Ophthalmic Plastic & Cosmetic Surgery, Inc.

If your upper or lower eyelids have begun to sag or have become puffy or baggy, there are several procedures available to you to make your eyes look more beautiful and youthful. If you are unhappy with the way your eyes look, you may be an excellent candidate for Cosmetic Lid Surgery in St. Louis. Some of the results that Cosmetic Lid Surgery can accomplish are: Remove excess skin that hangs from the upper eyelids. Correct droopy upper eyelids. Reduce puffiness in the upper or lower lids. Eliminate eye bags. Add a crease to the upper lids of single-lidded eyes,

Blepharoplasty is the medical name for eyelid surgery. There are several different types of Blepharoplasty, depending on what needs to be corrected. Full upper eyelids, referred to as dermatochalasis or sometimes blepharochalasis, can make you look tired and older than you are. Eyelid surgery is straightforward and almost immediately restores a youthful appearance that will accentuate your eyes. The results are usually very natural-looking so that your friends and family are likely to only notice that you look more relaxed or rested.

Asian Blepharoplasty (sometimes called “double eyelid surgery”) is a specialized type of upper eyelid surgery. This is often performed to alter the appearance of Asian “single-lidded” eyes so that they have a lid fold, like the western eyelid. If you wish to change the single-lidded appearance of your eyes so that there is an eyelid crease, or if you have overhanging skin or an asymmetry of your Asian lid crease, you may be an excellent candidate for Asian Blepharoplasty in St. Louis. The procedure will make your eyes look larger and will allow you to apply eye makeup more easily.

Blepharoplasty is the name for eyelid surgery, but there are different types depending on what needs to be corrected. Lower Eyelid Blepharoplasty in St. Louis may be a great option for you if you have developed unsightly eye bags in your lower eyelid area. Usually, aging is the cause of lower lid eye bags, but sometimes, they occur in younger people due to genetics or other medical conditions. Lower Eyelid Blepharoplasty can make your eyes look more beautiful and youthful again, and it can be combined with other procedures. For example, if you also have droopy upper lids, you may opt to get Upper Eyelid Blepharoplasty or a Browlift at the same time as your Lower Eyelid Blepharoplasty. If you have other issues, such as excessive wrinkles around the eyes, you may decide to have skin resurfacing, Botox treatment or a Midface Lift at the same time.

You may have been born with gorgeous eyes that have become hidden with age. A normal aging change is sagging of the eyebrows which also causes the skin to sag, hanging over the eyelids. This detracts from the beauty of your eyes and makes you look older than you are.

A Midface Lift in St. Louis may be the perfect cosmetic procedure to restore your former youthfulness. It is one of your best options when the aging process causes sagging of the tissues of the middle of the face and around the cheekbones. If this sagging happens prematurely, it can even make you look older than you are.

When the eyebrows begin to sag as part of the aging process, it can make you look older than your actual years. This sagging creates droopy eyelids and forehead wrinkles, and it prevents your eyes from being seen as much as when you were younger. An Endoscopic Browlift (brow elevation) is a procedure that can correct the sagging and bring your eyes out of hiding.

Aging is most frequently caused by a loss of fat and “volume” in the face. If you have facial wrinkles, thin lips, sunken cheeks, or skin depressions, you may be a good candidate for fat transfer in St. Louis.

Revision Eyelid Surgery usually refers to revision blepharoplasty, sometimes called revision blepharoplasty. This refers to a secondary blepharoplasty procedure done to correct problems from an initial eyelid surgery. Some of the best surgeons in the St. Louis area send such cases to Dr. Holds and his associates at Ophthalmic Plastic and Cosmetic Surgery, Inc. because of their experience in performing complex eyelid surgeries and revision blepharoplasty.

Ptosis Repair St. Louis | Eyelid Reconstruction | Droopy Eyelids Ptosis is a fairly common condition in which one or both of your upper eyelids droop so that the eyelid margin sags, crowding or even covering the pupil. The drooping can be to a small extent, or it can be substantial so that the eyelid actually inhibits your vision. It can even cause you to tilt your head back in order to see better. In fact, if the drooping eyelid significantly interferes with your vision, your medical insurance will probably accept the claim for your surgery.

