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Reconstructive Facial Plastic Surgery

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At Inland Eye Specialist our oculoplastic surgeon has specialized training in reconstructive surgery of the eye region.

Ptosis Surgery

Eyelid ptosis is a problem with an upper eyelid which is drooping below its normal position. It is not the skin, but the edge of the lid itself that droops. Ptosis can affect one or both eyes. Ptosis can block our vision, and is can be a medical issue if the edge of the eyelid is covering any part of the pupil (the black circle at the center of the eye). Dermatochalasis, or excess skin of the upper eyelid, may also contribute to blockage of the superior visual field, and can be treated at the same time if needed or desired.

Ptosis surgery can be done different ways and the desired approach is based on the severity of the droopiness and function of the muscles which elevate the eyelid. It is an outpatient procedure with a relatively short recovery time. Dr. Joseph will determine the right surgery for you based on your problem and goals.

Skin Cancer

Skin cancer is a very common, potentially dangerous problem here in Southern California. Most types of skin cancer are thought to be caused by excessive sun exposure, and the area around our eyes is potentially vulnerable. Although there are many types of skin cancer which can affect the region around the eyes, the three most common are basal cell carcinoma, squamous cell carcinoma and melanoma.

If you or your doctor suspect you have cancer on or around the eyelid, a consultation with Dr. Joseph is the place to start. Dr. Joseph will help determine if the growth is potentially dangerous and may perform a biopsy to know for sure. If you do have a skin cancer, Dr. Joseph works closely with specialized dermatologists who perform cancer removal using a technique called Mohs surgery.

Dr. Joseph will then plan a surgical repair (reconstruction) depending on the size, depth, and location of the cancer. As an oculoplastic and cosmetic surgeon, he has unparalleled experience in reconstructing eyelids after cancer removal giving you the best cosmetic result while protecting the structure and function of the eyelid vital to the health of your eyes and vision.


Evaluation and treatment of trauma of the eyelids and eye socket (orbit) require extensive knowledge, expertise, and experience.

Our ophthalmic plastic and reconstructive surgeon, Dr. Joseph, is an expert in eyelid and orbital trauma. Dr. Joseph teaches at both UC Irvine Medical Center and the Long Beach Veterans Affairs Medical Center.

He also has published articles and has lectured at the largest meeting of eye specialists in the world on the topic.

As trained ophthalmologists and microsurgeon, oculoplastic surgeons possess the skills and knowledge to maximize your cosmetic result while restoring the structure and function of the eyelids and orbit necessary to protect your eyes and vision.

Revision Surgery

There are many reasons that we may have eyelid surgery. Eyelid surgery can be used to improve our appearance or function and sometimes both. When undergoing eyelid surgery for any reason, you hope and your doctor strives for the best possible results. Sometimes, despite all this, the results do not end up as anticipated. This can cause both cosmetic and medical issues to the eyelids and the eyes themselves. Not to mention the stress and disappointment that you as the patient may feel.

Unanticipated or unwanted results from eyelid surgery may require a revision. Revisional treatment is challenging after any surgery, and in particular, after surgery around the eyes. It requires expertise and experience to properly address any issues and maximize improvement.

Our ophthalmic plastic and reconstructive surgeon is wholly focused on the complex and delicate eyelids and surrounding areas. He is uniquely qualified to assess results from prior eyelid surgery and determine if and how revision can be attempted.
While revision is not the best option for everyone, during your consultation you will discuss these options and with your doctor, will decide the best plan to help you reach your goals.


Excessive tearing is a very common problem that can have a big impact on your day to day comfort and happiness.

Tearing can be caused by multiple different issues and is often due to a complex of problems.

Dry Eyes:
It may seem counter-intuitive, but the most common cause of excessive tearing is actually excessive dryness of the eyes. Tearing occurs as a reaction to the dryness and irritation it causes.

Eyelid Issues:
The eyelids have a very important role in determining whether or not our eyes are dry and irritated or lubricated and comfortable. Three main factors governed by our eyelids are:

  • The Tear Film
  • Inflammation (Blepharitis)
  • Eyelid Structure and Function

An assessment of tearing always must include an assessment of the eyelids.

Tear Duct:
Blockage of the tear duct is another common cause of tearing. During your consultation you will have specialized testing of the tear duct to determine if it needs to be repaired.

Our ophthalmic plastic and reconstructive surgeon will work to determine which factors are contributing to your tearing and create a treatment plan, tailored to your particular needs.