Oculoplastic Treatments in Sioux Falls, SD

Our team specializes in plastic surgery of the periorbital and facial tissues, often referred to as eyelid surgery.

Dr. Tendler is experienced in a wide variety of eyelid and other elective aesthetic procedures through both ART Vision and ARTisan Skin and Laser Center that are designed to help you see your best and feel confident.

 
 
 

 

Ptosis Repair

Droopy Eyelid Correction

Ptosis repair surgery raises the height of a droopy eyelid. A heavy lid is most commonly caused by weakened or stretched muscles of the upper eyelid.

  • The drooping of the upper eyelid on one or both eyes is called ptosis and is caused by weakness and/or stretching of the muscles and structures within the eyelid. This is most commonly caused by aging, but could develop after an injury, or due to genetics. No matter the cause, ART Vision and Dr. Alison R. Tendler can help treat the condition with a surgical procedure that repairs the stretched muscle or tendon. As a board-certified ophthalmologist, Dr. Tendler is highly skilled in the performance of oculoplastic procedures, such as ptosis repair, which is often combined with eyelid surgery (blepharoplasty). This procedure can produce results that not only improve function of the eyelid and visual lifestyle, but can also help patients appear more refreshed and youthful. To learn more about the benefits of ptosis repair, schedule a consultation with Dr. Tendler at our Sioux Falls, SD facility today.

  • Those most likely to benefit from ptosis repair have drooping eyelids that may cause them difficulty keeping their eyes open, affecting their field of vision. Patients should be in overall good health, with conditions such as thyroid and diabetic diseases well managed. Surgery is best performed on those who are non-smokers as well as patients who are not on blood thinning medications (or who can safely stop them). Men and women who wish to have this addressed by a skilled surgeon should schedule a consultation at ART Vision with Dr. Tendler to find out if the surgery is an ideal solution for them, and to discuss realistic goals and expectations. She may also discuss other non-invasive and non-surgical aesthetic options that can either be performed at the same time as surgery or during a visit to ARTisan Skin and Laser Center to help maximize and improve upon your view of yourself.

  • The procedure technique used to complete a ptosis repair surgery is often combined with a blepharoplasty but can be done as a stand alone procedure. It is performed using local anesthesia and will be combined with mild sedation for optimal comfort. Your incisions will either be placed on the upper eyelid, hidden in a natural lid fold, or be placed on the back side of your eyelid. Through these small incisions, Dr. Tendler will reposition the muscles and/or cartilage of the eyelid before closing the incisions.

  • It is recommended that you begin using cold compresses immediately after surgery to help keep swelling and bruising at bay. Most people have minimal discomfort but can experience blurry and fluctuating vision, foreign body sensation, and dryness. This gets better quickly. Depending upon your healing progress, you can plan to return to work or drive in a matter of days. Dr. Tendler also recommends patients refrain from exercise or vigorous activity during the recovery period. Your follow-up appointment will be between 10-14 days after surgery and this visit is important so our team can ensure you are healing properly. Patients often note an immediate improvement in their visual field, as well as results that help them feel more confident, while still looking natural.

  • Drooping eyelids can be challenging and cause unnecessary self-confidence issues, as well as difficulty seeing the world around you. But Dr. Tendler and the team at ART Vision can help you feel better and see with more clarity using carefully performed oculoplastic techniques at our Sioux Falls, SD facility. During your consultation, learn what options will be best for you to achieve your visual goals, which may include ptosis repair. We look forward to meeting you and providing you with the results you deserve to live the life that you want so you can See the World Better and See yourself Better.

    Call us at 605.306.2020 / Schedule an appointment

Blepharoplasty

Eyelid Lift

Blepharoplasty is a surgical procedure used to remove heavy skin along the upper and/or lower eyelids. Excess skin is reduced to improve both appearance and function.

