Oculoplastics – Soll Eye

Oculoplastics

What is oculoplastics?

Oculoplastics, or oculoplastic surgery, includes a wide variety of surgical procedures that deal with the orbit, eyelids, tear ducts, and the face. It also deals with the reconstruction of the eye and its associated structures. Oculoplastic surgeons are ophthalmologists who complete two years of additional fellowship training after their residency.

BOTOX®

You’ve heard about it in movies, speculated if your coworker has had it done and now you’re thinking of getting it done yourself. BOTOX® Cosmetic is one of the most well known cosmetic treatments in the world, and with good reason: it’s extremely effective. Do you hate the effect that time has had on your skin? If you’re looking to reduce the appearance of wrinkles and restore a youthful glow to your face, BOTOX® Cosmetic may be for you!

What is BOTOX® Cosmetic?

BOTOX® Cosmetic is one of the few FDA-approved treatments that temporarily improves the appearance of frown lines between the brows and crow’s feet. One of the most extensively studied aesthetic medical treatments in the US, BOTOX® has been found to be safe and extremely effective. BOTOX® Cosmetic contains a small amount of substance derived from the bacterium Clostridium botulinum, which temporarily reduces muscle activity around the area of treatment. BOTOX® Cosmetic is injected into the skin around the patient’s problem areas.

Stephen M. Soll, MD, FACS is one of the first in the country to use BOTOX® Cosmetic and has performed thousands of these procedures for over 25 years. Dr. Soll is conservative in his approach and will tailor to the individual, leaving a natural pleasing result.

How does BOTOX® Cosmetic work?

BOTOX® Cosmetic targets the underlying cause of frown lines and wrinkles, which is the excessive muscle contractions from frowning, laughing and squinting over many years. Dr. Stephen Soll, MD, FACS at Soll Eye will target these muscles by injecting them with BOTOX® Cosmetic. BOTOX® Cosmetic reduces muscle activity temporarily, resulting in smoother, younger looking skin!

Will other people notice I’ve had BOTOX® Cosmetic?

BOTOX® Cosmetic, when administered by an experienced, licensed professional, should not make you look unnatural. You should not lose the ability to make expressions. Always heavily research your doctor before going in for your BOTOX® Cosmetic treatment.

Will BOTOX® Cosmetic treatment hurt?

Many people describe the treatment as feeling like a pinch. If you like, your doctor can use a topical numbing cream before administering your treatment. Depending on the treatment area, the number of injections will vary.

How long do BOTOX® Cosmetic results last?

You will begin to see results within 24 to 48 hours after treatment, depending on the severity of your frown lines and crow’s feet. These results will last for up to 4 months!

What are the side effects?

As with any cosmetic treatment, there are some side effects associated with BOTOX® Cosmetic. Possible side effects include dry mouth, pain or discomfort at the injection site, tiredness, headache, neck pain, blurry vision, dry eyes, and allergic reactions. 3% of patients included in studies experienced eyelid drooping after frown line injections, and 1% experienced eyelid swelling after crow’s feet injections.

Droopy Upper Eyelids

Ptosis is the medical term for droopy upper eyelids. This condition causes the upper part of a person’s visual field to be cut off by the upper eyelid. There are many conditions that can cause the eyelid to droop and our oculoplastic surgeon will test for these during your consultation. Most commonly, wear and tear throughout the years causes the muscle that raises the eyelid to loosen.

Dr. Soll is skilled in raising eyelids to improve your field of vision while producing a more youthful appearance. Less commonly, this condition can affect children and early intervention may be necessary to prevent long-term vision loss.

Tearing

The tears that lubricate our eyes drain from the eye to the nose through a structure called the lacrimal drainage system. A blockage at any point along this system can lead to tearing. Not all tearing eyes have a blockage of this system, although this is a potential reason for the tearing. The relative dryness of the surface of the eye, the position of the eyelids, and the ability of the eyelids to blink are additional variables that can affect the amount of tearing that patients experience.

