Reconstructive Facial Surgery

What is Reconstructive Facial Surgery?

Unlike Cosmetic Facial Surgery, Reconstructive Facial Surgery is designed to correct facial deformities that are caused by genetics, disease, and traumatic injury. These facial deformities can vary from tumorous growths to excessive sagging skin. In many cases, these facial deformities can actually impact the overall functionality of certain facial features, and in most cases, patients experience greatly reduced self-esteem and self-confidence. Dr. Sumit Sitole performs Reconstructive Facial Surgery procedures to restore a patient’s appearance and positively impact their self-confidence.

Who are these surgeries designed for?

It is important to note the difference between Cosmetic Facial Surgery and the Reconstructive Facial Surgery Procedures that Dr. Sitole offers. While cosmetic procedures typically make small corrections to improve the aesthetic appearance of facial features, reconstructive procedures typically involve much more severe cases that negatively impact facial functionality.

Our Reconstructive Facial Surgeries

1

Droopy Upper Eyelid Reconstruction

Droopy Upper Eyelid Reconstruction Surgery is designed to correct a droopy eyelid (Ptosis) that is severe enough to actually impair vision. This means that excess skin droops low enough to cover a portion of the pupil, thus limiting the actual sight-line. Upper Eyelid Reconstruction is often necessary following traumatic injuries or removal of growths. In some more rare cases, genetics can play a role in a Droopy Upper Eyelid that impairs vision. Denver based Ophthalmic Plastic and Reconstructive Surgeon, Dr. Sumit Sitole offers Droopy Upper Eyelid Reconstruction to restore a more natural appearance to the upper eyelid as well as restore impaired vision.

2

Excess Upper Eyelid Reconstruction

Similar to Droopy Upper Eyelid Reconstruction, Excess Upper Eyelid Reconstruction also impairs vision by covering a portion of the pupil and greatly limits peripheral vision. Unlike Upper Eyelid Surgery the Dermatochalasis (excess skin) must be severe and must actually impair vision. Often seen as an attribute of heredity, Excess Upper Eyelids typically worsen over time as gravity and traditional signs of aging worsen the condition. The excess fat, skin, and tissue can become too heavy for the levator muscles and can cover the natural fold of the eyelid. Denver based Ophthalmic Plastic and Reconstructive Surgeon, Dr. Sumit Sitole offers Excess Upper Eyelid Reconstruction to restore a more natural appearance to the upper eyelid as well as restore impaired vision.

3

Droopy Eyebrow Reconstruction

Over time, the effects of aging can cause eyebrows to droop severely. Also known as Brow Ptosis, Droopy Eyebrows can also be caused by neurological disorders that can cause the underlying tissues and muscles to weaken. In severe cases, the loss of elasticity in the brow can cause severe droopiness that can negatively impact vision. In these cases, Droopy Eyebrow Reconstruction is used to restore the eyebrow to a more natural position and restore impaired vision. On top of impairing vision, Droopy Eyebrows can make patients appear tired and can limit their ability to communicate expressions such as surprise or anger. Droopy Eyebrow Reconstruction restores the natural function of the eyebrow and can also have cosmetic effects on the overall appearance of the face.

4

Excessive Tearing

n more severe cases, Excessive Tearing can cause patients to suffer from blurred vision, skin irritation, and eye irritation. While there can be a number of reasons for Excessive Tearing to persist, Dr. Sumit Sitole treats patients who are suffering from a blockage of the tear drainage system, eyelid malposition, and Eyelash Misdirection. In severe cases where Excessive Tearing is persistent and does not react to non-invasive treatments, surgery may be necessary to correct the root cause of Excessive Tearing.

The most common causes for tear duct obstructions include inflammatory disorders, infections, medications, and even tumors. While Excessive Tearing is obviously a result, tear duct obstructions can also lead patients to experience irritation, mucous discharge, swelling, and pain. Other causes of Excessive Tearing include eyelid malposition (eyelid turned in or turned out) and eyelash misdirection. Both of these conditions can cause discomfort for patients which can increase tear production.

5

Thyroid Eye Disease

Also known as Thyroid Orbitopathy, Thyroid Eye Disease is a condition that directly affects the soft tissues surrounding the eyes. The condition is typically characterized by inflammation and engorgement of the soft tissues. A disease of the thyroid, this condition can be seen due to an over-active and under-active thyroid gland. As the immune system attacks the thyroid gland, the surrounding the eye can also be attacked by the immune system. As the tissue is attacked, they often become very red and swollen. Thyroid Eye Disease can cause a number of conditions including:

  • Puffy and red eyelids
  • Eyelid muscle contraction
  • Bulging eyes as fat swells and pushes eyes forward
  • Eyelid retraction
  • Pain surrounding orbits, especially upon eye movement
  • Dry and gritty feeling eyes
  • Excessive tearing

6

Eyelid Skin Cancer Reconstruction

The eyelids are one of the most common areas where skin cancer can form. Generally starting as painless nodules on the lower eyelid or at the corner of the eyelid near the nose, these elevations/nodules often cause no specific symptoms. In some cases, these lesions may be irritated, ulcerated, or crusted.

Once the lesions are diagnosed and removed, the eyelid can often become deformed and not function properly. Eyelid Reconstruction after Skin Cancer is designed to restore a more natural appearance to the eyelid and improve functionality.

7

Eyelid Turned Inward (Entropion)

Also known as entropion, an Eyelid Turned Inward can lead to rubbing against the surface of the eye, which can lead to redness, irritation, and sensitivity to both light and wind. Causing discomfort, an Eyelid Turned Inward can become more serious if it is not treated right away. Some patients actually experience excessive tearing, mucous discharge and crusting around the eyelid.
If the condition continues to worsen without treatment, the surrounding tissues of the eye can become inflamed which could result in permanent damage to the eye. If entropion exists, it is important to have the condition treated to prevent permanent damage to the eye.

8

Droopy Lower Eyelid (Ectropian) Correction

Also known as ectropian, a Droopy or Sagging Lower Eyelid can leave eyes exposed and dry which can result in excessive tearing. Typically diagnosed with a routine eye exam, treating Droopy Lower Eyelids early is important to prevent mucous discharge, crusting of the eyelid, and irritation to the eye.
Much like entropion, ectropian can lead to more serious inflammation that could result in damage to the eye if it not treated early.

9

Misdirected Eyelashes

Also known as Trichiasis, Misdirected Eyelashes are characterized by eyelashes that are positioned abnormally that can cause discomfort and irritation of the eye. In some cases, Misdirected Eyelashes are caused by entropion (inward turned eyelids). Common symptoms of Misdirected Eyelashes include:

  • Eye irritation.
  • Pain and redness.
  • Excessive tearing
  • Light sensitivity
10

Orbital Fractures

Orbital Fractures are most commonly seen following trauma to the mid-face resulting in varying fracture severities. The orbital is actually made up of 7 different bones including the frontal, zygoma, maxilla, lacrimal, ethmoid, sphenoid, and palatine bones. Fractures that occur so close to the globe of the eye should be treated immediately to reduce the risk of further injury and potentially permanent damage to the eye. The 3 classifications for Orbital Fractures include:

  • Trapdoor Fractures – Caused by low force.
  • Medial Blow-Out Fractures – Caused by intermediate force.
  • Lateral Blow-Out Fractures – Caused by high force.