  • Blepharoplasty is one of the most commonly performed eyelid surgeries. It addresses hanging, loose, or excess skin that surrounds the eyes that can make you appear much older than you are, or can obstruct the view of the world around you. Dr. Alison R. Tendler of ART Vision is an ophthalmologist who is skilled in the performance of oculoplastic procedures to help you see, feel, and look better. Blepharoplasty produces an awakened appearance and can even address medical conditions, such as blepharochalasis and dermatochalasis, which can cause sagging and/or bulging around the eyelids. Eyelid surgery is an ideal option for any person who is suffering from a buildup of excess skin around the eyes, especially those whose functionality is affected by the condition. Read more about this procedure and then contact our Sioux Falls, SD facility to schedule your consultation with Dr. Tendler.

  • Blepharoplasty is performed on men and women who have excess folding of skin around the upper and/or lower eyelid, creating an aged appearance and possibly obstructing their vision. Eyelid surgery can also address under-eye bags and other functional issues that may prevent a patient from seeing in the mirror what they feel inside. Patients should be in overall good health, with conditions such as thyroid and diabetic diseases well-managed. Surgery is best performed on those who are non-smokers as well as patients who are not on blood thinning medications (or who can safely stop them). ART Vision looks forward to helping patients begin their surgery planning with a consultation to discuss realistic goals and expectations with Dr. Tendler. She will also discuss other non-invasive and non-surgical aesthetic options that can either be performed at the same time as surgery or during a visit to ARTisan Skin and Laser Center to help maximize and improve upon your view of yourself.

  • Prior to your surgery, an ART Vision team member will discuss post-operative instructions and any restrictions. Dr. Tendler will carefully mark any excess skin to be removed, as indicated by your pre-surgical consultation plan that was created for you. Anesthesia will be administered. You will be awake, but comfortable and able to breathe on your own throughout the procedure. During the surgery, Dr. Tendler will carefully remove bulging, folding, loose skin from around the eyes, using discreetly created incisions. Depending on your needs, the surgery may be performed on the top of the eyelid, the bottom eyelid, or both. Following surgery, cold compresses will be placed on your eyes for approximately 20 minutes while you relax and recover in a recliner. Vision may be blurry when you leave, but most patients have little discomfort.

  • Patients should adhere to the provided aftercare instructions and attend each scheduled visit so that our team can monitor your recovery. You are encouraged to use cold compresses frequently for any discomfort and to decrease swelling and bruising, which can last for up to 10-14 days and differ for each patient. Most people have minimal discomfort but can experience blurry and fluctuating vision, foreign body sensation, and dryness. This gets better quickly. Depending upon your healing progress, you can plan to return to work or drive in a matter of days. As long as everything is going as planned, there is typically only one required visit to ART Vision approximately 10 days after your surgery. Suture removal will be performed, if needed, and your healing evaluated. Patients often note an immediate improvement in their visual field, as well as results that help them feel more confident, while still looking natural.

  • If you are a man or woman in the Sioux Falls, SD area who is displeased with how the excess skin and tissue around your eyes looks or you feel you are suffering from impaired vision, we invite you to contact ART Vision to learn more about blepharoplasty options. Our skilled team, led by Dr. Alison R. Tendler, is experienced in a vast array of eyelid and other elective aesthetic procedures through ARTisan Skin and Laser Center that are designed to help you see well and feel confident. Contact us today to schedule a consultation so we can start you on your journey to See the World Better and See Yourself Better.

    Call us at 605.306.2020 / Schedule an appointment

Entropion & Ectropion Repair

Eyelids Turned Inward/Outward

Eyelids that are turned inward (entropion) or outward (ectropion) may cause irritation and/or tearing. Surgical and nonsurgical methods can help.

