Orbital Tumors
Blepharoplasty (Eyelid Surgery) FAQ
Please find a list of frequently asked questions below. If you have any additional questions, please be sure to contact our practice.
Blepharoplasty, or eyelid surgery, is a cosmetic or functional procedure to remove excess skin, fat, and muscle from the eyelids. It can enhance vision by addressing droopy eyelids or improve appearance by reducing puffiness and sagging.
You may be a good candidate if you:
- Have droopy upper eyelids that affect vision
- Experience puffiness on the upper eyelid
- Have excess skin causing a tired or aged appearance
- Are in good health and have realistic expectations
Blepharoplasty typically takes 30-45 min. It can be done in the office with local and oral sedation or with IV anesthesia in the office or hospital setting depending on the patient’s overall health.
The procedure is performed under local anesthesia with sedation or general anesthesia, so you will not feel pain during surgery. Mild discomfort, swelling, and bruising are common after surgery but can be managed with over the counter pain medication (ie. Tylenol) and cold compresses.
Most patients experience swelling and bruising for 1 to 2 weeks. You can usually return to light activities within a few days and resume normal activities within 10 to 14 days. Full healing may take several months.
Incisions are placed within the natural eyelid creases, making scars minimal and well-hidden. Over time, they fade significantly.
Results are long-lasting, often for 10-15 years or more. However, natural aging will continue, and lifestyle factors can affect longevity.
As with any surgery, risks include:
- Temporary swelling, bruising, or dry eyes
- Infection or bleeding (rare)
- Asymmetry or difficulty closing the eyes (temporary in most cases)
Dr. Rosh takes every precaution to ensure a safe and successful outcome.
Insurance may cover functional blepharoplasty if drooping eyelids impair vision. A consultation and visual field testing can determine eligibility. Cosmetic procedures are typically not covered.
You can schedule a consultation with Dr. Rosh by calling 813 303 0123.
Ptosis Repair
Ptosis, or drooping eyelids, can affect both the appearance and vision. External Levator Advancement is a surgical procedure that addresses this condition by strengthening and repositioning the muscles that lift the eyelid.
Ptosis is a condition where the upper eyelid droops due to weakness or paralysis of the muscle responsible for lifting the eyelid (the levator muscle). It can affect one or both eyes and may interfere with vision or cause an appearance of tiredness.
External Levator Advancement is a surgical procedure designed to tighten and reposition the levator muscle to improve eyelid function and restore a more youthful appearance. This approach involves making a small incision along the eyelid’s natural crease to access and adjust the levator muscle.
Blepharoplasty typically takes 30-45 min. It can be done in the office with local and oral sedation or with IV anesthesia in the office or hospital setting depending on the patient’s overall health.
You may be a good candidate if you:
✔ Have drooping eyelids that obstruct vision or make you appear tired or sad
✔ Experience difficulty keeping your eyes open or fatigue from straining your eyelids
✔ Have weakened or stretched levator muscles due to aging, injury, or congenital causes
Most patients experience swelling and bruising for 1 to 2 weeks. You can usually return to light activities within a few days and resume normal activities within 10 to 14 days. Full healing may take several months.
- Restores normal eyelid height and function
- Improves eyelid appearance and symmetry
- Reduces fatigue or strain caused by excessive eyelid drooping
- Can improve vision if the drooping eyelid is obstructing the pupil
It can be done using the same incision with an upper lid blepharoplasty
- Procedure:
- Performed under local anesthesia or mild sedation in the office or hospital depending on patient’s health history.
- A small incision is made in the natural eyelid crease
- The levator muscle is exposed, tightened, and repositioned to restore eyelid height
- Incision is closed with fine sutures that are generally not noticeable
- Duration: The procedure typically takes about an hour depending on the complexity of the ptosis.
- Swelling and bruising are common for the first 1-2 weeks, with most of the recovery happening within 2-4 weeks.
- Stitches are usually removed in 5-7 days.
- Full recovery and final results are seen in about 3-6 months as the eyelid settles into its new position.
You may experience some discomfort, swelling, and tightness around the eyes after surgery, but pain is generally minimal and manageable with prescribed pain medication.
As with any surgery, there are some potential risks, including:
- Infection
- Excessive swelling or bruising
- Asymmetry or over-correction/under-correction of eyelid height
- Dry eyes or irritation (temporary)
- Scarring (minimal, due to the incision being placed in the eyelid crease)
Dr. Rosh takes every precaution to minimize risks and ensure optimal results.
Can ptosis repair be combined with other procedures?