Blepharoplasty is the scientific name for eyelid surgery, but there are different types of Blepharoplasty. Functional (medically necessary) Upper Lid Blepharoplasty is a procedure that removes excess skin from the upper lids that limits your peripheral vision and prevents you from seeing properly. Because vision is affected, health insurance usually covers the surgery.

Ectropion of the eyelid is a condition when the lower eyelid droops downward and begins to turn out. It’s usually a result of the aging process as the cartilage of the lower lid becomes stretched over time, but disease or injury can sometimes cause it as well. If your lower lid has begun to turn out and cause eye irritation, you may be a candidate for Ectropion Repair in St. Louis.

Your natural tears are important for the health of your eyes. They wash away dust, and they keep your eyes lubricated. People with tearing problems either experience excessive tears or dryness, and this can be accompanied by burning, irritation, and blurred vision. If you have any of these symptoms, you may be a candidate for surgery to correct tearing problems in St. Louis. Only a thorough medical examination will determine if surgery is the answer for you. If your tearing problems are minor, non-surgical treatments may be sufficient.

Eyelid Cancer Excision and Reconstruction may be necessary if you have developed a skin cancer on your eyelids. Unfortunately, these skin cancers are relatively common if you have had a lot of exposure to the sun.

Your natural tears are important for the health of your eyes. They wash away dust, and they keep your eyes lubricated. People with tearing problems either experience excessive tearing or dryness, which can be accompanied by burning, irritation, and blurred vision.

Essential Blepharospasm or Benign Essential Blepharospasm is the medical name for a neurologic condition which causes bilateral (both eyes) involuntary eyelid closure. Although the cause is completely different, hemifacial spasm is a medical condition that causes unilateral facial twitching, which can be very visually bothersome.

Thyroid Eye Disease is sometimes called Thyroid Orbitopathy and Graves’ Disease. It is a result of an autoimmune disorder in which the body attacks its own thyroid gland. The disease can start suddenly, causing inflammation that eventually results in bulging eyes (proptosis), a condition called thyroid exophthalmos.

Orbital trauma refers to an injury to the “orbit”, the bony area that surrounds the eyes. Usually, this involves a fracture of one of these bones as a result of a car accident, sports injury, fall, fight, or blow to the eye by a hard object. Surgery is performed to restore both function and appearance after this trauma.

Anophthalmos is the name for a very rare genetic defect that causes one or both of the eyes to be malformed to the extent that they are absent. In that case, an artificial eye can be placed in the eye socket of the missing eye. Sight cannot be restored, but normal appearance can be regained. If you suffer from Anophthalmos, you may be an excellent candidate for an artificial eye implant in St. Louis. (If you have lost an eye due to disease or an injury, please see Loss of an Eye.)

If you have lost an eye due to an injury or disease, you have options to restore normal appearance. You can have an artificial eye implant, sometimes called a prosthetic eye, placed in the eye socket. While this will not restore your sight, today’s artificial eyes look very natural and can move. If you have lost an eye, you may be an excellent candidate for an artificial eye implant in St. Louis.

