculoplastic surgery is a valuable option for many people seeking to improve their appearance through cosmetic treatment.  We cannot overstate the importance of the eyes when it comes to how others view us and how we feel about ourselves.  Our eyes are one of our most communicative features since we typically look at each other in the eye when speaking, and because subtle expressions around our eyes speak volumes about how we are feeling, whether we are interested, or whether we are someone who would be nice to talk to.  Improvements in the eyelids and surrounding tissues can help others to view you better and boost your confidence.  It can also make you go from looking perpetually tired, angry, or bored to alert with a youthful beauty.  If you are dissatisfied with your facial appearance or suffering from a condition like eyelid ptosis, prior eyelid cancer or trauma reconstruction, consider how an oculoplastic surgeon can help.

Oculoplastic Surgery Before and After Photo

Oculoplastic Surgery Before and After Photo

Some individuals have tissue damage from prior eyelid surgery performed by well-meaning but non-specialized plastic surgeons.  This is usually the result of seeing a generalist who may be a great choice for a number of other procedures, but who does not have focused training and experience in the art of oculoplastic surgery.

Your specific treatment will of course depend on your unique situation, individual needs, medical history, and goals.

The Key to Natural Results

Natural results can be achieved when you communicate honestly with a highly skilled and experienced physician specialist.  Dr. Steinsapir is an oculoplastic surgeon in Los Angeles with extensive training and multiple fellowships in both oculofacial surgery and cosmetic surgery, with an emphasis on minimally invasive treatments and natural results.  Dr. Steinsapir preserves as much of your natural tissue as possible so that way, should you need revisional eyelid surgery, your results can be modified later.  Those who seek eyelid surgery from Dr. Steinsapir are usually satisfied with ideal results the first time, in part because Dr. Steinsapir performs conservative surgery that is natural instead of the “surgical look.”  To this cautious precision Dr. Steinsapir adds a prestigious educational background, experience, leadership, and demonstrable results you can see at his before and after eyelid surgery photos.

Not only must your surgeon be an experienced specialist who takes a conservative approach to preserving eyelid tissue, he or she should also custom-plan your treatment according to your unique features.  When you seek natural results, you can’t just pull out a sewing pattern, follow the standardized directions, and expect your results to have a tailored finish.  None of us have the same eyes or surrounding features, which is why only customized treatment plans yield exceptional results.  Dr. Steinsapir can help by listening to your needs and goals, providing a medical examination, and working with you to determine the best customized treatment that is both realistic and beneficial.  Whether you need a special blepharoplasty, Asian eyelid surgery, correction for eyelid asymmetry, or a solution for another concern, Dr. Steinsapir will meticulously plan your treatment and include you through each step.  He is a perfectionist when it comes to designing the most suitable oculoplastic surgery on an individual basis.

As a specialized oculoplastic surgeon and ophthalmologist in the Los Angeles area of Southern California, Dr. Steinsapir has studied at the David Geffen School of Medicine at UCLA, and the University of Chicago.  He is an Associate Clinical Professor at UCLA where he is a leader in definitive eyelid and undereye treatments and research.  He focuses on restoring the facial balance through natural results that emphasize how the entire facial structure works together and with the brain.  To learn more about how Dr. Steinsapir can help you improve your unique eyelid concerns, contact us today to schedule your no-risk, no-commitment consultation.