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Advanced Oculoplastic Surgery

Specialized periocular plastic and reconstructive surgery addressing complex eyelid malposition (entropion, ectropion, ptosis), orbital tumors, lacrimal drainage disorders, anophthalmic socket reconstruction, and post-traumatic facial reconstruction with functional and cosmetic optimization.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Göz Hastalıkları department. Book Appointment →

What is Advanced Oculoplastic Surgery?

Oculoplastic surgery is a subspecialty of ophthalmology focused on plastic and reconstructive surgery of the eyelids, lacrimal system, orbit, and adjacent facial structures. Advanced procedures address complex pathologies: full-thickness eyelid reconstruction following Mohs surgery (Hughes tarsoconjunctival flap, Cutler-Beard procedure, Mustarde cheek rotation flap), orbital decompression for thyroid eye disease (transantral, transethmoidal, lateral wall removal), and external/endonasal DCR for nasolacrimal duct obstruction.

Indications include functional ptosis (visual axis obstruction), severe entropion/ectropion with corneal complications, complicated lacrimal drainage obstruction, anophthalmic socket complications (post-enucleation), Graves' orbitopathy with optic neuropathy or severe proptosis, periocular tumors requiring complex reconstruction, and trauma with orbital floor or medial wall fractures. Multidisciplinary collaboration with ENT (endoscopic DCR, orbital decompression), neurosurgery, and craniofacial teams is common.

Surgical techniques emphasize preservation of eyelid function (blink, closure, lacrimal drainage) and cosmetic outcomes. Modern approaches include endoscopic transnasal DCR, transcutaneous botulinum toxin for entropion, hyaluronic acid filler for tear trough deformity, autologous fat grafting, dermis-fat graft for socket volume, and 3D-printed orbital implants. Functional success measured by tear film stability, eyelid position, and visual rehabilitation.

Symptoms

Visual obstruction from drooping eyelid (ptosis)
Chronic tearing (epiphora) due to nasolacrimal blockage
Eyelid malposition causing corneal exposure
Severe proptosis with diplopia or vision loss
Recurrent eye irritation from lashes (entropion)
Cosmetic deformity from orbital trauma or socket atrophy
Recurrent or unhealed eyelid tumor requiring reconstruction

Risk Factors

Aging (involutional ptosis, ectropion, entropion)
Thyroid eye disease (Graves' orbitopathy)
Prior eye surgery or trauma
Chronic nasolacrimal obstruction
History of facial cancer (Mohs surgery defect)
Connective tissue disease
Bell's palsy or facial nerve injury

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Persistent eyelid drooping interfering with vision
  • Chronic tearing or recurrent dacryocystitis
  • Eyelid turning in or out causing irritation
  • Severe eye protrusion or vision changes (Graves')
  • Cosmetic concerns following trauma or surgery
  • Recurrent eye irritation, redness, or discharge
  • Tumor or lesion on eyelid requiring removal

Treatment Methods

01
Levator advancement or Müller muscle resection for ptosis
02
Lateral tarsal strip for involutional ectropion/entropion
03
Hughes tarsoconjunctival flap or Mustarde cheek rotation for eyelid defects
04
External or endonasal DCR for nasolacrimal duct obstruction
05
Three-wall orbital decompression for thyroid eye disease
06
Dermis-fat graft or porous orbital implant for socket reconstruction
07
Cutler-Beard procedure for total upper eyelid reconstruction

Which Department to Visit?

You can visit our Göz Hastalıkları department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Göz Hastalıkları Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.