Yes, ptosis repair can be combined with other procedures such as:
- Upper Lid Blepharoplasty (eyelid surgery) to remove excess skin and fat
- Lower Lid Blepharoplasty ( eyelid surgery) to remove fat bags and tighten excess skin on the lower eyelid.
- Full Face or Eyelid Laser Skin Resurfacing to smooth out wrinkles and improve texture on the face.
The results of External Levator Advancement are long-lasting and can last for many years as the procedure addresses the muscle’s position and function. However, as aging continues, slight changes in the eyelid may occur.
To learn more about ptosis repair and if External Levator Advancement is right for you, call 813 303 0123 for a consultation with Dr. Rosh.
Brow Lift FAQ
A brow lift is a cosmetic procedure that restores a more youthful, refreshed appearance by lifting the eyebrows and smoothing the forehead. Dr. Rosh offers both surgical and non-surgical options for brow rejuvenation.
A brow lift, also known as a forehead lift, is a procedure that raises the eyebrows and smooths the forehead to create a more youthful and alert appearance. It addresses drooping brows, forehead wrinkles, and frown lines.
- Lifts sagging eyebrows for a more youthful look
- Smooths forehead lines and frown lines
- Improves the appearance of heavy or tired-looking eyes
- Enhances facial expression and symmetry
- Non-surgical options for minimal downtime
You may be a good candidate if you:
✔ Have sagging eyebrows or eyelids that make you appear tired or angry
✔ Are bothered by forehead lines or frown lines
✔ Are in overall good health and have realistic expectations
- Surgical Brow Lift (Pretrichial)
- Pretrichial: Incisions hidden along the hairline to lift the brows and smooth wrinkles.
- BrowPexy: Uses a lid crease incision to raise the tail end of the brow. Often used with laser assisted blepharoplasty.
- Non-Surgical Brow Lift (Injectables)
- Botox or Dysport or Jeuveau Relaxing the muscles that pull the brows down, giving the appearance of a natural lift. This can help give a minimal lift.
- Surgical Brow Lift:
- Expect 1-2 weeks of mild swelling, bruising, and discomfort.
- Most patients return to work within 7-10 days, though full recovery takes about 3-4 weeks.
- Non-Surgical Brow Lift:
- Minimal downtime with some mild swelling or bruising for a few days.
- Return to normal activities within 24-48 hours.
A surgical brow lift is performed under IV anesthesia in the office, so you’ll be comfortable throughout the procedure. You may experience some mild discomfort post-surgery, which can be managed with pain medication.
A non-surgical brow lift typically involves minimal discomfort, similar to injectable treatments like Botox.
- Surgical Brow Lift: Results are long-lasting, often for 10-15 years, depending on the individual’s aging process.
- Non-Surgical Brow Lift:
- Surgical Brow Lift: Risks are minimal but may include scarring, infection, asymmetry, or changes in sensation.
- Non-Surgical Brow Lift: Risks include bruising, swelling, or temporary asymmetry.
Yes! A brow lift can be combined with other facial procedures such as:
- Eyelid surgery (blepharoplasty)
- Skin resurfacing treatments
To learn if this procedure is right for you, schedule a consultation with Dr. Rosh by 813 303 0123.
Entropion & Ectropion FAQ
Entropion is a condition where the eyelid turns inward, causing the eyelashes and skin to rub against the eye. This can lead to irritation, redness, tearing, and potential damage to the cornea.
Ectropion occurs when the eyelid turns outward, exposing the inner eyelid. This can cause excessive tearing, dryness, irritation, and an increased risk of eye infections.
Common causes include:
- Aging – Weakening of eyelid muscles and tissues
- Scarring – From trauma, surgery, or burns
- Facial nerve paralysis – Such as Bell’s palsy
- Inflammation or chronic eye conditions
- Congenital factors – Some people are born with these conditions
What are the symptoms?
For entropion:
- Eye irritation, redness, and tearing
- Sensation of something in the eye
- Sensitivity to light and wind
- Possible corneal damage if untreated
For ectropion:
- Dry, red, irritated eyes
- Excessive tearing or mucus discharge
- Sensation of grittiness or burning
- Increased risk of eye infections
- Mild cases: Lubricating eye drops, protective ointments, or temporary taping
- Moderate to severe cases: A minor surgical procedure to restore the normal eyelid position
Surgical correction is an outpatient procedure that typically takes 30 to 60 minutes under IV or local anesthesia in the office or at the hospital. The goal is to tighten or reposition the eyelid for improved function and comfort.
