Frequently Asked Questions

An oculoplastic surgeon is an ophthalmologist that specializes in oculofacial surgery after completing additional fellowship training following ophthalmology residency. Members of the American Society of Ophthalmic Plastic and Reconstructive Surgeons (ASOPRS) are the most highly qualified oculoplastic surgeons in North America. To qualify as an ASOPRS member must have passed the American Board of Ophthalmology certification exam, as well as ASOPRS written and oral board examinations and a thesis project.

Over 200,000 patients underwent cosmetic upper eyelid surgery in 2018 according to the most recently compiled American Society of Plastic Surgeons (ASPS) data.

Typically, the difference exists in the purpose of surgery. Cosmetic surgery is performed with the primary goal of improving one’s appearance. Reconstructive surgery is performed to improve vision and the health of the eye and is often considered medically necessary.

Oculofacial surgeons take extreme care to ensure good wound healing and placing the incision in the natural creases of the body. The healing of any wound causes scar tissue. Scars do fade over time and studies have shown that scars can take up to a full year to mature and look their best.

An ophthalmic technician will do the initial work-up to better understand the purpose of your visit. On the same day, you will have a consultation with Dr. Rosh.

Dr. Rosh will prescribe the appropriate pain medications to help minimize any discomfort. In general, most oculofacial operations have minimal discomfort post-operatively.

Dr. Rosh will help to determine the most appropriate type of anesthesia to use. A majority of procedures are done under local anesthesia or monitored anesthesia care.

Neurotoxins, also known as neuromodulators, are used to reduce fine lines and wrinkles by paralyzing the underlying muscles to address dynamic wrinkles from facial animation. There are four FDA approved neurotoxins that contain the core botulinum toxin: Botox®, Xeomin®, Dysport®, and Jeaveau®. They can also be used to treat excessive sweating on the face and underarms as well. On average results can be seen in 48 hours to 7 days with peak results at about 4-6 weeks with treatments lasting about 3-4 months.

Fillers are used to address wrinkles present at rest, which can occur on the forehead, around the eyes, and mouth. The fillers I use in my practice are hyaluronic acid-based and are made from substances found naturally in the joints of the body. These fillers are injected directly into the skin at various depths keeping in mind the complex and unique facial vascular patterns to restore volume and reduce the appearance of fine and deep lines. They can be used around the eyes to improve hollowness and reduce the appearance of dark circles.

Fillers are often combined with neuromodulators to work synergistically in facial rejuvenation. There is a risk of adverse complications that can occur with filler placement, which is why qualified experts should be performing these procedures.

Dr. Rosh is excited to offer patients the most up-to-date platform for laser and light technology with the Sction Joule X. It is a multifaceted device that delivers energy for photofacials and laser skin resurfacing. Photofacials are a non-invasive technology used to improve photodamage and skin tone by delivering powerful and safe Intense Pulsed Light (IPL) with BroadBand Light™ (BBL™) filters to target skin damage. The light energy delivered by BBL™ gently heats up the upper layers of the skin and the absorbed heat targets various depths to provide regeneration while fading pigmentation and redness with the goals of providing a non-invasive way to clearer, smoother, and more vibrant skin.

The Contour Tunable Resurfacing Laser (TRL™) is a customizable erbium laser peel that can be tailored to various depths to address and erase fine lines and deep wrinkles while taking into account patient’s downtime.

Dr. Rosh makes it a priority to take care of patients as a whole. While she specializes in oculofacial surgery, it is important to listen to the entire story. Stress management, diet, and sleep are all integral in healing post-procedure and improving skin health. A medical-grade skincare routine that includes antioxidants, retinols, and moisturizers is important in providing longevity for facial rejuvenation results to reduce volume loss, sun damage, and wrinkles. In addition to providing non-invasive, minimally invasive, and invasive surgical procedures, she will discuss skincare with each patient consultation.