When it comes to cosmetic and medical procedures for the eye area and upper face, it is essential to choose a qualified surgeon to perform your treatment. With their extensive training and refined surgical techniques, the Ophthalmic Plastic and Reconstructive surgeons at Michigan Oculofacial Specialists have earned recognition as top providers of oculofacial procedures in Detroit, including:


Cosmetic Procedures

Droopy Upper Eyelids (Ptosis)

Droopy Upper Eyelid or Ptosis is a condition where the upper eyelid is sagging and which is caused by a weakness of the eyelid muscle. This may be separate from excess upper eyelid skin.
View Before/After images.

Eyebrow Lift or Forehead Lift

The Eyebrow Lift or Forehead Lift repositions a lower, sagging eyebrow. This can help create a more alert and youthful appearance. The Eyebrow/Forehead repositioning will assist in creating an improved upper eyelid appearance. Learn More
View Before/After images.

Laser Skin Resurfacing or Laser Peel

Laser Skin Resurfacing, also known as Laser Peeling or Laser Abrasion, are procedures that use a concentrated light beam that precisely heats the skin to reduce lines and wrinkles around the eyes, forehead, and face. Laser Skin Resurfacing causes the treated skin to be smoother, with an improved complexion. Learn More

Lower Eyelid Lift or Blepharoplasty

The Lower Eyelid Cosmetic Lift removes or repositions fat that creates a puffy, baggy, or saggy look under the eyes. Skin excess, wrinkling, and options for improvement are also discussed. Learn More
View Before/After images.

Upper Eyelid Lift or Blepharoplasty

The Upper Eyelid Cosmetic Lift removes excess skin and repositions or removes fatty tissue that causes a tired look. This is usually performed within the naturally occurring eyelid crease in order to best hide the surgical incision. Learn More
View Before/After images.

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Non-Surgical Rejuvenation



Prescription medicine products are used to improve the look of frown lines in the eyebrows and forehead. They are also used to reduce “crows feet” or smile lines, as well as other muscles around the lower face and mouth. Learn More

Facial Or Wrinkle Fillers – Juvederm, Restylane, Voluma

These products help restore volume and fullness to the skin and are used to correct facial wrinkles and folds.

Latisse Eyelash Enhancer

A topical prescription product used to create darker and thicker eyelashes.

Skin Care Line

We offer a non-prescription skincare line. These products are used both for our laser resurfacing procedures, as well as for a daily skin regimen.

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Functional Procedures



This is a condition that exists from birth. It may be the result of genetics or birth-related issues. This can result in tearing, droopy eyelids, orbital disorders, and eyelid deformities.

Droopy Upper Eyelids (Ptosis)

The Upper Eyelid Cosmetic Lift removes excess skin and repositions or removes fatty tissue that causes a tired look. Depending on the degree of droopiness (ptosis) this may result in significant or functional peripheral visual problems.
View Before/After images.

Eyelid and Facial Spasms (Blepharospasm)

This is a condition where there is frequent blinking or involuntary spasms of either both sides or one side of the face. Eyelid and facial spasms can cause loss of vision because of the increased blink rate, eye irritations, and eyebrow spasms. Frequently, Botox is used to treat abnormal spasms.

Eyelid Lesions

Various “lumps” and “bumps” can be found on and around the eyelids, eyebrows, and face. Consultation is needed to determine if this requires removal, partial removal, or biopsy or if it can be observed. When removal or biopsy is needed the specimen will be sent to the laboratory to determine if the lesion is benign or malignant.

Benign lesions can usually be observed or simply removed. Malignant lesions usually require additional treatment, which will be discussed with the patient in detail.

The majority of the eyelid, eyebrow and facial lesions can be removed or biopsied in an office setting. Most office-based excisions can be performed without anesthesia, stitches, or patches.

Eyelid Malpositions

This would include eyelids that turn out (ectropion) or turn in (entropion) or lid malpositions that create asymmetry.

Ingrown Eyelashes (Trichiasis)

This condition can be either from lashes growing in the wrong direction or from the eyelids being in a poor position. This can cause chronic eye irritation, discharge, and possibly infection. Treatment can include permanent removal of abnormal eyelashes or correction of the eyelid malposition.

Orbital Tumors

The orbit is the bony socket that contains the eyeball. Orbital tumors are abnormalities within the bony socket, but outside of the eye.

Thyroid-Related Eye Problems

Patients can have hyper or hypo thyroid conditions which can cause swelling of the eyelids and bulging of the eyes. Eyelid retraction and prominent eyes can cause a variety of both functional and cosmetic issues.

Tearing Problems

Both children and adults can have excess tearing in one or both eyes. The causes may include both eyelid and problems with the tear duct drainage system. Treatment may involve non-surgical and surgical solutions.

Upper Eyelid Functional Blepharoplasty

The Upper Eyelid Functional Blepharoplasty removes excess skin that is causing peripheral vision loss.

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Reconstructive Procedures

View Before/After images.

Loss or Deformity of the Globe (or Eyeball)

In cases where there is a loss of vision and a deformity of the globe, or chronic eye pain, this can necessitate the removal of the globe or globe contents. Considerations for both function and cosmetics are important considerations to discuss with the patient. Procedures in this category could include enucleation, evisceration, and ocular and orbital implants.

Scarring (Retraction)

There are many causes of eyelid scarring including prior cancer removal or treatment, trauma, burn, and from prior surgery. The result can cause an abnormal position of the eyelids, eyebrows, and periorbital structure. This can result in reduced or loss of vision, tearing, eye irritation, and eyelash touch to the eye.


Trauma can result in injuries of the globe (eyeball) or the surrounding facial structures including the bones and soft tissue. Treatment could include fracture repair and or soft tissue repair and reconstruction.


When a lid mass is determined to be cancerous, most are treated by complete removal and repair. Some can be removed and repaired in one procedure. Other patients need a more comprehensive approach which could include the “Mohs” technique or a hospital-based multidisciplinary clinic.
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How Much Will My Oculofacial Procedure Cost?

The price of your treatment will depend on the specific condition(s) being treated and the techniques required to achieve the best outcome. You will meet with one of our specialists for a consultation, so we can determine the optimal treatment approach for you. Once your personalized treatment plan has been created, the details of your procedure, including the cost, will be reviewed with you.

Contact Our Office

Doctors Lawrence Handler, MD & Zachary Pearce, DO are proud to provide surgical and nonsurgical oculofacial procedures in Detroit. Each procedure performed at Michigan Oculofacial Specialists is meticulously planned and executed with the utmost concern 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 to schedule a consultation.

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The American Academy of Ophthalmology Michigan Society of Eye Physicians & Surgeons American Medical Association American Academy of Cosmetic Surgery ASOPRS Michigan State Medical Society