Cosmetic Eye Surgery

Cosmetic Eye Surgery in Louisville

Cosmetic Eye Surgery | BOTOX® | Eyelid Surgery Louisville KYKoby Karp Doctors Eye Institute specializes in Cosmetic Eye Surgery. Whether you are getting information for yourself or for a relative or a friend, we have provided a great deal of information here to answer some of your questions.

Customizing your eyes for beauty!

At Koby Karp Doctors Eye Institute we now offer various types of rejuvenating eyelid surgery to beautify your eyes. And we can perform these procedures right in our offices.

We all may expect some degree of eyelid "aging" as we get older. Main eyelid conditions that can affect both your vision and the way you look include:

  • Droopy eyelid skin and/or bulging fat pockets
  • Droopy eyelid - when not the skin but eyelid itself is droopy
  • Droopy eyebrows that cause descent of eyelid skin

Many of these conditions result in obstruction of the upper visual field due to droopy upper eyelids or sagging eyelids skin. Involved individuals may have difficulty reading or seeing objects in their peripheral vision due to upper eyelid/skin or brow droopiness.

If the visual field is affected by droopy upper eyelids/skin or descent of the eyebrows the cost of the surgery may be covered by medical insurance. Surgery cost of lower eyelids rejuvenation is not paid by insurance since this type of surgery is done for cosmetic purposes only.

Cosmetic Eye Surgery - Will my insurance pay for it?

Generally speaking, medical insurance will pay for cosmetic eye surgery only when the condition compromises the vision to a 30% percent loss of upper field vision (12 degrees) as determined by a field test.

In cases of significant interference with vision or obstruction of the superior visual fields, patients may often have difficulty in reading and may be looking through the eyelashes or seeing the upper eyelid skin.

Some solutions are Blepharoplasty (surgery on a sagging upper or lower eyelids to remove redundant eyelid skin and/or bulging fat pockets), Eyelid Ptosis Surgery (the procedure for elevating a droopy eyelid) or a Brow Lift to raise a droopy brow that is causing upper eyelid skin descent. Our Ophthalmologists can perform a field test to determine the severity of your problem and whether or not insurance will cover it.


Blepharoplasty (Eye Surgery)

Blepharoplasty is the name of surgery on the upper or lower eyelids when sagging, redundant eyelid skin and/or bulging fat pockets are removed.

Eyelid Ptosis Surgery

Eyelid Ptosis Surgery is the name of the procedure when the droopy eyelid itself is elevated.

Brow Lift

Brow Lift is done when the droopy brow is the cause of upper eyelid skin descent.

All three types of surgeries may be done in combination with each other if more than one of the above conditions is responsible for droopy looking eyelids. Length of eyelid surgery is usually between one and three hours depending on the extent of the procedure and whether only upper eyelids or upper and lower eyelids are operated at the same time.

The above surgeries are usually done under local anesthesia injected in the eyelid skin with additional sedation given intravenously. General anesthesia is also occasionally used as well. Eyelid surgeries are done on an outpatient basis.

Swelling and some bruising are typical after eyelid surgery and improve considerably over one to two weeks following the surgery. Applying ice packs on the operated area after the surgery helps to control swelling. As with any surgery, complications, although rare, are possible and include but are not limited to under-correction and over-correction with resultant eyelid asymmetry and dry eye symptoms, infection of the wound, excessive bleeding and even vision loss.

The level of the patient's expectations is a crucial factor in the success of the planned eyelid surgery. While the surgery may address many eyelid imperfections, it cannot cure all of them. Therefore, discuss desired eyelids correction with your doctor before the surgery.


Below are some pictures taken before and after surgeries performed by Dr. Albert Smolyar.

Before Surgery


Cosmetic Eye Surgery | BOTOX® | Eyelid Surgery Louisville KY

Droopy upper eyelids (Upper eyelid ptosis) leading to significant obstruction of upper visual field.