- Most patients experience minimal discomfort after surgery.
- Swelling and bruising subside within 1 to 2 weeks.
- Stitches are usually removed or being to dissolve within 5 to 7 days.
- Full healing occurs within a few weeks.
As with any procedure, risks are rare but may include:
- Temporary swelling, bruising, or irritation
- Slight asymmetry (which can often be corrected)
- Infection (rare)
Dr. Rosh uses advanced techniques to minimize risks and enhance safety.
Yes, most insurance plans cover surgery if the condition affects vision or causes discomfort. Our office can assist with insurance verification. There are several procedures that can be used to improve the eyelid position, sometimes when combined specific insurance plans may not cover both at the same time although they should be done simultaneously to address the multifactorial cause of the eyelid malposition.
To learn if this procedure is right for you, schedule a consultation with Dr. Rosh by 813 303 0123.
Eyelid Biopsy - Frequently Asked Questions (FAQ)
An eyelid biopsy is a procedure in which a small sample of tissue is taken from the eyelid and sent off to be examined under a microscope. It’s often done to help diagnose skin conditions, infections, or tumors on the eyelid.
An eyelid biopsy may be recommended if you have a suspicious growth, lesion, or skin changes on your eyelid that need further investigation to determine if they are benign or malignant.
The procedure is typically done under local anesthesia, so you will not feel pain during the biopsy. You may feel some pressure or a slight pinch, but discomfort is minimal.
A small area of your eyelid is numbed with a local anesthetic, and then a small sample of tissue is carefully removed. The area is then closed with stitches, and a bandage may be applied.
The procedure usually takes around 10 to 20 minutes, depending on the complexity.
Yes, typically small stitches are used to close the wound. These are usually removed within 5 to 7 days, or may dissolve on their own.
There is typically no special preparation needed. However, you should inform Dr. Rosh of any medications you are taking, especially blood thinners, as these could affect the procedure.
You may experience some swelling, bruising, or mild discomfort around the biopsy site, which is normal. Apply ice packs and follow Dr. Rosh’s aftercare instructions for the best recovery. Hypochlorous acid which can be purchased at the office is the best way to keep the area clean and then prescription eye ointment can be used on the wound 3x a day.
The biopsy results usually take a few days to a week. Dr. Rosh will schedule a follow-up appointment to discuss the findings with you usually 7-10 days after the procedure.
Although rare, potential risks include infection, scarring, or changes in eyelid function. Dr. Rosh will ensure that the procedure is performed safely to minimize these risks.
Most patients can resume normal activities within a day or two. However, you should avoid strenuous activities or rubbing your eyes until you’ve fully healed.
There may be a small scar, but Dr. Rosh takes great care to minimize this by placing the incision in a way that blends naturally with the eyelid’s folds.
Yes, in most cases, an eyelid biopsy can be scheduled AFTER the initial office visit and performed on a different day. This ensures that risks, benefits, complications have been discussed and reviewed at the consult and medication can be sent appropriately to the pharmacy.
Laser Skin Resurfacing FAQ
BBL is a non-invasive light-based treatment that targets redness, pigmentation, and sun damage while stimulating collagen production.
Best for:
✔ Sunspots, age spots
✔ Rosacea & redness
✔ Uneven skin tone
Downtime: None – mild redness for a few hours
3-5 sessions for best results and then maintenance can be done at less frequent intervels.
A gentle fractional laser that refreshes the skin by stimulating collagen and reducing early signs of aging with little to no downtime. This laser is safe on all skin types.
Best for:
✔ Fine lines & early wrinkles
✔ Mild pigmentation & sun damage
✔ Preventative anti-aging treatment
✔ Melasma and Post Inflammatory Hyperpigmentation (PIH)
Downtime: 24-48 hours of mild redness & rough texture
3-4 sessions for optimal results
A fractional laser that precisely removes the top layers of skin, improving texture, wrinkles, and scars with faster healing than CO2 lasers.
Best for:
✔ Deeper wrinkles & lines
✔ Perioral lines
✔ Acne scars
✔ Uneven texture
Downtime: 5-7 days of redness & peeling
1-2 sessions, depending on severity
A fully ablative or fractional laser treatment that removes damaged skin layers, stimulating deep collagen remodeling for significant rejuvenation.
Best for:
✔ Deep wrinkles & severe sun damage
✔ Advanced skin laxity
✔ Acne scars & texture issues
Downtime: 7-14 days of redness, peeling & swelling
1 session for dramatic improvement often combined with Erbium
General FAQs
BBL & Moxi are well tolerated with minimal discomfort. Erbium & CO2 lasers may require numbing cream, local anesthesia, or sedation for comfort.
