Oculoplastics At Longwood Eye & LASIK
At Longwood Eye & LASIK, our oculoplastic specialists combine advanced surgical expertise with a deep understanding of ocular anatomy to deliver exceptional care. Led by Dr. Vamsee Neerukonda and Dr. Aaron Fay, our team offers comprehensive solutions for both functional and cosmetic concerns affecting the eyes and surrounding areas.
Our Oculoplastic Services
Blepharoplasty (Eyelid Surgery)
Blepharoplasty, or eyelid lift surgery, is one of the most transformative procedures we offer. This surgical procedure addresses the signs of aging that affect the eyelids, helping patients look refreshed and years younger.
During the Blepharoplasty procedure, an oculoplastic surgeon removes excess, sagging skin from the upper eyelids and targets fat pads and loose skin on the lower eyelids. Patients may choose upper eyelid surgery, lower eyelid surgery, or both, depending on their aesthetic goals and functional needs.
The blepharoplasty procedure can help improve:
Patients who undergo blepharoplasty typically achieve a noticeably refreshed appearance and often look years younger than before surgery.
Ptosis (Drooping Eyelid)
Ptosis is a condition in which the upper eyelid droops lower than normal, sometimes partially covering the pupil and affecting vision. It can be present at birth or develop over time due to aging, muscle weakness, or prior eye surgery. In addition to its impact on appearance, ptosis may cause symptoms such as reduced peripheral vision, eye strain, or a tired, heavy sensation in the eyelids.
Treatment for ptosis typically involves a surgical procedure to tighten or reposition the muscles responsible for lifting the eyelid. By restoring the eyelid to a more natural position, ptosis repair can improve both visual function and overall appearance, helping patients see more clearly and look more refreshed.
Brow Lift
As you age, the brows can sag, creating an appearance of tiredness or anger. Severe sagging can even impact vision. A brow lift restores a more youthful, alert appearance by lifting the brows and smoothing forehead wrinkles.
Our preferred method is called an endoscopic brow lift, which utilizes three to five small incisions near the hairline. An endoscope (a thin camera) allows visualization beneath the skin while specialized instruments lift and reposition tissues. This technique offers excellent results with minimal scarring.
For more severe cases, a traditional approach uses a longer incision hidden within the hairline, allowing for greater lifting and repositioning.
Most patients return to work within 10 days. Swelling and bruising typically resolve within a week to 10 days with proper care. Results last a decade or more, far exceeding the temporary effects of BOTOX.
Entropion and Ectropion Repair (Eyelid Tightening)
Sometimes eyelids become incorrectly positioned due to muscle weakness, aging, injury, or other factors. Both entropion (inward-turning eyelid) and ectropion (outward-turning eyelid) can cause significant discomfort and risk corneal damage if left untreated.
Entropion (Inward-Turning Eyelid)
When the eyelid turns inward, skin and eyelashes painfully rub against the cornea. Symptoms include eye pain, redness, excessive tearing, and a gritty sensation. Without treatment, entropion can lead to corneal abrasions, ulcers, and infections.
Ectropion (Outward-Turning Eyelid)
When the eyelid turns outward, proper tear drainage is inhibited. This causes eye irritation, redness, excessive tearing, and sensitivity to light. Like entropion, untreated ectropion can result in corneal damage.
Surgery is the only definitive treatment for these conditions. For entropion, a small section of eyelid is removed to tighten the area. For ectropion, surgery may involve stretching scar tissue or similar tightening techniques.
Recovery typically involves an eye patch for 24 hours, with healing occurring over about two weeks. Most patients experience successful correction with minimal complications.
BOTOX: Functional and Cosmetic Treatment
BOTOX has become one of the world’s most recognized names in cosmetic treatment for reducing facial wrinkles. Now, BOTOX injections are the most popular cosmetic procedures performed worldwide.
BOTOX Cosmetic is made from botulinum toxin type A. When injected into targeted muscles, it blocks nerve signals that cause muscle contractions. Without these contractions, dynamic wrinkles on the skin surface don’t form or are significantly reduced. Results last approximately four to six months.
What Can BOTOX Treat?
BOTOX is effective for dynamic wrinkles on the upper third of the face, including:
Beyond cosmetic applications, BOTOX also treats functional conditions, such as blepharospasm (eyelid twitching).
Dermal Fillers: Restylane & Radiesse
Dermal fillers restore volume and smooth wrinkles by filling depressed areas beneath the skin. At Longwood Eye & LASIK, we offer both Restylane and Radiesse to address different aesthetic concerns.
Restylane
Restylane was the first FDA-approved dermal filler in 2006. Made primarily from hyaluronic acid, a naturally occurring substance in the body, Restylane hydrates and plumps the skin by binding with water molecules.
Treatment areas include:
Results typically last 6 to 18 months, depending on the treatment area and formula used.
Radiesse
Radiesse offers a unique two-pronged approach using calcium hydroxylapatite microspheres suspended in a water-based gel. It provides immediate volume while stimulating the body’s natural collagen production for longer-lasting results.
Treatment areas include:
Results typically last up to one year or longer due to continued collagen production.
Graves’ Disease (Thyroid Eye Disease)
Thyroid Eye Disease, the most common cause of hyperthyroidism, is an autoimmune disorder where the immune system mistakenly attacks healthy tissues. In its ophthalmopathy form, tissues and muscles behind the eyes become swollen, causing the eyeballs to protrude beyond their normal range.
Symptoms include:
- Bulging eyes or staring appearance
- Dry, itchy, irritated eyes
- Gritty sensation in the eyes
- Sensitivity to light and excessive tearing
- Pain or pressure around the eyes
- Difficulty fully closing the eyelids
- Double vision, especially when looking to the side
Orbital Surgery
For severe cases where increasing pressure threatens the optic nerve, we may perform orbital surgery to remove bone between the eye socket and sinuses. This creates space for the eyes to return to a more normal position. Studies show success rates up to 90 percent with appropriate surgical techniques.
Schedule Your Consultation Today
The oculoplastic specialists at Longwood Eye & LASIK bring unparalleled expertise in facial anatomy and advanced surgical techniques to every procedure. Whether you’re seeking cosmetic enhancement or treatment for a functional condition, we’re committed to providing personalized care with exceptional results.
Schedule an appointment at Longwood Eye & LASIK in Greenfield, MA, today to learn more about how we can help you achieve your aesthetic and functional goals.
