Male upper blepharoplasty: how to look different, but not too different.

by Joseph Walrath | Jul 1, 2019 | Blepharoplasty, Cosmetic, Eyelid Malposition, Symptoms

Male upper blepharoplasty can be performed for medical reasons, cosmetic reason, or both.  Upper lid position becomes medical when it obscures vision.  A good rule of thumb is that if the upper lid tissue encroaches on the visible pupil, upper blepharoplasty...

Severe congenital ptosis in the Asian upper eyelid

by Joseph Walrath | Mar 25, 2019 | Asian, Blepharoplasty, Cosmetic, Ptosis

I recently encountered a young Asian woman in the office with severe congenital ptosis. The upper eyelids drooped severely, no matter how hard the patient tried to lift them. This is because the muscles were malformed at birth. She underwent a prior surgery some...

Congenital ptosis and cosmetic blepharoplasty

by Joseph Walrath | Feb 10, 2019 | Blepharoplasty, Cosmetic, Ptosis, Reconstruction

A lovely young woman came to me a few years ago for a consultation with a complaint of congenital ptosis of the left upper lid.  “Congenital ptosis” is the medical term for an upper lid that is born droopy.  Usually, this means that the internal upper lid is not...

Bringing home the hardware annually!

by Joseph Walrath | Jun 16, 2018 | Blepharoplasty, Cosmetic, Cosmetic Reconstruction, Eyelid Malposition, News-Updates, Reconstruction, Tearing

Dr. Walrath continually getting awards from vitals.com for compassionate care and regularly receives the “Patient’s Choice Award”!  (Well, except for 2015, when compassion was apparently in short supply!  LOL!)

Cosmetic and Medical Upper Lid and Brow Procedures in Men

by Joseph Walrath | May 29, 2018 | Blepharoplasty, Brow lifting, Cosmetic

This patient complained of visual obstruction from the upper lids.   The upper lid tissue folded over the lashes and into the visual axis.  It was appropriate to consider upper lid surgery to be medical in nature, and formal visual field testing was...

Office surgery on the awake patient

by Joseph Walrath | Dec 30, 2017 | Blepharoplasty, Cosmetic, Ptosis, Reconstruction

A good relationship between the physician and patient, a realistic surgical plan, and a frank discussion of the surgical theatre environment of the office are important when determining who is appropriate for office surgery.  (Also, I said “theatre”.) The idea of...