Patient Testimonial

Dear Dr. Parsa:
Words cannot express how thankful and appreciative I am to have found you. I am deeply grateful for you, for your generosity and caring nature as pertaining to my medical condition. As you know, I was apprehensive about having further surgery, but you are and have been reassuring and confident in the type of procedure you would perform in order to fix my eyelid from the beginning. The fact that you are not pushy and gave me the time and space to make the decision on my own allowed me to prepare myself mentally and emotionally, that really made a difference. Besides from that, your continuous generosity made me confident that you were the right doctor for the task at hand. You will never know how appreciative I am of that. I would also like to let you know how pleased I am with the results of the surgery. I have not felt this comfortable in years. My parents are also very grateful since this was my 14th surgery. You have a true gift. Thank you again for your patience, time, concern, and overall care. I pray that God continues to give you strength to help people who truly need life-changing medical procedures.
With much appreciation always,
Sophia

Patient Before and After

Upper eyelid blepharoplasty & Trans bleph endotine browlift

Glossary of Oculoplastic Terms - A

Abscess: A circumscribed collection of purulent exudate appearing in an acute or chronic, localized infection, caused by tissue destruction and frequently associated with swelling and other signs of inflammation and pain.

Abducens nerve: Cranial nerve # 6. Innervates the lateral rectus, which abducts the eye (moves the eye out); located in the superior orbital fissure.

Accessory nerve: Cranial nerve # 11. Controls the muscles of the neck and overlaps with functions of the vagus nerve; located in the jugular foramen.

Acrochordons: A polypoidal outgrowth of both epidermis and dermal fibrovascular tissue; also known as a skin tag.

Acropachy: subperiosteal new bone formation.

Actinic keratosis: A pre-malignant warty lesion occurring on the sun exposed skin of the face or hands in older fair skinned people.

Adenocarcinoma: A malignant neoplasm of epithelial cells in a glandular or gland-like pattern.

Adenoid cystic carcinoma: A histologically defined type of carcinoma characterized by round, gland-like spaces or cysts bordered by layers of epithelial cells without intervening stroma.

Adenoma: An ordinarily benign neoplasm of epithelial tissue in which the tumor cells form glands or gland-like structures in the stroma; usually well circumscribed, tending to compress rather than infiltrate or invade adjacent tissue.

Adipose tissue: Fatty tissue.

Adnexa: Appendages of the eyeball, including the soft tissue, muscles and eyelids.

Afferent pupillary defect: A condition of the eye where the pupil does not constrict appropriately to the level of light reaching it. It is very important in the evaluation of optic nerve function.

Albright syndrome: Polyostotic fibrous dysplasia with irregular brown patches of cutaneous (skin) pigmentation and endocrine dysfunction, especially precocious puberty in girls.

Angiotensin converting enzyme: An enzyme that catalyses the conversion of angiotensin I to angiotensin II, a potent vasoconstrictor.

Ankyloblepharon: Fusion of the eyelids to each other along the lid margins.

Annulus of Zinn: A ring of fibrous tissue surrounding the optic nerve at its entrance at the apex of the orbit. It is the origin for five of the six extraocular muscles.

Anophthalmic socket: An eye socket that lacks an eyeball.

Anophthalmos: Congenital absence of all tissues of the eyes.

Apert syndrome: Disorder characterized by craniosynostosis and syndactyly; associated with hearing loss; mental retardation is a variable feature.

Arcus marginalis: Collection of fibrous tissue where the orbital septum meets the orbital rim.

Arteriovenous fistulas: An abnormal communication between an artery and vein, usually resulting in the formation of an arteriovenous aneurysm.

Arthritis giant cell: Giant cell arteritis (GCA) is a type of vasculitis or arteritis, a group of diseases whose typical feature is inflammation of blood vessels.

Aspergillosis: A type of fungal infection. Usually affects immune compromised hosts.

Asian Blepharoplasty: Cosmetic eyelid surgery for Asians. This procedure is usually done to decrease upper eyelid fullness and reduce the epicanthal fold that is common in Asians.

What you Need to Know about Revisional Eyelid Surgery

Revisional surgery is surgical correction of previous poorly performed surgery. Some of the most dreaded complications of facial plastic surgery are those associated with the eyelids. This usually happens when the surgeon is not experienced or familiar with the delicate anatomy around the eyelids. The field of oculoplastic surgery focuses on cosmetic, reconstructive,and revisional surgery around the eyes. It is important to consider this when referring a patient for cosmetic surgery. Depending on the specific problem, the necessary correction may involve a simple procedure or a complex eyelid reconstruction. The goal of revisional surgery is to regain normal function while maintaining aesthetic outcome.

The most common complaint that is referred for revisional surgery is the inability to close the eyes completely after previous cosmetic surgery. This problem usually happens when excess tissue and skin were removed during the previous surgery. Depending on the severity of the case, there are several procedures which can be done or combined to achieve the desired functional and cosmetic outcome. For example, skin from behind the ear, which very closely matches the texture of eyelid skin can be harvested and used to raise the eyelid. The mid-face can also be elevated by suspension sutures to raise the lower eyelid. The conjunctiva can be elevated by borrowing mucosal tissue from the mouth.

Although subtle, the natural youthful eyelid is V-shaped at the corners. The rounded corners of the eyelids after some cosmetic eyelid surgery is an artificial “operated appearance.” The rounded corners are not only a cosmetic problem for the patient, but they also can interfere with normal blink dynamics. The patient usually complains of tearing or dry eyes. This problem can be reversed by a special surgical technique on an outpatient basis. Postoperative hollowness can be revised by placement or injection of fat into the eyelid or orbit.

Eyelid Ptosis Correction Surgery

Ptosis, pronounced toe-sis, is the medical term for drooping of the upper eyelids. The droopy eyelid can be mild to severe. People who have ptosis may complain that people tell them they look “tired or lazy.” Because of a constant effort to raise the eyelids it is not uncommon to also complain of fatigue and tension headaches.

The most common reason for ptosis is acquired ptosis , which develops as we age. This is due to disinsertion of the tendon that holds the eyelid up in a normal anatomic position. Another cause is congenital ptosis , which happens when a child is born with droopy eyelids. This is rather an urgent medical condition for the child and surgery may be needed to prevent permanent loss of vision in the affected eye. Other rare causes of ptosis include myogenic ptosis from conditions such as Myasthenia gravis, neurogenic ptosis , due to third nerve palsy and mechanical ptosis from tumors or trauma.