Results are long-lasting, but maintenance treatments & skincare can help extend benefits. Chemical peels and Hydrafacials Ò can be used to keep the laser results lasting longer by collagen stimulation and skin turnover.
Dr. Rosh customizes treatments based on your skin concerns, downtime preferences, and goals. A consultation will determine the best option for you.
To learn if this procedure is right for you, schedule a consultation with Dr. Rosh by 813 303 0123.
Lower Lid Transconjunctival Laser-Assisted Blepharoplasty FAQ
This advanced eyelid procedure improves the appearance of under-eye bags and puffiness by removing or repositioning fat through a hidden incision inside the lower eyelid (transconjunctival approach). A laser is used for precision, minimizing bleeding, bruising, and downtime.
- No visible scars and no sutures – The incision is inside the eyelid, leaving no external marks. The wound generally self seals in about 1 week.
- Reduced swelling & bruising – Laser technology minimizes trauma to surrounding tissues.
- Faster healing – Compared to traditional techniques, recovery is typically quicker.
- Natural-looking results – Preserves eyelid shape and avoids a hollowed appearance.
- Dr. Rosh usually includes lower lid C02 resurfacing as part of the procedure to improve texture changes at the same time as surgery.
Ideal candidates:
- Have under-eye bags, puffiness, or fat pockets without excess skin
- Want a scar-free, minimally invasive solution
- Have good skin elasticity
- Are in overall good health and have realistic expectations
The procedure typically takes 45 to 90 minutes, depending on individual needs.
No. It is performed under IV anesthesia with sedation in the office, ensuring comfort during the procedure. Some mild discomfort or tightness may be felt during the healing process.
- Swelling & bruising: Usually subsides within 7 to 10 days
- Return to work: Most patients resume normal activities within 5 to 7 days
- Final results: Gradual improvement over several weeks to months
No. The transconjunctival approach places the incision inside the lower eyelid, making it completely hidden.
Results are long-lasting, often for 10-15 years or more, depending on factors such as aging, skin care, and lifestyle habits.
While rare, possible risks include:
- Temporary swelling, dryness, or irritation
- Mild asymmetry
- Temporary blurry vision due to swelling
Dr. Rosh uses precise laser technology to minimize risks and enhance safety.
Yes, this procedure is often combined with:
- Skin resurfacing (laser or chemical peel) to improve fine lines and skin texture
- Filler or fat transfer to enhance volume and smooth hollow areas
- Upper eyelid blepharoplasty for full eye rejuvenation
Since it is a cosmetic procedure, it is typically not covered by insurance. However, financing options may be available.
To learn if this procedure is right for you, schedule a consultation with Dr. Rosh by 813 303 0123.
Neurotoxin FAQ (Botox, Jeuveau, Dysport)
Neurotoxin treatments are a quick, non-surgical way to reduce wrinkles and prevent signs of aging. Dr. Rosh offers Botox, Jeuveau, and Dysport, each designed to smooth fine lines while maintaining natural facial expressions.
Neurotoxins are injectable treatments that temporarily relax facial muscles, reducing the appearance of dynamic wrinkles caused by repetitive expressions.
✔ Forehead lines
✔ Frown lines (11s)
✔ Crow’s feet
✔ Bunny lines (nose wrinkles)
✔ Lip flip (subtle upper lip lift)
✔ Gummy smile
✔ Jaw slimming & TMJ relief
✔ Neck bands (platysmal bands)
✔ Excessive sweating (hyperhidrosis)
We have per unit pricing which is standard in the industry. We do offer $1 per unit for our Inner Circle Membership which is an annual membership program.
Product | Key Features | Best For | Onset Time | Duration |
Botox | The most well-known neurotoxin | Precise wrinkle smoothing | 3-7 days | 3-4 months |
Jeuveau | “Newtox” – designed for aesthetics | Fast-acting wrinkle reduction | 2-4 days | 3-4 months |
Dysport | Spreads slightly more for a softer look | Treating larger areas like the forehead | 2-3 days | 3-5 months |
Neurotoxin injections take about 10-15 minutes with no downtime.
Most patients experience only mild discomfort, like a small pinch. A numbing cream or ice can be used for sensitive areas.
- Jeuveau & Dysport: 2-4 days
- Botox: 3-7 days
Final results appear in about 10-14 days.
On average, results last 3-5 months, depending on the product and individual factors.
