MEDICAL PROCEDURES

Upper Eyelid Blepharoplasty

The eyes are the first place to show signs of aging. Dermatochalasis is redundancy and laxity of the eyelid skin. Dermatochalasis may make you look older, tired, or even impair your vision. Upper eyelid blepharoplasty is a procedure that removes excess skin from the upper eyelids and contours the fat and muscle to rejuvenate the aesthetic appearance of the upper eyelids. Upper eyelid blepharoplasty is performed in our office surgical suite under light sedation. Patients can recover at home the same day as the procedure and be performing their normal activities the very next day. Bruising and swelling after upper eyelid blepharoplasty lasts approximately two weeks.

Dr. McDevitt and Dr. Sweeney are fellowship-trained oculoplastic specialists – the only specialty focused on eyelid surgery. In Hawaii, many of our patients have an Asian eyelid which requires expertise and personalized attention to deliver a particular natural or desired appearance after surgery.

Trust your eyelid appearance to an expert and call us for a consultation.

Eyebrow Lift

Over years of conveying facial expressions, the brows can begin to fall with gravity. This eyebrow droop may cause an appearance that is inconsistent with how you feel. Brow droop may also interfere with vision by blocking peripheral vision. Additionally, some patients get headaches from constantly using their forehead to lift droopy eyebrows to see well. An eyebrow lift can raise the brows to a natural height, assist in gaining symmetry between the brows, eliminate forehead-activation headaches, and provide a more youthful appearance. A brow lift can be performed with incisions in the eyebrow or above the hairline. When affecting your peripheral vision, an eyebrow lift may be covered by your insurance. An eyebrow lift is performed in our office surgical suite under light sedation. Patients can recover at home the same day as the procedure and experience minimal downtime. If you are considering an eyebrow lift, call us today for a consultation.

Eyebrow Lift

Ptosis Repair

Numerous aspects of the eyelid and brow may cause one or both eyelids to become droopy. A droopy eyelid is a sign of aging and may make a person look tired or even sick. Additionally, a droopy eyelid can interfere with peripheral vision and the amount of light that can reach the eye. When the cause is weakness or stretching of the eyelid muscles, a ptosis repair can be performed to tighten the muscles of the upper eyelid to place the eyelids in the correct height and regain symmetry between the upper eyelids. Ptosis repair can be performed three different ways, depending on the reason that the eyelid muscle becomes weak. The procedure can be performed in our office surgical suite or in the hospital operating room. Patients experience minimal downtime and can expect about two weeks of bruising and swelling. Dr. McDevitt and Dr. Sweeney are eyelid surgeons dedicated to improving your eyelid appearance by giving you a natural, more youthful appearance.

Entropion Repair

Entropion is characterized by an inward turn of the eyelid, most commonly involving the lower eyelid. Longstanding friction between the lashes and the surface of the eye can cause irritation, decompensation of the eye, and corneal infection. Patients with entropion may experience eye irritation, redness, blurry vision, or pain. Entropion may occur due to age-related eyelid laxity, prior surgery, or chronic inflammation of the eyelid. Correction of entropion involves surgical rotation of the eyelid and often tightening of the loose tendons of the lower lid. Each individual requires a customized procedure to treat the underlying reason they developed entropion. Dr. McDevitt and Dr. Sweeney have each performed hundreds of procedures correcting entropion and will provide a customized approach to curing this problem.

Ectropion Repair

Ectropion is the outward rotation or outturning of the eyelid, most commonly involving the lower eyelid. Because the lids protect the eye and help lubricate the eyelids, ectropion may compromise the health of the eye and lead to significant dryness or exposure of the eye. Patients with ectropion may experience mucus development around the eyelids, eye irritation or redness, and possibly severe dry eye problems. Ectropion is most commonly due to age-related eyelid laxity, significant lifelong sun exposure, prior surgeries, or trauma. Surgery to correct ectropion involves tightening of the loose tendons of the lower lid and surgically rotating the eyelid to the correct orientation. Similar to entropion, Dr. Sweeney and Dr. McDevitt provide customized techniques to obtain the best results for each individual.

Enucleation/Evisceration

When an eye becomes so sick that it is blind and painful with no ability to recover vision, a patient may elect to have the eye removed and a prosthetic placed. The surgery is performed in the hospital under full sedation and patients are allowed to return home the same day. Patients can resume their normal activities the very same week of surgery. After approximately one month from surgery, patients are referred to a prosthetics provider who will make a custom fit, hand-painted ocular prosthetic that matches the healthy eye’s appearance. Dr. McDevitt and Dr. Sweeney will do everything possible to allow the prosthetic eye to move and track with the healthy eye. After a full recovery from surgery and with the placement of a prosthetic, most people are unable to notice that a patient’s eye has been removed.

Orbital Surgery

Dr. Sweeney and Dr. McDevitt are some of the only specialists in Hawaii trained and experienced in surgery for problems involving the eye socket, also called the orbit. Orbital surgery is performed for a variety of reasons including fracture repair of the orbit, removal or biopsy of concerning tumors seen on a CT/MRI scan, or decompression of a crowded orbit in patients with thyroid eye disease. This surgery is performed in the operating room under full sedation, however, generally patients are able to go home the same day as the surgery.