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Cosmetic Eye Procedures

Woman About To Have Cosmetic Eye SurgeryAt Carolina Eyecare Physicians, our doctors not only provide the best eye care around but also provide oculoplastic surgeries such as surgical ptosis correction and blepharoplasty. Do you want a more youthful appearance, or have droopy, saggy eyes been blocking your vision? Blepharoplasty or ptosis repair may be for you!

Patients who have undergone blepharoplasty and ptosis repair often report that the surgery has changed their lives for the better. They look younger, they feel younger, and they no longer have to deal with the frustration of droopy eyelids getting in the way with their vision.

Our excellent doctors at Carolina Eyecare Physicians have the experience and talent to help you achieve a more awake, youthful appearance! If you have any questions about blepharoplasty or ptosis repair, give us a call and we will schedule you a consultation with one of our doctors to see if surgery is right for you.

What is Blepharoplasty?

Blepharoplasty (BLEF-uh-roe-plas-tee) is a type of surgery that repairs droopy eyelids and may involve removing excess skin, muscle, and fat. As you age, your eyelids stretch, and the muscles supporting them weaken. As a result, excess fat may gather above and below your eyelids, causing sagging eyebrows, droopy upper lids, and bags under your eyes.

Besides making you look older, severely sagging skin around your eyes can reduce your side vision (peripheral vision), especially the upper and outer parts of your field of vision. Blepharoplasty can reduce or eliminate these vision problems and make your eyes appear younger and more alert.

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However, in some cases, the surgery may be necessary to remove overhanging skin folds to improve the function of the upper eyelid, as well as to improve vision. A visual field test is performed to determine if the surgery is medically necessary.

Why it’s done

You might consider blepharoplasty if droopy or sagging eyelids keep your eyes from opening completely or pull down your lower eyelids. Removing excess tissue from your upper eyelids can improve your vision. Upper and lower lid blepharoplasty can make your eyes appear younger and more alert.

Blepharoplasty may be an option if you have:

  • Baggy or droopy upper eyelids
  • Excess skin of the upper eyelids that interferes with your peripheral vision
  • Excess skin on the lower eyelids
  • Bags under your eyes

You may undergo blepharoplasty at the same time as another procedure, such as a brow lift, face-lift or skin resurfacing. Lower lid blepharoplasty is almost always done for cosmetic reasons.

What Is Ptosis?

Ptosis is when the upper eyelid droops over the eye. The eyelid may droop just a little, or so much that it covers the pupil (the black dot at the center of your eye that lets light in). Ptosis can limit or even completely block normal vision. Children and adults can have ptosis. Fortunately, this condition can be treated to improve vision as well as appearance.

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Ptosis in adults

Adults get ptosis (called involutional ptosis) when the levator muscle stretches or separates away from their eyelid. This can be caused by aging or an eye injury. Sometimes ptosis happens as a side effect after certain eye surgery. Rarely, diseases or tumors can affect the eyelid muscle, causing ptosis.

Your ophthalmologist will find the cause of your ptosis in order to recommend treatment. They will do a complete eye exam, and may also want you to have blood tests, X-rays, or other tests. The ophthalmologist will likely recommend surgery to help the eyelid muscle work better.

Adult Ptosis Surgery

Ptosis surgery is done as an outpatient procedure in your ophthalmologist’s office. Local anesthesia will be used to numb your eye and the area around it. Sometimes, the surgeon may only need to make a small adjustment to the lid’s lifting muscle. Extra skin from the eyelid also may be removed to help the eyelid lift properly. For more severe ptosis, the levator muscle may need to be strengthened and reattached to the eyelid. As with any type of surgery, there are possible risks and complications with ptosis repair. Your ophthalmologist will discuss these with you.

Before eyelid surgery, be sure to tell your ophthalmologist about all the medicines you take. Include all prescription and over-the-counter medications, vitamins, and supplements. It is important for your eye surgeon to know if you take aspirin (or aspirin-containing drugs) or blood thinners, or if you have a bleeding problem.


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Woman smiling after Juvederm procedureOver time, your face changes in many ways. Lines and wrinkles form, but other changes often include volume loss in the cheek area or thinning lips. Fortunately, JUVÉDERM® includes several formulations to treat different areas of the face. JUVÉDERM® is the #1 selling collection of fillers in the US, proven to lift and contour your cheek area, smooth wrinkles, fine lines and enhance your lips.


These are cosmetic dermal fillers that diminish moderate to deep facial wrinkles and folds by using the body’s own moisture to restore volume and fullness to the skin. The hyaluronic acid in these fillers is hydrophilic (“water-loving”). As it gradually degrades, each molecule binds to more water, which helps to produce lasting results.

Hyaluronic acid is a natural substance that has proven safe and effective for more than a decade. Because it is found naturally in the human body, no allergy test is needed before treatment.


Some women may wish to add subtle volume to their lips; others may want to soften the appearance of the vertical lines above them. Lines such as these are often caused by factors such as sun exposure or repeated muscle movement. VOLBELLA® XC Adds subtle volume to lips, softens the appearance of vertical lip lines and is the first and only filler proven to last up to 1 year.


What makes for youthful, healthy looking skin? A smooth texture and radiant tone just scratch the surface. It may not be as emphasized as the other signs of aging, but volume is another major characteristic of a beautiful face- and it makes a world of difference in the appearance of your skin. JUVÉDERM VOLUMA® is the first and only FDA- approved injectable gel that gives your skin just enough volume to contour your face and subtract years from your appearance.

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Maybe you’ve noticed a few stubborn lines above your lips that used to be hidden by makeup, or you’ve caught your reflection and seen some small wrinkles starting to develop around your mouth. Although these changes are natural, it doesn’t mean you have to live with them. BELOTERO BALANCE ® is a prescription injection that is approved to temporarily smooth out and fill moderate to severe nasolabial folds (the folds or wrinkles that go from the side of the nose to the corner of the mouth.) BELOTERO BALANCE ® is an ideal option for those looking to smooth stubborn etched-in lines and wrinkles around your lips and mouth.


Injections of BOTOX® Cosmetic temporarily reduce the appearance of fine lines around the eyes and across the forehead. BOTOX® safely relaxes certain facial muscles without affecting normal facial expressions. The injection feels like a slight pinch, and no anesthetic is required.

Treatment requires minimal downtime or recovery; it’s often called a lunchtime procedure. You’ll be able to go about your normal routine immediately after your BOTOX® treatment. You may begin to notice results within 24 to 48 hours for moderate to severe frown lines, with results lasting up to 4 months.

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KYBELLA™ Is the first and only FDA –approved injectable treatment to improve the appearance of moderate to severe fat beneath the chin by physically destroying fat cells.

KYBELLA™ May be Right for You if:

  • You are bothered by fat under the chin, also known as submental fullness
  • You don’t want surgery
  • You feel the condition makes you look older or heavier than you actually are
  • You eat well and exercise, but submental fullness does not go away.

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Are Your Lashes Thinning Over Time?

LATISSE® Grows Lashes Longer, Fuller and Darker.

LATISSE® is the first and only FDA-approved prescription treatment proven to grow lashes. Used to treat (inadequate or not enough eyelashes), LATISSE® is an actual growth treatment that is applied once a day to the base of the upper eyelashes.

Bimatoprost, the active ingredient in LATISSE®, increases the length of the eyelash growth cycle and the number of hairs in this growth phase. Some of those who use LATISSE® see more length in as little as 4 weeks, with full growth in 16 weeks.

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