David E. Freilich, M.D. Premiere Ophthalmic Plastic Surgeon
Service 1
Blepharopasty Rejuvenate Your Eyes Learn More
Service 2
Eyebrow & Forehead Lift Learn More
Service 3
Facial Fillers Help Smooth Fine Lines Learn More
Service 4
Eyelid Reconstruction / Skin Cancer Learn More

Services

Blepharopasty

Your eyes are often the first thing people notice about you and are an important aspect of your overall appearance. As we age, the tone and shape of our eyelids can loosen and sag. Heredity and sun exposure also contribute to this process. This excess, puffy or lax skin can make you appear more tired…

Eyebrow & Forehead Lift

Eyebrow and Forehead Lifting addresses eyebrow position and loose or wrinkled forehead skin and underlying tissue. To fully understand the benefits of eyebrow and forehead lifting, one must be aware of the importance of the position of the eyebrows. Eyebrow position changes as we age. Our natural eyebrow position, the effects of gravity and fat…

Facial Fillers

Facial fillers are substances injected beneath the skin to help smooth fine lines and boost facial volume. Also known as dermal fillers, these injections are in-office procedures that are minimally invasive alternatives to cosmetic surgery. Patients often undergo facial filler injections to achieve a more youthful appearance with as little down time as possible. Fillers…

Midface Lift

As we age, gravity and fat deflation rob us of facial fullness. One area in which these effects can be seen is the midface area. The midface is the area from the lower eyelids to the nasolabial folds, which are the lines from the nose to the corner of the mouth. Over time, the midface…

Botox Cosmetic

Laughter, sadness, anger and surprise – An individual’s face shows the full range of human emotion. And a lifetime of emotions means facial muscles have been put to the test — leading to wrinkles, crow’s feet and laugh lines. All of these signs of emotion can leave a person looking older than his/her years. Thanks…

Restylane®

Approved for the treatment of facial wrinkles and folds! Finally, there is an answer to those lines and wrinkles on the face that is lasting and does not require testing prior to use. Unlike bovine collagen products, Restylane® is composed of a naturally occurring substance (hyaluronic acid) that is found in the human body. The…

Juvederm

From the creators of Botox® Cosmetic, JUVEDERM® Injectable Gel was designed to restore the youthful skin that has been diminished by age and other skin changes. The injectable gel filler, is a “next generation” dermal filler that has been FDA approved. JUVEDERM® Injectable Gel is made of hyaluronic acid, a naturally occurring substance in your…

Orbital Surgery

The orbit is the boney socket in your skull that contains and houses the eye and all the associated structures that support the function of the eye like muscles, nerves and blood vessels. The eye and these other structures are surrounded by fat which acts as cushion to protect the eye as we run around…

Eyelid Surgery

The eyelids are small but delicate structures integral to protecting and maintaining the health of the eye. A variety of problems can involve the eyelids and oculo-facial plastic surgeons are quite skilled in addressing these issues as they arise. As we age, the skin thins out, tissue stretches and sags and the soft tissue looses…

Tear System

The tear film on the surface of the eye is a critical component of maintaining vision. Tears nourish and lubricate the surface of the eye as well as wash away debris. A smooth, balanced tear film (consisting of water, oil and mucus) also allows light to enter the eye in an optimal fashion. If there…

Congenital/Pediatric

Pediatric Oculoplastic Surgery Children are wonderful joys in our lives and have a unique perspective of the world. Unfortunately they are not immune from medical disease and therefore often need expert care. Specifically, children can be burdened with problems of the eyelid, tear drain system and eye socket such as a traumatic injury, a tumor…

Ptosis Surgery

Ptosis (pronounced “toe-sis”) is the medical term for drooping of the upper eyelid(s). This lowering of the upper eyelid margin may cause a reduction in the field of vision when the eyelid either partially or completely obstructs the pupil. Patients with ptosis often have20difficulty keeping their eyelids open. To compensate, they will often arch their…

Ectropion

Ectropion means that the lower eyelid is “rolled out” away from the eye, or is sagging away from the eye. The sagging lower eyelid leaves the eye exposed and dry. If ectropion is not treated, the condition can lead to chronic tearing, eye irritation, redness, pain, a gritty feeling, crusting of the eyelid, mucous discharge,…

Entropion

Entropion is a condition in which the eyelid is rolled inward toward the eye. It can occur as a result of advancing age and weakening of certain eyelid muscles. Entropion may also occur as a result of trauma, scarring, or previous surgeries. Entropion may also occur in children. This is discussed in more detail in…

Eyelid Reconstruction

Eyelid reconstruction may be undertaken in a variety of situations. Defects in the eyelid may arise form a variety of situations, but most commonly after trauma or tumor excision. These topics are covered in greater detail in other sections, but a brief overview is warranted here. Simple superficial defects in the eyelid may occur after…

Dacryocystorhinostomy DCR

WHAT IS DCR? DCR, or dacryocystorhinostomy, is a surgery performed to create a new tear drain between the eye and nose when your current tear drain becomes blocked or obstructed. What is the anatomy? The tear drain consists of two small openings called punctum; one in your upper eyelid and the other in your lower…

Orbital Trauma

In the United States, injuries to the eyes and eye socket are unfortunately common place. Eyelid laceration, tear drain injuries, bleeding within and bruising around the eye, and fractures of the bones of the eye socket can all occur. These injuries often occur from sporting activities like baseball, soccer or football. In addition car accidents…

Tumors

Orbital Tumors & Infections Orbital infection, or Orbital cellulitis, is an aggressive sight, and even life, threatening process. Usually arising secondarily from an adjacent sinus infection, this situation must be treated swiftly and aggressively with antibiotics and often surgery. Close follow up and monitoring is required to treat these infections, but is typically successful. Of…

Thyroid Orbitopathy (Graves’ Disease)

Thyroid orbitopathy (also known as Graves’ Disease) is an autoimmune inflammatory disorder of uncertain etiology that affects the tissues of the orbit (i.e. eyelids, extraocular muscles and other soft tissues surrounding the eyes). Patients with this disorder often have an associated thyroid abnormality which may manifest either before, during or after the orbital signs and…

Enucleation/Evisceration

What are enucleation and evisceration? Enucleation is the surgical removal of the entire eye. Evisceration is the surgical removal of the contents of the eye, leaving the white part of the eye and the eye muscles intact. Why is enucleation or evisceration necessary? Removal of an eye may be required following a severe injury, to…

Eyelid/Facial Skin Cancer

Eyelid Tumors The eyelid skin is the thinnest and most sensitive skin on your body. As a result, this is often the first area on your face to show change from sun damage and aging. Unfortunately, sun damage and other environmental toxins not only cause the skin to age but can cause serious damage. Skin…

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