No. Dr. Rosh customizes each treatment for natural-looking results. You’ll look refreshed, not overdone.
Yes. Preventative Botox can help younger patients slow wrinkle formation by reducing repetitive facial movements.
Most are mild and temporary, including slight redness, swelling, or bruising at the injection site.
Neurotoxin treatments are not recommended if you:
- Are pregnant or breastfeeding
- Have certain neuromuscular disorders
- Have an allergy to botulinum toxin ingredients
Call 813 303 0123 to schedule your consultation with Dr. Rosh.
Sculptra FAQ
Sculptra is a unique injectable treatment that restores lost volume and stimulates collagen production, creating natural, long-lasting facial rejuvenation.
Sculptra is an FDA-approved poly-L-lactic acid (PLLA) injectable that works by stimulating the body’s natural collagen production. Unlike traditional fillers, it gradually restores volume over time for a more youthful, natural look.
✔ Cheeks & midface volume loss
✔ Temples
✔ Jawline definition
✔ Smile lines (nasolabial folds)
✔ Marionette lines
✔ Chin wrinkles
✔ Non-surgical buttock enhancement
Sculptra | Hyaluronic Acid Fillers (e.g., Juvederm, Restylane) |
Stimulates collagen for gradual, long-lasting results | Adds instant volume that lasts 6-12 months |
Results appear over 6-12 weeks | Immediate results |
Lasts 2+ years | Lasts 6-18 months, depending on the type |
Product | Key Features | Best For | Onset Time | Duration |
Botox | The most well-known neurotoxin | Precise wrinkle smoothing | 3-7 days | 3-4 months |
Jeuveau | “Newtox” – designed for aesthetics | Fast-acting wrinkle reduction | 2-4 days | 3-4 months |
Dysport | Spreads slightly more for a softer look | Treating larger areas like the forehead | 2-3 days | 3-5 months |
You may be a good candidate if you:
✔ Want a natural, gradual facial rejuvenation
✔ Have volume loss due to aging or weight loss
✔ Want long-lasting results (2+ years)
✔ Prefer collagen stimulation over traditional fillers
Most patients need 2-3 sessions that can spaced 4-6 weeks apart for optimal collagen production and volume restoration but a custom plan is always discussed at the consultation.
- Minimal downtime – most patients return to normal activities the same day.
- Expect mild swelling, redness, or bruising for a few days.
- Results develop gradually over several months.
Results last 2+ years as your body produces new collagen.
No. Since Sculptra builds collagen gradually, results look smooth and natural, avoiding the overfilled look that can happen with some fillers.
Yes. Sculptra is FDA-approved and has been used safely for years. Side effects are minimal and may include mild swelling, bruising, or temporary lumps that resolve with massage.
After each treatment, follow this simple massage routine:
Massage the treated area for 5 minutes, 5 times a day, for 5 days to ensure even collagen stimulation.
Call 813 303 0123 to schedule your consultation with Dr. Rosh.
Dr. Rosh Inner Circle Membership – Frequently Asked Questions (FAQ)
The Inner Circle Membership is an exclusive annual program designed for patients who want perks all year round, discounted laser skin resurfacing treatments, injectables, and savings on skincare—both in-store and online.
The Inner Circle Membership is a on time free to join. It’s our way of rewarding loyal patients with VIP savings and benefits.
As a member, you’ll receive:
✅ Discounted laser skin resurfacing treatments
✅ Special pricing on injectables (Botox, fillers, etc.)
✅ Exclusive discounts on Dr. Rosh Skin Care (both in-store and online)
✅ Early access to promotions & special events
Anyone can join. If you’re a patient of Dr. Rosh or a skincare enthusiast looking for expert treatments and products at the best value, this membership is for you.
Enrollment is quick and easy! Simply sign up in-office to activate your Inner Circle perks.
Your membership is valid for one year from the date of enrollment. You’ll have the option to renew annually to continue enjoying your benefits.
Most discounts can be stacked with other promotions, but some exclusions may apply. Be sure to check with our team for the best ways to maximize your savings. For example inner circle members can enjoy special pricing on neuromodulators (Dysport, Botox, Jeauveau), discounted laser and skin care at the same visit.
Yes. Discounts and perks are valid for the duration of your membership year, so be sure to take advantage of them before renewal time.
The Inner Circle Membership benefits are exclusive to members and non-transferable. However, we do offer gift cards so your loved ones can enjoy Dr. Rosh treatments and skincare!
Yes. Inner Circle Members receive VIP notifications about promotions, new treatments, and exclusive events before anyone else.
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