Eyelid reconstruction is becoming an increasingly common procedure. Aside from their obvious functional importance for vision, the eyes are the hallmark of an attractive face. The eyes take a central role in the way a casual observer studies the face and therefore easily notices aesthetic imperfections.
In addition, the eyelids are crucial in protecting the eye. The reasons a patient may require reconstructive surgery for the eyelids are multifold and include trauma, previous eyelid surgery (such as blepharoplasty), skin cancer or other medical and congenital conditions.
Although the upper eyelids may also be affected, the lower eyelids are most susceptible to problems after lid surgery. This knowledge makes the wary plastic surgeon especially cautious and diligent in performing blepharoplasty surgery.
A thorough understanding of the complex eyelid anatomy and function is a prerequisite to make eyelid surgery successful and to prevent postoperative deformities.
The previous eyelid procedure may leave the various complex and delicate lid structures of weakened, which may result in a hanging and round lid position with sad-looking eyes.
The lid margin can also turn outwards resulting in a so-called ectropion. In a condition called entropion the eyelids are turned inwards and the lashes can severely harm the cornea, the eyes translucent area necessary for vision.
These problems result in irritation, light sensitivity, excessive tearing, and compromised eye protection especially at night. For the facial reconstructive surgeon, a close working relationship with the patient’s ophthalmologist is important.
In the upper eyelids, the inability to close the eyes completely, also called lagophthalmos, is the most common post-surgical trouble.
Dr. Fechner uses various techniques and procedures to address the different issues a patient may encounter after eyelid surgery. The foundation for success is a thorough examination of the eyelids in order to diagnose precisely the underlying anatomical problem.
If reconstructive surgery becomes necessary, procedures are performed with utmost finesse and skill. These interventions may range from small interventions (such as the release of scar tissue), placement of grafts, tightening of the eyelids or midface lift surgery.
This wide range of procedures reflects the eyelids’ functional relationship with the remainder of the face. Reconstructive surgery of the eyelids is performed on an outpatient basis with emphasis placed on well-defined preparation and close follow-up after the procedure. Skin Cancer of the Eyelid.
The overall increase of the incidence of facial skin cancers raises the occurrence of cancer involving the delicate eyelids. After a complete removal of the cancer has been ensured, the reconstructive efforts center on the safe reestablishment of a well-functioning eyelid.
Dr. Fechner applies a wide variety of reconstructive eyelid procedures to fit the special needs of the patient. Small flaps from around the eye and grafts from hidden area of the face or unaffected lids are most commonly used for an optimal reconstructive outcome.
Sometimes, direct careful repair or even allowing the natural healing response of the body may lead to a superior result for the patient under Dr. Fechner’s close supervision. The precise defect determines the reconstructive needs for the eyelid and Dr. Fechner performs these reconstructions on an outpatient basis.
As a facial plastic surgeon in Boston, Dr. Fechner provides eyelid reconstruction services to patients who come from Worcester, Framingham, Natick, Boston, Newton, and areas throughout Massachusetts. Contact the clinic to set up a consultation.
On behalf of the entire team at Fechner MD Plastic Surgery & Medical Spa, we would like to take a moment to say thank you again for your loyalty and support during this unprecedented time. The past several months have been unlike anything we've ever experienced, and we're working hard to evolve so that we can continue to provide you with the patient experience you have come to expect from our practice.
Since the beginning of the COVID-19 worldwide pandemic, Fechner MD Plastic Surgery & Medical Spa has taken extreme precautionary measures, in addition to following the most up to date CDC recommendations and state guidelines to maximize the health and safety of our patients, staff and facility. Our surgical center and medical spa remain committed to providing the best patient care, and we are actively working to take all necessary precautions as we plan to safely re-open our practice. Please help us continue to protect the health and well-being of our patients and workplace by cooperating with all of our precautionary measures and protocols against COVID-19 at your next appointment, or as you plan for your surgery.
As a fully accredited surgical facility, Fechner MD has always observed the highest level of safety and sanitation. In fact, as a surgeon, Dr. Fechner is an expert in infection control. We want to ensure that we are doing everything possible for our patients to safely return for surgical and medical spa treatments alike.
The upgraded work flow and safety protocols we have implemented at Fechner MD far exceed those being recommended by any government agency.
Fechner MD will adhere to all local, state, and government mandates. We expect to cautiously resume medical spa and injectable treatments during Phase 2 of the Massachusetts phased reopening. We are awaiting a definitive date from Governor Baker. Cosmetic surgery is expected to resume during Phase 3 of Governor Baker’s plan. We ask for your patience and understanding as our staff is working diligently to reschedule all surgeries and procedures affected by our closure. Please understand that in order to open and adhere to Massachusetts guidelines, we will need to limit the number of staff and patients we have in our building and extend the time between patient appointments in order to sanitize rooms. This means we will have fewer available openings for procedures. In order to maximize our provider appointments, we will continue to hold consultations virtually rather than in person, with a few exceptions (body contouring, Instalift, vein treatments).
We thank you in advance for your patience throughout this time, and we look forward to seeing you here again as we begin to resume business operations. If you have any questions or concerns, please contact Fechner MD Plastic Surgery & Medical Spa at (508) 754-4000 and our team will gladly assist you. Thank you!