At Michigan Oculofacial Specialists, we provide a full spectrum of oculofacial surgery procedures focused on the upper face and eyes. Our highly trained surgeons specialize in cosmetic, reconstructive, and functional care—offering advanced techniques for conditions that affect appearance, vision, and comfort.
Whether you’re looking to rejuvenate tired eyes, correct a structural issue, or address a medical concern, we’re here to help with safe, precise, and compassionate care.
Cosmetic Oculofacial Surgery
Cosmetic oculofacial surgery helps refine the appearance of the upper face. These treatments target loose skin, puffiness, and drooping.
Upper Eyelid Lift (Blepharoplasty)
Heavy or sagging upper eyelids can age your face and block your vision. This procedure trims extra skin and removes or repositions fat. The incision sits in your eyelid’s crease, making it barely noticeable once healed.
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AfterLower Eyelid Lift (Blepharoplasty)
Tired of under-eye bags? This lift smooths the lower lids by adjusting fat pads and tightening skin. It helps reduce puffiness and gives a softer, well-rested appearance.
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AfterBrow Lift / Forehead Lift
A low or drooping brow can weigh down your eyes and make you look serious or worn out. This procedure raises the browline and smooths forehead lines. It also helps improve the shape and visibility of the upper eyelids.
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AfterDroopy Upper Eyelids (Ptosis Repair)
Ptosis is a muscle issue, not just skin. If your eyelid sits too low, this procedure works on the levator muscle that lifts it. It can fix the droop and restore your natural eye shape—while also improving sight in more severe cases.
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AfterLaser Skin Resurfacing (Laser Peel)
Laser energy helps treat fine lines, sun damage, and uneven skin near the eyes or forehead. It works by heating the skin’s surface to spark new collagen growth. Over time, this leaves the area smoother, brighter, and firmer.
Non-Surgical Rejuvenation
Some patients want visible change without surgery. These treatments work well for smoothing lines, restoring volume, and brightening skin tone—with minimal downtime.
Botox®
Botox relaxes overactive facial muscles. It targets frown lines, forehead creases, and crow’s feet. This results in a softer expression and a smoother upper face.
Facial Fillers (Juvederm®, Restylane®, Voluma®)
Fillers help restore fullness in areas that look hollow or creased. They’re often used around the cheeks, mouth, and under the eyes. In just one session, your face can look plumper and more refreshed.
Latisse® Eyelash Enhancer
Short lashes? This prescription treatment encourages natural growth. With regular use, lashes grow longer, thicker, and darker.
Intense Pulsed Light (IPL) Therapy
IPL uses light energy to reduce redness, sun damage, and dark spots. It targets pigment without harming the surface of your skin. After a few sessions, the skin looks clearer and more even-toned.
Functional Surgery
These oculofacial surgery procedures help fix eyelid and eye-area issues that interfere with daily life. Some affect vision. Others cause irritation, discomfort, or cosmetic changes. We treat both the symptoms and the underlying cause.
Congenital Conditions
Some people are born with eyelid or tear duct problems. These may include ptosis, malformed eyelids, or orbital abnormalities. Early treatment can help improve eye function and appearance.
Functional Ptosis Repair
This procedure lifts a drooping upper eyelid that blocks part of your vision. The issue is often caused by a stretched or weakened muscle. Fixing it restores the lid’s position and widens your visual field.
Before
AfterEyelid and Facial Spasms (Blepharospasm)
Spasms can cause frequent blinking or twitching around one or both eyes. Over time, this may disrupt vision or cause discomfort. Botox is often used to ease these muscle movements and calm the area.
Eyelid Lesions
Lumps and bumps near the eyelids are common. Some can be left alone, while others may need removal or a biopsy. Most procedures are done in-office with minimal downtime.
Eyelid Malpositions
When the eyelid turns inward (entropion) or outward (ectropion), it can scratch or dry the eye. Surgery corrects the lid’s position to protect the eye and relieve symptoms. In some cases, no stitches are even needed.
Ingrown Eyelashes (Trichiasis)
Eyelashes growing toward the eye can cause pain, tearing, and even infection. Treatment may involve removing the lashes or adjusting the eyelid shape. Relief is often immediate.
Orbital Tumors
Tumors behind or around the eye may cause pressure, bulging, or pain. These masses vary in size and behavior. Imaging and, in some cases, surgery are needed to manage them properly.
Thyroid Eye Disease
This condition often causes swelling, bulging eyes, and lid retraction. It’s linked to thyroid problems like Graves’ disease. Treatment helps improve comfort, vision, and appearance.
Tearing Problems
Watery eyes can be caused by blocked tear ducts or eyelid shape. Both kids and adults may develop this issue. Treatment options range from eye drops to tear duct surgery.
Upper Eyelid Functional Blepharoplasty
This is performed when heavy eyelid skin reduces your field of vision. Removing excess tissue can restore clarity and ease eye fatigue. It’s often covered by insurance when medically necessary.
Reconstructive Procedures
These oculofacial surgery procedures help repair damage caused by trauma, tumors, or long-term eye disease. The focus is on restoring both function and facial balance. In many cases, comfort improves, too.
Loss or Deformity of the Globe
In severe cases of pain, vision loss, or deformity, the eyeball may need to be removed. Procedures like enucleation or evisceration treat the condition while preserving facial symmetry. Ocular implants are placed to support appearance and comfort.
Scarring and Eyelid Retraction
Scarring from burns, surgery, or cancer treatment can pull the eyelids into awkward positions. This can cause irritation, dryness, or even vision problems. Reconstruction restores a more natural shape and protects the eye.
Facial and Eyelid Trauma Repair
Accidents can affect the bones and soft tissue around the eye. Surgery may involve repositioning fractured bones, closing wounds, or reshaping the eyelids. The goal is to bring back both structure and function.
Tumor Removal and Reconstruction
Some eyelid tumors are cancerous and require complete removal. Reconstruction may happen immediately or in stages, depending on the size and location. Mohs surgery or a team-based hospital approach may be recommended for complex cases.
Why Choose Michigan Oculofacial Specialists?
Oculofacial surgery calls for precise knowledge of both facial anatomy and eye function. That’s our specialty. At Michigan Oculofacial Specialists, every procedure we perform centers on the upper face and eye region.
Dr. Lawrence Handler, Dr. Zachary Pearce, and Dr. William Ehrlich have years of focused experience treating conditions affecting the eyelids, tear ducts, orbit, and surrounding areas. Whether the concern is medical, cosmetic, or both, patients receive care that reflects specialized training and surgical precision.
We take the time to explain your options clearly, offer recommendations based on your goals, and confidently guide you through the next steps.
FAQs About Oculofacial Surgery
Schedule a Consultation at Michigan Oculofacial Specialist
Doctors Lawrence Handler, MD, William Ehrlich, M.D., FAACS, FAAO & Zachary Pearce, DO, proudly offer expert surgical and nonsurgical oculofacial treatments in Detroit. At Michigan Oculofacial Specialists, every procedure is carefully planned and performed with the highest regard for patient safety and satisfaction. To learn more about your treatment options or to schedule a consultation with one of our specialists, please contact our office today.