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Conditions Treated by an Oculofacial Plastic Surgeon
IN SAN DIEGO
At Oculofacial Surgical Arts in Del Mar, we specialize exclusively in cosmetic and reconstructive surgery of the eyelids, brows, and surrounding facial areas. Many patients come to us because of concerns around their eyes that affect both appearance and function. Below, you’ll find common conditions patients seek treatment for, along with modern surgical and non-surgical solutions.
Dark circles can result from hollowing, pigmentation, or thin skin.
Treatment: Options may include lower eyelid blepharoplasty with fat repositioning, laser resurfacing, PRP therapy, or topical treatments depending on the cause.
Dark Circles Under the Eyes
Under-Eye Hollows (Tear Troughs)
Hollowing beneath the eyes can cast shadows that create a tired or aged appearance, even when you feel well-rested. This is often due to natural fat loss, genetics, or changes in the midface with age.
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Treatment: Lower eyelid blepharoplasty with fat repositioning can smooth and restore youthful volume and blend the eyelid–cheek junction. Unlike temporary fillers, which may lead to swelling or irregularities, surgical fat repositioning provides a long-term and often permanent improvement.
Fine lines, crow’s feet, and crepey texture often appear around the eyes because the skin here is the thinnest on the face. Sun damage, collagen loss, and repeated facial expressions (like smiling or squinting) make these changes more noticeable with age.
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Treatment: COâ‚‚ laser resurfacing precisely targets delicate eyelid skin to smooth wrinkles, tighten crepey areas, and stimulate new collagen. This treatment can be performed alone or combined with eyelid surgery for enhanced results.
Wrinkles Around the Eyes & Crepey Skin
Swelling or bulging of the midface and lower eyelids (festoons) can be difficult to treat. This may result from fluid retention, aging changes, or prior treatments.
Treatment: A detailed evaluation is performed; options include laser resurfacing, direct surgical excision, or advanced lower eyelid techniques depending on severity.
Under-Eye & Cheek Swelling (Festoons & Malar Edema)
Swelling After Under-Eye Fillers
Persistent puffiness or migration of filler under the eyes can leave patients looking worse, not better.
Treatment: Hyaluronidase (filler dissolving enzyme) followed by either surgical or non-surgical rejuvenation to restore a natural contour.
Why Choose an Oculofacial Plastic Surgeon?
Unlike general plastic surgeons, oculofacial plastic surgeons undergo fellowship training focused exclusively on the delicate anatomy of the eyelids, brows, and surrounding structures. This level of specialization ensures the highest level of precision and artistry in rejuvenating the eyes.
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View Natural Transformations
Explore our Before & After Gallery to see real patient results and understand how subtle changes can dramatically enhance the entire face.​
Disclaimer: This information is not intended to replace a medical consultation, nor does it constitute a doctor-patient relationship. Each individual’s treatment and/or results will vary, and no guarantee is stated or implied by any photo or statement used on this website. The cost of blepharoplasty varies based on individual needs, the complexity of the procedure, and other factors such as anesthesia and facility fees. The prices listed on this website are estimates and do not constitute a final quote. A personalized consultation is required to determine the exact cost based on your unique anatomy and aesthetic goals. Additionally, insurance coverage may vary depending on whether the procedure is deemed cosmetic or medically necessary. Please contact our office for further details and a customized evaluation.
Ready to Learn More?
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Your eyes are the most expressive feature of your face. If you’re experiencing any of these concerns, we invite you to request a consultation with Dr. Jean-Paul Abboud, either in person at our Del Mar, San Diego office or virtually from the comfort of your home.