  • Entropion and ectropion are eyelid conditions that affect your lower lids, impacting your overall eye health, vision, and comfort. Entropion tends to more bothersome as it affects the lower eyelid and leads it to turn inward toward the surface of the eye, causing the eyelashes and lid to rub against the eye. This may lead to chronic red eyes, irritation, and the overproduction of tears. Although an ectropion is much more common, it progresses more slowly over time, and therefore seems less bothersome. This does not mean it is less of an issue! Ectropion causes the lower eyelid to slowly pull down or turn outward, which can expose too much of the eye surface, leading to symptoms of dry eye, excessive tear production, and redness. Patients often report a constant burning sensation associated with ectropion.

    When your eyelids curl inward or outward, your eyes can become irritated, inflamed, and painful. Dr. Alison R. Tendler, a board-certified ophthalmologist and the medical director at ART Vision in Sioux Falls, SD, is skilled in the treatment of entropion and ectropion. She offers effective treatment options that will help you improve your lifestyle while correcting the underlying cause of your discomfort. Learn more about these eyelid conditions below, then contact our helpful team to schedule your consultation.

  • You may consider scheduling an appointment for a consultation with Dr. Tendler if you are experiencing these symptoms:

    • Inflammation or redness of the eye

    • Burning sensation

    • Excessive tearing

    • Dry eye symptoms

    • The irregular inward or outward curvature of the eyelids

  • Entropion and ectropion are most commonly caused by aging. As we age, our muscles can weaken, becoming stretched or loose, and lead to the unnatural inward or outward curvature responsible for these conditions. Other common causes are medical conditions (such as Bell's palsy), as well as infection, injury, and eye surgeries. Sleep apnea is also a common culprit. The conditions are most common in older populations, especially in those who also suffer from excess skin around the eyes and drooping eyelids.

  • After a thorough examination, Dr. Alison R. Tendler will create a treatment plan, which may include eye drops, ointment, or at home therapy to relieve pain and discomfort. Surgical oculoplastic repair of the condition will also be discussed. Using a minimally invasive surgical technique, Dr. Tendler will gently reshape your eyelid during an outpatient procedure that typically takes less than 30 minutes. Local anesthetic and mild sedation are provided to maximize your comfort.

    Cold compresses are used immediately after surgery to help with swelling and bruising. Detailed home instructions will be provided. Most people have minimal discomfort but can experience blurry and fluctuating vision, foreign body sensation, and dryness. This gets better quickly. Depending upon your healing progress, you can plan to return to work or drive in a matter of days. All stitches are dissolvable but you will need to return to our facility for your follow-up visits to ensure adequate healing and improvement of symptoms.

  • At ART Vision, we strive to provide you with the care and relief you need. We offer effective solutions for many of your vision and oculoplastic needs and can help you achieve the relief you need and desire. For more information about entropion and ectropion conditions, or the surgical method used to treat them, contact ART Vision to schedule your consultation at our Sioux Falls, SD facility. We look forward to meeting you so you can begin to See the World Better and See Yourself Better.

    Call us at 605.306.2020 / Schedule an appointment

 
 

Eyelid Conditions

Minor Surgeries For Treatment

Dr. Tendler is skilled in performing minor surgery to treat multiple eyelid conditions including chalazion (stye), lumps/bumps, trichiasis, and excess tearing.

  • At ART Vision in Sioux Falls, SD, we are dedicated to providing comprehensive care for your eyes on the inside and out. If you are suffering from an eyelid condition that has led to lumps and bumps on your eyes, causes irritation, or creates excessive tearing (epiphora), Dr. Alison R. Tendler, a board-certified ophthalmologist, and her dedicated team are equipped to treat your condition with an effective procedure that will have you feeling and looking better. Lesions around the eyes are typically noncancerous but may obstruct your line of sight, affect your vision, or cause mild irritation and discomfort. Excessive tearing is not only bothersome, it can create irritation and decrease your vision. If any of these symptoms are something that you are experiencing, we would be glad to introduce you to the team at ART Vision who can diagnose your condition and create a treatment plan.

  • Dr. Tendler is experienced in the treatment of many eyelid conditions. Some of the most commonly seen lesions are listed below.

