The following is a list of all Oculoplastics procedures performed by Michelle Nguyen, M.D. at Eye Health Partners of Middle TN, Inc.:

Eyelid Procedures

Blepharoplasty – Removal of excess skin/fat on the upper and/or lower lids

Ptosis Repair – Repair of droopy lids

Ectropion/Entropion Repairs – Correction of eyelids that are turning out or turning in

Brow lift – Correction of brow ptosis

Lid retraction repair – Correction of lid retraction in patients with thyroid eye disease

Eyelid lesion excision and biopsy – Removal of eyelid lesions for biopsy of suspicious appearing lesions (i.e. Basal Cell Cancer, Squamous Cell Cancer, Melanoma) and benign lesions that are causing irritation/discomfort (i.e. hydrocistomas, epithelial inclusion cysts, papillomas)

Chalazion management – Incision and drainage or intralesional steroid injection with Kenalog

Gold weight implantation – Placement of a gold weight in the upper lid to improve eyelid closure. This is usually done for patients with exposure keratopathy from poor lid closure due to Bell’s palsy.

Canalicular laceration repair – Repair of lid lacerations involving the canaliculus

Moh’s defect repairs – This is done in coordination with dermatologists who perform Moh’s surgery (removal of skin cancers).  If the cancer is involving the eyelid or tissue near the eye, the Moh’s surgery is done by the dermatologist and the repair of the resulting defect will be done by the oculoplastics surgeon.

Trichiasis/distichiasis management – Electrocautery epilation of misdirected lashes

 

Lacrimal Drainage System Procedures

Punctoplasty – Creating a larger punctum in patients with epiphora due to punctal stenosis

Punctal cauterization – Permanent closure of the punctum using electrocautery for patients with severe dry eyes.

DCR (Dacryocystorhinostomy) – Creating a new drainage pathway for patients with epiphora due to nasolacrimal duct obstruction

 

Orbital and Other Procedures

Enucleation/Evisceration – Removal of the eye as indicated for various reasons but usually a blind and painful eye

Orbital decompression – Decompression of the orbital walls to allow for improvement in patients with proptosis from thyroid eye disease

Orbital mass biopsy – Evaluation and biopsy of orbital masses

Optic nerve sheath fenestration – Creating slits in the optic nerve sheath to relieve pressure around the optic nerve in patients with Pseudotumor Cerebri/Idiopathic Intracranial Hypertension

Temporal artery biopsy – Biopsy of the temporal artery for patients undergoing evaluation for Temporal Arteritis/Giant Cell Arteritis (GCA)

 

Noninvasive Procedures

Botox injection – Indications include blepharospasm, hemifacial spasm, or for facial rejuvenation

Restalyne injection – Filler injection for cosmetic facial rejuvenation

 

Pediatric Oculoplastics Procedures

Ptosis Repair – Repair of droopy lids

Eyelid lesion excision – Removal and biopsy of eyelid lesions

Dermoid cyst excision – Removal and biopsy of dermoid cysts

Chalazion incision and drainage

Epiblepharon/Entropion/Ectropion Repair

Probe and tube – Placement of silicone stents in the lacrimal drainage system for patients with nasolacrimal duct obstruction

 

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