If you're experiencing bothersome tearing, Dr. Soll will determine whether medical and/or surgical therapy will be the best treatment to alleviate your tearing and restore your quality of life.

Entropion/Ectropion

As time goes by, the major structures that support the eyelid can loosen. This leads to eyelids that droop, turn out, or turn in. An eyelid that is not in its proper position leads to an unhealthy ocular surface. Eyelids that turn in can irritate the eye because the eyelashes can irritate the surface of the eye. Eyelids that turn out can lead to chronic tearing because the tear ducts cannot properly drain tears.

Besides aging, there are certain medical conditions that can cause eyelids to be in the wrong place. Dr. Soll will evaluate your condition and can correct these eyelid malpositions on an outpatient basis.

Eyelid Skin Cancer

Skin cancer can affect the delicate eyelid tissues. Dr. Soll's training in both ophthalmology and oculofacial plastics allows him to achieve superior results both medically and aesthetically by customizing his approach for each individual patient with tumors of the eyelid. He may use tissue from the area surrounding the eye or from another part of the body (e.g., mouth, ear) to reconstruct the eyelids.

Even if the entire eyelid is affected by the tumor, Dr. Soll is capable of reconstructing the eyelid to preserve its function and protect the eye while making you look like yourself again.

Bell’s Palsy

Bell's palsy can cause the eyelid to function poorly and blink incompletely. This can lead to an eye that becomes dry because it is exposed to the outside world. Patients with this condition often report irritation, redness, and blurry vision. In addition, the eyes appear asymmetric. When this condition cannot be treated medically, there are surgeries that can restore the function and appearance of the affected eye.

At your consultation, Dr. Soll will determine whether a weight will need to be placed in the upper eyelid or if a tightening procedure of the lower lid will correct the problem. These surgeries can be performed on an outpatient basis.

Thyroid Eye Disease

Thyroid eye disease can cause the eyes to bulge and swell. It can also cause double vision, pain, sensitivity to light, and loss of vision. When thyroid disease affects the eyes, it can lead to a tired, angry, or surprised appearance, which can have profound psychological effects on the patient.

Dr. Soll is skilled in both the surgical and medical therapies for this condition. Because thyroid eye disease affects each patient differently, he creates a custom-tailored approach for each patient. Dr. Soll is sensitive to both the medical and psychological needs of patients with this condition and is dedicated to restoring their quality of life.

Ocuplastic Trauma

Trauma can affect any part of the eye or surrounding structures Dr. Soll is skilled in the surgical repair of orbital, eyelid, and tear duct trauma.

The most common type of orbital trauma is an orbital fracture. This can occur when the orbit strikes a large object such a fist, baseball, or dashboard. If you have sustained an orbital fracture, Dr. Soll will determine if it needs surgery or if medical therapy is more appropriate.

Dr. Soll is also skilled in repairing lacerations of the eyelids and tear ducts using delicate microsurgical techniques, in addition, he works with patients who have had trauma in the past in order to rehabilitate the function and appearance of the eyelids.

Enucleation

Unfortunately there are situations in which an eye needs to be removed. In these cases, Dr. Soll inserts an implant to maintain the volume of the orbit that is lost by removing the eye. He then places a plastic conformer which is the size of a large contact lens. This holds open the space for where the artificial eye will sit. Once the healing process is complete, Dr. Soll works closely with ocularists who are artists skilled in designing prosthetic eyes. Dr. Soll works to make the sure the artificial eye looks as much like the fellow eye as possible.

At Soll Eye, Dr. Stephen Soll performs oculoplastic surgery. He has been trained to use today's most sophisticated techniques and is a fellow of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS). Dr. Stephen Soll is recognized as a "Top Doctor" by both Philadelphia and South Jersey Magazines.

Fellowship in ASOPRS indicates that the surgeon has special training and expertise in plastic surgery and in addition to being board certified by the American Board of Ophthalmology.

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