    Chalazion – A lump that grows slowly and is caused by the blockage and/or swelling of an oil gland. Over time, the bump may grow as large as the size of a pea. This is often a sign of another condition related to Dry Eye, or meibomian gland dysfunction (MGD). They may cause a temporary change in vision, inflammation and redness, discomfort when blinking and a lack of self-confidence.

    Styes – Similar to a chalazion, these are small red lesions that form along the eyelid, close to the lashes and sometimes inside or under the eyelid. While they are typically not serious, they can be uncomfortable and irritating.

    Benign Skin Growths - There are multiple common yet unwanted growths that can occur around the eyelids and lashes. Types of benign skin lesions may include skin tags, nevi/mole, papilloma/wart, and cysts. These typically are more bothersome for your self-confidence than concerning, but having an evaluation with Dr. Tendler and her team at ART Vision can help diagnose your eyelid condition and decide on treatment options to provide you relief.

    Trichiasis - Although uncommon, this condition occurs when the eyelashes are turned inward toward the eye, which can create irritation, redness, and tearing. A constant foreign body sensation, or scratching, is often noted every time you blink.

    Excessive Tearing (Epiphora) - Excessive tearing has multiple causes, the most common being dry eye, or ocular surface disease. Other reasons for an overproduction of tears include abnormalities in eyelid position, extra conjunctiva, and a blocked tear drainage system. At ART Vision, we know this can not only be physically bothersome, this can create lifestyle concerns and decrease your self-confidence. Dr. Tendler and her team look forward to helping you diagnose the reason for your excess tearing, and come up with a treatment plan for relief.

  • Patients who make the best candidates for the treatment of an eyelid conditions are men and women whose vision or comfort is affected by a lump or bump near their eye, or are experiencing symptoms of irritation or vision concerns. Dr. Tendler may also recommend treatment if your self-confidence is affected by the condition. ART Vision strives to protect your vision, as well as your overall health. Therefore, if we believe that treatment is not in your best interest, we may recommend other treatment options. During your consultation, a member of our team will assess your eyelid condition and discuss your medical history. After this information is attained, Dr. Tendler will be prepared to recommend a course of action.

  • For eyelid lesions, minor surgical removal is often the best way to address them, but sometimes at home treatments can also be beneficial including warm compresses, eyelid cleansing, and prescription medications. Depending on the location and associated symptoms, Dr. Tendler or a member of her team may address the lesions by excision (removal) or drainage. In most cases, stitches are not necessary, and scarring is often not an issue with proper home care.

    Although trichiasis can be treated with epilation, or direct removal, of the lashes, a more permanent option is often sought. Selective lash destruction, or electrolysis, can be performed with an in-office treatment while keeping the normal lashes and eyelid anatomy intact.

    Due to the many causes of excessive tearing, or epiphora, there are several treatment options that can be discussed. Once Dr. Tendler has carefully evaluated your condition, she will determine which options she feels are best to help improve your symptoms and move you toward feeling your best.

  • If an eyelid lesion is surgically removed, antibiotic ointment or eye drops are often prescribed to protect the incision against potential infection and improve post-operative healing. Full healing often occurs within 1 week of the procedure. For all eye lid conditions discussed above, patients are able to return to their daily activities immediately after the procedure as they feel able.

  • Most individuals will experience at least one condition involving an unwanted eyelid "lump or bump" in their life, and in most cases they do not require treatment or special attention. But when you suffer from an eyelid condition that affects your vision, creates irritation, excessive tearing or impacts your self-confidence, ART Vision is here to help. Schedule a consultation today at our Sioux Falls, SD facility if you have an eyelid condition that is affecting your lifestyle, and Dr. Tendler will be glad to create a treatment plan that helps you confidently See the World Better and See Yourself Better.

    Call us at 605.306.2020 / Schedule an appointment

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 *Individual results are not guaranteed and may vary from person to person. Images may contain models.