Ophthalmic Plastic & Cosmetic Surgery in St. Louis, MO specializes in Botox injections. Botox is a simple and effective in-office treatment for facial wrinkles. Botox was the most popular cosmetic “pick-me-up” even before it had cosmetic drug approval in 2002. The effects of this injectable can be so subtle that no one will know you have had injections. At our practice, we also offer Xeomin & Dysport injectables. The main difference between these injectables are the manufacturer. These injectables are all derived from a naturally occurring protein that is purified and have been used in humans for over 25 years, mainly in the treatment of various neurological conditions and also cosmetically for facial wrinkle reduction. Minor uses have been in the treatment of hyperhidrosis (sweating) and migraine headaches. Botox® Benefits BOTOX St. Louis MO Botox injections have both cosmetic and medical benefits. Botox can: Relax muscles to prevent muscle spasms and twitches Relax wrinkles around the eyes Soften or eliminate frown lines, crow’s feet, and creases on the forehead Soften vertical wrinkles on the upper lip, especially when combined with fillers Who Is A Good Candidate For Botox® Injections In St. Peters? Botox St. Louis MO | Dysport | Xeomin If you have facial wrinkles caused by poor muscle tone, you may be an excellent candidate for cosmetic Botox, Xeomin, or Dysport in St. Louis. In minute amounts, Botox relaxes and temporarily weakens the muscles that are contracting too much. This means that it is good for people with muscle spasms, such as eyebrow twitches or alleviating wrinkles caused by years of repeating the same facial expression. Choose Dr. Holds For Your Cosmetic Injections Dr. John B. Holds was fortunate to be in on the ground floor in the use of botulinum A toxin, which became Botox. Dr. Holds began to use Botox for the treatment of facial spasm disorders beginning in 1987, three years before FDA approval for medical indications. Dr. Holds also performed what remain some of the best neuroanatomic studies on the effects of botulinum A toxin on human nerves and muscles. This plus 24 years of intensive use of botulinum toxins in the treatment of facial spasm disorders and for cosmetic indications have made Dr. Holds a well know authority on the effects and use of botulinum toxins. “I recently saw Dr Holds for Botox Cosmetic Treatment and I am absolutely blown away by my results. I’ve been receiving Botox on and off for years now and this is by far the best results I’ve ever had. He was very professional, knowledgeable, and knew exactly what I needed. I will be be back and will be referring all my friends. Highly recommended” – Amanda H. Botox® Vs Dysport® Dysport St. Louis MO Dysport is an alternative to Botox that is used to relax wrinkles in the forehead and frown lines between the eyebrows. Dysport’s advantage over Botox is that it usually takes effect faster – one to two days, as opposed to the usual three to five that it takes for Botox’s results to show. There is also evidence that Dysport’s effects last longer for some people, and it smoothes out even deep wrinkles. People who receive Dysport may be more prone to developing antibodies which prevent the injections from working, although this is uncommon. Dysport wasn’t approved by the FDA in the U.S. until 2009, which is why it isn’t as widely known as Botox, but it has been used in other parts of the world since 2001. Today, it is used in 36 countries.

Natural beauty is all about proportions. It’s about soft, smooth, firm, plump skin. These attributes aren’t a given. We sometimes have to work for them. If your lips, cheeks, jawline, and eyes are not portraying your true beauty, injectable treatment may help. We are proud to offer a wide variety of injectable wrinkle-reducers and facial contouring treatments in our St. Louis office. The development of cosmetic injectables years ago represented a major shift in aesthetic medicine. Injections are an excellent way to improve facial contours in a meaningful way. They are more advanced than contouring with makeup and less aggressive and invasive than surgical procedures like brow lift surgery and cheek or chin implants. As an in-between, injectables are both cost-effective and convenient. The FDA-approved products we use have demonstrated consistent safety and efficacy in reducing the signs of aging and also accentuating the curves of the face, all with little to no downtime. The two major categories of injectable are neuromodulators and dermal fillers. Both can minimize the appearance of lines and creases. However, they work differently to achieve this goal. Neuromodulators Neuromodulator products include Botox, Dysport, Xeomin, and Newtox!. These injectables smooth lines by relaxing targeted muscles. Neuromodulators prevent the release of the chemical that causes muscles to contract. In so doing, these products can also achieve results that include a mild brow lift. Dermal Fillers Dermal fillers such as Juvéderm, Restylane, Radiesse, and others refresh the face by introducing volume in the form of hyaluronic acid or another enhancing particle. The addition of volume beneath the skin restores plumpness, reduces deep creases and can also raise depressed scars. Neuromodulators like Botox are used specifically to treat the issues related to dynamic muscle movement, usually in the upper part of the face. Dermal fillers can correct several concerns, including: Nasolabial folds around the nose and mouth Marionette lines from the mouth to the chin Loss of midface volume Hollowness in the cheek area Undereye bags and dark circles Aging hands Thin or deflated lips Cosmetic injections are typically performed on areas of the face including the: Eyes Lips Cheeks Nose Jawline Temples Chin Additionally, injections may address the signs of aging on the neck and hands. Injectables differ slightly based on ingredients and the density of the product. The best way to get amazing results from cosmetic injectables is first to know what you wish to achieve. Secondly, it is necessary to obtain treatment from a board-certified professional with experience using the various fillers available today. During your consultation with us, we will listen to your desired outcome. We will also assess your skin for the extent of looseness and thickness. This information helps us determine which products are best suited to your unique needs.