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... by Joseph Walrath | Jun 17, 2013 | Eyelid Retraction, Reconstruction, Symptoms
Grave’s disease (thyroid eye disease) can be a very difficult medical and surgical problem to treat. The first consideration in Grave’s disease treatment is to make sure that the disease is stable (inactive). Operating during unstable or active... 
by Joseph Walrath | Jan 18, 2012 | Reconstruction, Symptoms, Tumor
Fortunately for us, cosmetic surgeries of the eyelids rarely challenge us as often as these reconstructive cases. Yesterday I performed a very challenging reconstruction of the inner corners of both eyelids. The patient had multiple attempts to reconstruct his... 
by Joseph Walrath | Jan 2, 2012 | Entropion, Symptoms
When the eyelid is turned inwards (known as eyelid entropion), this can cause significant discomfort. It can even damage the surface of the eye (as evidenced by the whitish scar on the cornea of the patient below, from upper lid entropion). Entropion, the inturned... 
by Joseph Walrath | Nov 16, 2011 | Blepharoplasty, Symptoms, Tearing
Many cases of tearing are due to loose lower eyelids. In some cases, it is obvious: the lower eyelids are so loose that they sag downwards and the tears simply pool up in the lids and then trickle down the face. However, some cases are observable only at the... by Joseph Walrath | Nov 13, 2011 | Cosmetic, Latisse, Symptoms
About 90% of people who use Latisse, according to one pooled study, have mild side effects — of course, they are so mild and people like the product so much that most of them keep using it anyway! The most common side effects are mild inflammation, which makes...