Oculoplastic, Orbital and Reconstructive Surgery

Oculoplastic and reconstructive surgery focuses on the eyelids, eye sockets and tear duct drainage system.

Oculoplastic and reconstructive surgeons such as Dr. Jonathan Tsai of the Scott & White Eye Institute are trained to repair complex eyelid lacerations, droopy eyelids, and reconstruction following removal of malignant cancers. Droopy eyelids (ptosis) are the most common of these conditions.


Droopy eyelids usually result from normal aging. Loose skin may accumulate on the eyelids or the levator muscle (which lifts the lids) may stretch — causing droopy eyelids.

Treatment/After Care

Surgery is the answer for drooping eyelids: “Most often we make an incision through the eyelid crease, then remove any excess skin or fatty tissue,” says Dr. Tsai. “If there is droopiness from levator muscle stretch, we tighten or shorten that muscle and reattach it to raise the lid(s).”

The eyelids may be bruised for approximately two weeks following surgery. Patients are directed to use prescription eye ointment and return in two weeks — then in two to four months — after surgery for evaluation. “Following that, I encourage my patients to see their ophthalmologists or optometrists regularly,” says Dr. Tsai.

Multiple Services

“We offer centralized services here at Scott & White,” says Dr. Tsai. “We’re a one-stop shop. Patients from Central Texas, or anywhere, can come to have multiple eye problems addressed by multiple-care specialists. Significantly, patients wanting to visit Scott & White Eye Institute will not have to wait long for a consultation.”

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Glen O. Brindley
Jonathan H. Tsai