OculoFacial Plastic Surgery FAQ

A. An OculoPlastic Surgeon (also known as an Oculofacial Plastic Surgeon) is a highly specialized type of physician that has undergone extensive training in both Ophthalmology and Plastic Surgery. An OculoPlastic Surgeon is highly qualified to treat cosmetic and functional conditions related to the face, in particular the areas around the eyes, eyelids, forehead, brows, and the middle of the face.

A. Dr. Lewen is both a Board-Certified Ophthalmologist as well as a fellowship-trained Plastic Surgeon. He has also received a second Board Certification in Cosmetic Laser Surgery. Dr. Lewen’s training as an Ophthalmologist ensures that while he is addressing your cosmetic goals, he always take the extra precautions in regards to the health and safety of your eyes and vision. Dr. Lewen’s focus is exclusive to cosmetic and functional surgery of the eyelids, eyebrows, and mid- to upper face.With the extraordinary advances in medicine in the past number of years, we are treating more conditions and people are living longer and healthier lives than ever before. There is an enormous amount of new information, medications, and treatments becoming available in the medical community, and it is simply impossible for any form of general practitioner or surgeon to stay abreast of all the latest research and technology in every field. As such, more sub-specialists are emerging as the right doctors to treat specialized conditions.
A. During a consultation you will first meet with our nurse or medical assistant, who will go over some basic medical history, including your past ocular (eye) history. You will then meet with Dr. Lewen for a minimum of 30 minutes at which time you will discuss your desired cosmetic goals. During your time with Dr. Lewen, you will create an individualized and customized plan together to ensure that you will receive the best approach to achieving your cosmetic goals. After meeting with Dr. Lewen you will meet with his Patient Coordinator, Morgan, to talk about the financial aspects of your surgery or procedure, as well as what to expect before, during, and after. We ask all new patients to allow about an hour and a half for the entire consultation process.
Dr. Lewen and his staff are committed to being with you from the very first contact with the office and along the way through every post-operative appointment! You are highly encouraged to ask questions at any point in time through the process.

A. Absolutely not! Dr. Lewen and his staff encourage all patients to make the decision about surgery and/or procedures at their own pace. At Lewen Cosmetic Center, our top priority is to assist you in making the decision that is best for YOU, when YOU are completely ready and comfortable.

A. Yes. Dr. Lewen always takes before and after photos to ensure that the proper documentation is always noted. This helps both you and Dr. Lewen to see the progression in your treatment. All photos become a part of your personal and confidential medical record, which is protected by law. Dr. Lewen will not publish your photos unless specifically decided upon by both parties and additional paperwork is completed.

A. Dr. Lewen and his staff are always here to answer any questions that you may have during or after your consultation. Dr. Lewen’s patient coordinator, Morgan, is available by email and phone and will assist you with any questions you may have. If desired, Dr. Lewen will also be happy to meet with you again in order to ensure that all of your questions are answered thoroughly so that you are able to make the best decision possible for your surgery or procedure. We want you to be comfortable with your decision first and foremost.

A. Depending on the type of surgery or procedure you are having, you may need pre-surgical testing. In-office procedures typically require minimal testing beforehand. Standard surgical pre-testing for a relatively healthy individual usually includes some bloodwork, a physical exam, and an EKG. This may vary with individual patients and medical conditions.

A. This will depend entirely on the type of surgery or procedure that is recommended for you. Most eyelid and facial procedures can be performed with I.V. sedation. In some cases, general anesthesia may be required. In almost all cases, Dr. Lewen uses local anesthesia as well for your best comfort during and after the procedure. Dr. Lewen will discuss any anesthesia concerns you may have in detail during your consultation.

A. You will need to schedule a pre-op appointment approximately two (2) weeks before your surgery. At that appointment, you will meet with Dr. Lewen and his staff again to ensure that all questions have been answered and the proper surgical clearance has been obtained. At that pre-op appointment you will also schedule your first post-operative appointment, which is typically within one (1) week after your surgery, although this can vary with the individual patient and surgery.

A. Dr. Lewen’s approach to all surgery and all procedures is entirely customized for each individual patient’s condition and cosmetic goals. During your consultation, you will meet with Dr. Lewen’s Patient Coordinator, Morgan, to discuss costs for the surgery or procedure that will best address these goals. Dr. Lewen and his staff always take extra time to make sure that the financial aspect of surgery is clearly defined, understood, and agreed upon by both parties.

A. In some cases, some surgeries can be deemed to be medically necessary and may be covered in part or whole by insurance companies. Dr. Lewen will discuss with you during your consultation if he believes that your surgery could potentially be deemed medically necessary. If this is the case, Dr. Lewen may recommend additional testing to determine your eligibility for coverage. Dr. Lewen and his staff will assist you in submitting all proper documentation to your insurance company. However, it is important to remember that Dr. Lewen is not able to make any final decisions regarding insurance payment for your surgery. These decisions are made solely by your particular insurance company and plan. Dr. Lewen and his staff will make every effort to help and support you through this process when necessary.

A. Of Course! Dr. Lewen accepts certain CareCredit financing plans. Please visit:  http://www.carecredit.com/ for additional information. During your consultation, Dr. Lewen’s patient coordinator, Morgan, will assist and explain all of our options for financing.

A.This is a very personal question, which Dr. Lewen will be happy to address with you individually during your consultation. In cases of medical necessity, Dr. Lewen will inform you if it is in your best  medical interest to have the surgery or procedure. For cosmetic surgeries or procedures, a good rule of thumb is to think about whether your condition is something that bothers you on a frequent basis, prevents you from doing normal daily activities to the best of your ability, significantly affects your normal functioning, or is something that you feel is quite noticeable and affects your confidence levels. In such cases, it is likely a good time to consider having your surgery or procedure.

A.Although this can vary greatly with individual patients, surgeries, and procedures ,Dr. Lewen takes every precaution to make sure that your recovery is as comfortable and painless as possible. At your pre-operative appointment Dr. Lewen’s staff will discuss pre- and post-operative instructions to make sure that you have all the information, medication, and support to make your healing process as comfortable as possible.

A.Again, this varies greatly with individual patients, surgeries, and procedures. Dr. Lewen will discuss his expectations with you in great detail during your consultation. The average healing time for most typical surgeries is approximately 2 weeks. Many times, a patient will be able to return to work and “normal” activities within 3 to 4 days. The recovery time following a surgery or procedure is also based on an individual patient’s ability to follow Dr. Lewen’s post-operative instructions. Please understand that this is an area where every individual is a little different, and it is important for you to allow your body to heal at its own pace.

A.The likelihood of having a scar varies greatly with individual patients, surgeries, and procedures. Dr. Lewen will discuss your likelihood of having a scar with you in detail during your consultation and make frequent recommendations throughout your healing process in order to minimize any risk for scar formation.

A.Dr. Lewen and his staff understand that surgery and procedures are very personal decisions. We are absolutely committed to providing our full help and support to each and every patient to make these decisions based on your comfort level. We are dedicated to make every effort to answer all of your questions in order to make the process as informative and comfortable for you as possible. We will be with you every step of the way through this process.

A.The most common risks of surgery in and around the eyes and mid- to upper face include such things as infection, bleeding, loss of vision, failure of the surgery to completely resolve your condition, scarring, and the risks involved with anesthesia. Such risks are rare, but all of these vary greatly with the surgery being performed and the individual patient. Dr. Lewen will discuss these risks, as well as the benefits and alternatives to the surgery, in detail with you during your personal consultation.