Facial Image

In the areas of Fayetteville and surrounding areas of North Carolina, we provide blepharoplasty (eyelid surgery), eyelid ptosis repair, and BOTOX® Cosmetic treatments to improve the appearance of the eyes and surrounding facial tissue. Oculoplastic procedures such as eyelid surgery are both cosmetic and reconstructive in nature; they not only improve the appearance of the area around the eyes, but also restore vision for people whose eyelids or tear ducts are impairing proper eye functioning. We also administer BOTOX® Cosmetic to treat a number of neuro-ophthalmologic conditions, such as twitching eyelids and misaligned eyes.

Blepharoplasty (Eyelid Surgery)

Female face

Blepharoplasty — more commonly called eyelid surgery or “lid lift” — is designed to correct the appearance of droopy upper eyelids, lower eyelids, or both. Typically due to aging, excess skin and fatty tissue can cause the eyes to droop, making people look perpetually tired or sad, or older than they actually are.

At our eye centers in Fayetteville, North Carolina, our ophthalmologists perform eyelid surgery, providing patients with a solution to the problem of aging, droopy eyelids. Performed on an outpatient basis, the procedure entails making small incisions in the natural folds of the upper eyelids or just below the lashes on the lower lids. Careful placement of the incisions minimizes the appearance of scars. Excess skin, fatty tissue, and muscle may be removed to produce the desired aesthetic result. Tiny sutures are used to close the incision and are removed about one week later.

Eyelid surgery generally requires the use of local anesthesia. Patients may request to be mildly sedated if anxiety is a concern. Recovery time is about a week, although there may be some bruising of the eyes for up to a month after the procedure. Within a few weeks, the appearance of your eyes will begin to improve; however, final results will not be apparent until several months following surgery.

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Eyelid Ptosis Repair (Correction of Droopy Eyelids)

Eyelid ptosis is characterized by excessive drooping of one or both of the eyelids such that more of the eye is covered than is normal. Often, the drooping extends to the pupil, thereby interfering with vision.

Children can be born with this condition, or it may be acquired later in life. When the condition is congenital, it is usually caused by the abnormal development of muscle tissue, which may cause one of the eyes to become “lazy.” Acquired eyelid ptosis, on the other hand, occurs as the aging tissues of the eyelid loosen over time.

Both congenital and acquired eyelid ptosis can be corrected with eyelid surgery, which is used to restore vision and improve the appearance of the area around the eyes. By making a small incision in the affected eyelid, our surgeons can tighten the appropriate muscle, elevating the upper lid to a normal position that doesn’t interfere with the patient’s vision and often results in a more youthful appearance. The procedure generally requires local anesthesia in adults and general anesthesia in children.

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BOTOX® Cosmetic Treatment

BOTOX® Cosmetic is a neurotoxin that blocks the signals from the brain that cause muscle spasms. It therefore relaxes muscles at the site of the injection. At Cape Fear Eye Associates, we use BOTOX® injections both cosmetically and therapeutically, depending on the nature of the patient’s needs. BOTOX® injections are highly effective, minimally invasive, and virtually pain-free. In addition, they are provided on an outpatient basis and require little or no downtime, making them a convenient way to manage certain eye conditions and achieve substantial cosmetic improvements.

BOTOX® Injections to Treat Blepharospasm

Blepharospasm is an uncontrolled muscle spasm that generally causes twitching of the eyelids. It is sometimes associated with other conditions as well, including dry eye syndrome and Tourette’s syndrome, and can adversely affect vision as well as self-confidence. Small injections of BOTOX® Cosmetic administered to the upper and lower lids of the affected eye typically provide a temporary solution to the problem, with results lasting as long as six months. Additional treatments may be necessary every three to six months, depending on the severity of the condition.

BOTOX® Injections to Treat Strabismus

Strabismus typically begins in childhood and is characterized by a misalignment of the eyes. People afflicted with this condition usually have double or blurred vision caused by overactive or under active eye muscles, which make one of the eyes focus poorly. In adults, the onset of strabismus may be stimulated by diabetes, thyroid disease, or a stroke. When strabismus results from an overactive eye muscle, BOTOX® injections can provide an effective solution. By injecting small amounts of BOTOX® Cosmetic into the affected eye muscle, our doctors are able to stabilize its movements, thereby resolving or improving symptoms. Repeat treatment may be necessary for some patients.

BOTOX® Cosmetic to Treat Facial Wrinkles

For patients seeking to improve their appearance through non-surgical wrinkle reduction, we administer BOTOX® Cosmetic. BOTOX® Cosmetic, approved in 2002, is highly effective at temporarily improving the appearance of moderate to severe frown lines and facial wrinkles, especially those in the forehead and around to the eyes. Using a very fine needle, we inject small amounts of the substance into the facial muscles, thereby relaxing them and relieving the tension that causes wrinkles to form. BOTOX® Cosmetic can have dramatic results, including significant reduction of facial wrinkles and a substantially improved appearance overall. Effects often last from three to six months, after which repeat treatment is usually required to maintain cosmetic improvements. Many of our patients in Fayetteville and Eastover, North Carolina choose to combine eyelid surgery with BOTOX® Cosmetic to achieve maximum rejuvenation results.

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Contact Our Fayetteville Area Eye Centers for Eyelid Surgery and More

If you would like to improve the appearance of your eyes, Cape Fear Eye Associates can help. In the Fayetteville areas of North Carolina, we provide eyelid surgery, eyelid ptosis repair, and BOTOX® injection treatments to rejuvenate the appearance of the eyes and surrounding facial tissue. These treatments can also have a therapeutic effect for people with impaired vision or neuro-ophthalmologic conditions. Contact Cape Fear Eye Associates today to learn more about these innovative oculoplastic procedures or to schedule an appointment with one of our ophthalmologists.