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Some forms of aging actually can cause changes in the eyelids and surrounding areas that interfere with vision and/or threaten the health of the eyes. When this is the case, many of these procedures will be covered by your medical insurance.

Eyelid ptosis:

Gradual closing of the eyes due to a lower upper eyelid is referred to as upper eyelid ptosis. This is most commonly due to slippage of the muscle responsible for elevating the upper lid. Special testing is performed and then surgery is planned to restore the eyelid to its normal position. A full ophthalmology evaluation is a crucial step in determining which of the many procedures is best.


Excess skin on the upper eyelids can be so severe that the lid skin overhangs the lashes and interferes with vision. Very thorough testing is performed in the office to assess whether the problem is severe enough to qualify for medical coverage.


This term refers to an “in” turning of either the upper or lower eyelids so that the lashes are now positioned towards the eye. A full ophthalmology evaluation helps determined the exact cause of the condition and the best surgical method of repair.


This term refers to an “out” turning of either the upper or lower eyelids and leads to dryness of the eye causing irritation and /or tearing. Once again a full examination helps determine the exact cause and best surgical repair.

Eyelid Lesions:

Many different types of lesions grow along the eyelids and in the brow area. Ophthalmologists and dermatologists often recommend that these be excised by an oculoplastic specialist to maintain and protect the delicate anatomy.

Skin Cancers:

The area surrounding the eyes is a common location for skin cancers to grow. Often treatment is designed by teaming up with a dermatologic surgeon, who performs MOHS surgery. Once the cancer is completely removed, reconstructive surgery is performed by Dr. Heher.

Orbital Surgery:

A number of orbital processes will require surgery to determine the diagnosis and/or remove the pathology. The evaluation is more involved and usually requires special imaging studies, such as CT scans and MRI’s to plan appropriately.

Other Procedures:

Dr. Heher also performs a variety of other procedures including: enucleation, evisceration,  laceration repair, dermis-fat grafts, full thickness skin grafts, flap reconstruction, tarsorrhaphy,

gold weights, lid retraction repair, and botox injections for blepharospasm and hemifacial spasm.

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