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Cosmetic & Oculofacial Plastic Surgery

At Pacific Eye Institute, we have a team of oculoplastic eye surgeons who are highly skilled ophthalmologists and specialize in all types of procedures that encompass the eyelids, tear ducts and more. Unlike many general plastic or cosmetic surgeons, they have in-depth knowledge of the delicate structures of the eye so they are particularly meticulous in protecting vision while also improving appearance and function. As with all facial plastic surgery, good health and realistic expectations are prerequisites for undergoing eyelid surgery.

At Pacific Eye Institute, we have a team of oculoplastic eye surgeons who specialize in all types of procedures that encompass the eyelids, tear ducts, facial orbit and more. Unlike many general plastic or cosmetic surgeons, they have in-depth knowledge of the delicate structures of the eye so they are particularly meticulous in protecting vision while also improving appearance and function.

Whether the surgery is desired for functional or cosmetic reasons, our team will ensure that you feel 100% confident in our expertise. We want to earn your trust and help you set realistic expectations during your consultation with us. We encourage you to ask as many questions that you can think of during every step of the process.

Blepharoplasty for Droopy Eyelids

Drooping eyelids can cause you to look older, tired, or even angry. This condition can also obstruct your vision. If you are unhappy with the appearance of your eyes, surgery by an oculoplastic surgeon may be the right option to rejuvenate your appearance. The surgeons at Pacific Eye Institute can help you improve the appearance of your eye area by removing excess skin and fatty deposits. This procedure can be performed on both the upper and lower eyelids.

View Our Before and After Photos


Common Blepharoplasty (Eyelid Surgery) Questions

During your consultation with our Board-Certified, Oculoplastic Specialists, we will answer any questions you have about the procedure, take time to understand your current medical conditions, lifestyle, aesthetic desires, and visual needs.

Your surgeon will explain what you can expect from blepharoplasty and take a complete medical history. Factors to be weighed include age, skin type, ethnic background, and degree of vision obstruction.

Together we can make an informed choice about eyelid surgery and decide if it’s the right procedure for you.

Insurance does not generally cover surgery that is done purely for cosmetic reasons. However, if droopy eyelids or excess skin are affecting the vision, surgery may be reimbursable in whole (or in part) by insurance. We encourage you to check with your insurance carrier for information on the degree of coverage, and also note any deductibles you may be responsible for.

  • Steps are taken to make this a comfortable procedure
  • Local anesthesia +/- sedation is administered
  • Eyelids will be anesthetized while under mild sedation to avoid any pain during the procedure
  • Post-operatively, ice and over-the-counter Tylenol will ease discomfort
  • Natural results
  • Look refreshed, not drastically altered
  • Appear years younger
  • Well-placed scars that fade and hide well

Conditions that might preclude you from surgery:

  • Medical conditions
  • Eye disease (e.g. dry eyes)

Recovery from Blepharoplasty varies from patient to patient and is dependent on the exact procedure performed. In general, there will be bruising and swelling of your eyelids after the procedure. You may want to plan on being at home for a few days. After several days, you can drive a car and resume light activity, but you should avoid heavy lifting and strenuous exercise for two weeks following surgery.

Your Pacific Eye Institute surgeon can provide you with a more accurate recovery estimate based on the procedure you have done.

Other Conditions and Treatments

Cosmetic Treatments

BOTOX® Cosmetic


Facial lines are inevitable as you grow older. Lines appearing between the eyebrows and on the forehead can make you look older, tired, or even angry. These areas are especially susceptible to repeated muscle contractions; if those contractions are reduced, there will be a softening of the lines.

That’s where BOTOX Cosmetic treatments can help. BOTOX Cosmetic is comprised of purified botulinum toxin medication that can be injected into targeted muscles of the face, allowing those muscles to relax by blocking nerve impulses. The treatment is typically described as a pinching sensation and takes about 10 minutes (depending on the amount of treatment areas). There is no downtime so you can return to your normal routine immediately.

Most patients experience a more youthful, alert and refreshed appearance. The results often give patients a boost in self-confidence as well.

Why Choose Pacific Eye Institute for BOTOX Cosmetic?

Our oculoplastic specialists are licensed to provide BOTOX Cosmetic injections and have extensive training in protecting the delicate tissues surrounding the eyes. In order to achieve the safest and most natural-looking results, it is important to have this treatment performed by a professional who has in-depth knowledge of facial structures.

The muscle that is responsible for holding you upper eyelid in place can also weaken over time causing the lid to droop, impairing vision and creating an unbalanced appearance. Our team can tighten this muscle and raise the eyelid with surgery. Our surgeons can help you decide which ptosis treatment is best for you during your Oculoplastic consultation.

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The eye produces tears to keep it moist and this fluid drains through a passage called the nasolacrimal duct system. Sometimes this drainage system can become clogged, resulting in excessive tearing, acute infection, and chronic inflammation. A new pathway can be surgically created that will alleviate symptoms and prevent further infections.

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When the eyelids take on an abnormal position, this is called an eyelid malposition. The eye muscles may become weak due to aging, surgeries, injury, genetics or other reasons. This can cause:

  • Ectropion: eyelid turning out, often occurring in the lower eyelid
  • Entropion: eyelid turning in so eyelashes rub against the eye

Surgery can correct the position of the eyelids to provide relief from discomfort, light sensitivity, excessive tearing and many other physical symptoms.

Common Types of Eyelid Growths:

Not all eyelid growths are serious, but you should have an eye doctor assess any type of bumps on your eyelids to rule out forms of skin cancer. Common types include:


  1. Xanthelasma: yellow-white bump on the eye caused by an accumulation of fat
  2. Chalazion: soft or firm lump on the middle of the eyelid caused by an obstruction of the meibomian gland
  3. Styes: small, painful lump filled with pus on the edge of the eyelid caused by an infected meibomian gland in the eye


  • Basal cell carcinoma: shiny bump that increases in size and can break open and bleed/scab
  • Squamous cell carcinoma: scaly, thick growths that do not heal

Thyroid eye disease occurs when the muscles and fat in your eye sockets become inflamed and swell. Anyone can develop this condition, especially if you have an overactive or underactive thyroid gland.  It is commonly caused by an autoimmune disease that attacks the normal tissues in the thyroid gland and eyes. Medications, lubricating eye drops, ointments, and other treatments can reduce these symptoms: bulging eyes, redness, dryness, grittiness, light sensitivity, pain, and more.


The eyelids contain oil glands that can become clogged. When this happens, it can cause a painful red bump. Treatments from least to most invasive include:

  • Applying warm compresses and antibiotic ointment
  • Steroid injections
  • Surgery (to drain or remove)
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Blepharospasm is a neurological condition that is characterized by the forcible closure of the eyelids. It is not life-threatening but can cause great difficulty when driving or performing normal daily activities. Botox® can be injected into the affected muscles to temporarily paralyze them and restore normal eyelid function.

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Basal Cell Carcinoma

This is the most common type of malignancy and is easily treated when detected early. It appears as a hard nodule with a pearly appearance. If left untreated, it can ulcerate the skin and invade surrounding tissues.

Squamous Cell Carcinoma

While less common than basal cell carcinoma, this cancer can be very aggressive and spread quickly. It can appear as scaly red patches, open sores, elevated growths with a central depression, or warts that crust over and bleed.


Melanoma is the most dangerous form of skin cancer. It most often starts on the skin but can progress to other parts of the body including the eyes. It can be life-threatening if left untreated but with early detection and surgical intervention, there is an excellent survival rate.

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