After one month


Cosmetic Eye Surgery | BOTOX® | Eyelid Surgery Louisville KY

One month after correction of droopy eyelids. Significant improvement in peripheral visual field as well as cosmetic appearance was achieved.


Before Surgery


Cosmetic Eye Surgery | BOTOX® | Eyelid Surgery Louisville KY

Redundancy of upper eyelids skin (Dermatochalasis) causing "heavy eyelids" tired appearance.

After one month


Cosmetic Eye Surgery | BOTOX® | Eyelid Surgery Louisville KY

One month after corrective surgery (Blepharoplasty) significant improvement in cosmetic appearance of eyelids is achieved.


Before Surgery


Cosmetic Eye Surgery | BOTOX® | Eyelid Surgery Louisville KY

Both upper eyelids have significant amount of sagging skin. Upper eyelids are also droopy (upper eyelid ptosis).

After one month


Cosmetic Eye Surgery | BOTOX® | Eyelid Surgery Louisville KY

Same patient one month after upper eyelids blepharoplasty and upper eyelids ptosis surgery was performed by Dr. Smolyar. Redundant upper eyelid skin has been removed. Upper eyelids margin is elevated to normal level. Significant improvement of the upper eyelids appearance was achieved. The patient preferred not to address lower eyelid fat pockets at this point in time.



Juvederm® Injectable Gel

Cosmetic Eye Surgery | BOTOX® | Eyelid Surgery Louisville KYJUVÉDERM® is a smooth consistency gel made of hyaluronic acid-a naturally occurring substance in your skin that helps to add volume and hydration. Your healthcare professional eases JUVÉDERM® injectable gel under the skin to instantly restore your skin's volume and smooth away facial wrinkles and folds, like your "smile lines" or "parentheses" (nasolabial folds-the creases that run from the bottom of your nose to the corners of your mouth).

JUVÉDERM® provides a smooth, natural look and feel-so everyone will notice (but no one will know)! In fact, studies show superior results of JUVÉDERM® compared to a collagen-based dermal filler.

  • Almost 90% of all study* volunteers who were treated with both Juvéderm® injectable gel and another dermal filler** preferred JUVÉDERM®!
  • JUVÉDERM® injectable gel is the first FDA-approved hyaluronic acid dermal filler that is proven to be safe and effective for persons of color.

Immediate Results

With JUVÉDERM® the injection process takes only about 15 minutes and results are immediate. Plus, there's minimal recovery or downtime. So you can step into your doctor's office for treatment and step right back into your life.

* JUVÉDERM® is indicated for injection into the mid to deep dermis for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds).

** The other dermal filler used in this study was ZYPLAST® dermal filler (bovine-based collagen).

Important Juvéderm® Treatment Considerations

JUVÉDERM® Ultra and JUVÉDERM® Ultra Plus are indicated for injection into the mid to deep dermis for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds). Side effects were usually mild to moderate lasting 7 days or less and included temporary injection site reactions like redness, pain, firmness, swelling and bumps.


BOTOX® Cosmetic now available

Cosmetic Eye Surgery | BOTOX® | Eyelid Surgery Louisville KYAt Koby Karp Doctors Eye Institute, many of our patients who have LASIK surgery or wear contact lenses want the BOTOX® procedure done as well. Since they got rid of their glasses, partially to improve appearance, they also want facial areas to be improved. So we are now offering the BOTOX® procedure as a convenience to our patients.

BOTOX® is a natural, purified protein which in very low doses relaxes the overactive muscles that cause frown lines to form. Treatment is simple and nonsurgical. It smoothes the deep, persistent lines between your brows that have developed over time.

For more than ten years BOTOX® has been safely used to treat a variety of conditions. It is now FDA-approved as BOTOX® Cosmetic for the temporary treatment of frown lines in people aged 18 to 65.

Make an appointment for a consultation regarding cosmetic eye surgery by calling 502.897.1604 or 1.800.777.4393.


Cosmetic Eye Surgery | BOTOX® | Eyelid Surgery Louisville KY

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