Medically Necessary Surgery

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Treatments performed by plastic surgeons may be divided into three major categories:

  • Medically necessary procedures (skin cancers, severe lacerations, broken bone repair)
  • Cosmetic procedures (performed to produce a more youthful and aesthetically pleasing result)
  • Procedures that do not impair a person’s ability to function, but are necessary for one to live a normal life comfortably (correction or removal of birthmarks, scars, etc.).

Dr. Biesman is an expert in eyelid and facial plastic surgery. He has treated thousands of patients and his award-winning practice delivers the highest quality care.

Note about insurance and medically necessary procedures.

Medically Necessary Services Offered:

Blepharospasm and Hemifacial Spasm

Blepharospasm and hemifacial spasm are neurologic disorders in which the eyelid and facial muscles contract and squeeze involuntarily. This can be embarrassing and even debilitating as severe spasms can prevent some patients from being able to open their eyes or use their mouth normally.
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Drooping or Sagging Eyelids

Eyelid ptosis is the medical term for drooping of the upper eyelids. In some cases, upper eyelids can droop so much that the peripheral (side) vision is impaired. Patients with ptosis often have difficulty keeping their eyelids open. In severe cases, people with ptosis may need to lift their eyelids with their fingers or tilt their chin upwards in order to see.
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Entropion/Ectropion (eyelid rolling in or out)

Entropion is a condition in which the eyelid is rolled inward toward the eye, causing irritation, pain, and even infection or scarring. It can occur as a result of aging, the weakening of certain eyelid muscles, or the result of trauma, scarring, or a previous surgery.
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Excessive Tearing in Infants and Adults

Tearing may occur as a reaction to dry or irritated eyes or as a result of problems with the eyelids and/or tear drainage system. A number of structures must be in perfect working order for tears to drain normally: the eyelids must be in the proper position to channel the tears to the opening of the tear duct drain, the drain opening must be large enough to accommodate the flow of tears and the drainage ducts themselves must be open.
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Functional Blepharoplasty of the Upper Eyelids

Due to the effects of time genetic and environmental influences, the upper eyelids can become heavy. This can limit side or peripheral vision, affecting ability to drive and do other activities of daily living. In these cases, surgical treatment can lead to improved peripheral vision and a better quality of life.
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Orbital Fractures

The eyes sit in bony cavities known as the orbit, with each orbit having a roof, a floor and two side walls. The bone around the front of the orbit and the outside wall is thick and strong, while the bone making up the floor and wall nearest to the nose is eggshell thin. Sometimes, one or more of the bony walls of the orbit will break following blunt trauma.
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Skin Cancer of the Eyelids and Face

Skin cancers commonly affect the eyelids and facial skin. Most of these tumors are treated with surgical removal. Repair of eyelid and facial defects created by the removal of skin cancers is always performed with the goal of producing the best functional and cosmetic outcome. Dr. Biesman has treated thousands of patients for skin cancer and can help each patient achieve the best possible outcomes.
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