FAQs

Oculofacial plastic surgery is a specialized field of plastic surgery focused on the eyes, eyelids, brows, forehead, and face. This includes cosmetic and reconstructive procedures to enhance aesthetics, restore function, and address medical conditions affecting the delicate structures around the eyes.

An oculofacial plastic surgeon undergoes additional specialized training in ophthalmology and plastic surgery, focusing exclusively on procedures around the eyes and face. This ensures a deep understanding of eyelid anatomy, eye function, and facial harmony, leading to natural-looking results with optimal safety.

Most patients experience:

• Mild swelling and bruising for 7–10 days
• Returning to work within 1–2 weeks (depending on the procedure)
• Final results appearing within a few months as healing completes

We provide customized aftercare instructions to ensure the best healing process.

Some of the most sought-after procedures include:

• Upper and lower blepharoplasty (eyelid surgery) – Removes excess skin, fat, and puffiness for a rejuvenated look.
• Brow lift – Lifts sagging brows and reduces forehead wrinkles.
• Facelift and neck lift – Tightens sagging skin for a youthful appearance.
• Eyelid ptosis repair – Corrects droopy eyelids that obstruct vision or cause tired-looking eyes.
• Under-eye filler or fat grafting – Improves hollows and dark circles for a refreshed look.

Surgical results typically last years to a lifetime, depending on factors like genetics, lifestyle, and skincare. Procedures like blepharoplasty or a brow lift offer long-term improvements, while non-surgical treatments may require maintenance touch-ups.

Ideal candidates:

• Are in good health
• Have realistic expectations
• Want to enhance their appearance while maintaining natural results
• Experience signs of aging such as droopy eyelids, under-eye bags, or sagging skin

If you’re unsure, schedule a consultation to discuss your concerns with Dr. Isaacs.

Yes! Dr. Isaacs specializes in natural-looking results, ensuring you look refreshed, not overdone. His precise techniques focus on preserving facial harmony, so you still look like yourself—just more youthful and well-rested.

We specialize in eyelid, orbital, and facial reconstruction, including:

• Eyelid ptosis repair (droopy eyelid correction)
• Ectropion and entropion repair (correcting eyelid malposition)
• Tear duct surgery (treating blocked tear ducts)
• Skin cancer reconstruction (Mohs surgery repair)
• Orbital fracture repair (trauma-related surgery)

While Dr. Isaacs does not participate with any insurance plans, some reconstructive procedures, such as ptosis repair, ectropion repair, and skin cancer reconstruction, may be eligible for insurance reimbursement if they correct a medical condition affecting vision or function.

For certain types of insurance, we can provide a superbill, which you can submit to your insurance provider for potential reimbursement. However, coverage varies by plan, and cosmetic procedures are not covered. We recommend checking with your insurance provider to determine your eligibility.

Yes! Health Savings Accounts (HSA) can often be used for medically necessary reconstructive procedures. However, cosmetic treatments are generally not HSA-eligible.

We offer a range of non-surgical and minimally invasive treatments, including:

• Botox/Dysport/Xeomin – Reduces fine lines and wrinkles.
• Dermal fillers – Restores volume in areas like under-eye hollows and cheeks.
• Laser skin resurfacing – Improves skin texture, pigmentation, and fine lines.
• RF Microneedling (VirtueRF) – Boosts collagen for firmer, smoother skin.

• Botox/Dysport/Xeomin: 3–4 months
• Dermal fillers: 6 months to 2 years (depending on the type of filler)
• Laser & RF Microneedling: Results build over time and last 1+ years with maintenance

Your consultation includes:

• A detailed discussion of your goals and concerns
• A personalized assessment of your facial structure
• Procedure recommendations tailored to your needs
• A review of expected results, risks, and recovery
• For out-of-town patients, we also offer virtual consultations via Zoom.

Absolutely! We have an extensive gallery of real patient results that can be viewed during your consultation.

Come prepared to discuss your medical history, previous surgeries or treatments, current medications and supplements, allergies, and any eye conditions or vision concerns. It can also be helpful to bring a list of questions and examples of what you hope to achieve. Being open about your goals helps Dr. Isaacs determine which options may be appropriate for you.

Before surgery, we provide:

• Pre-operative instructions, including medications to avoid
• Skincare recommendations to optimize healing
• Transportation and aftercare guidance for a smooth recovery

Yes, for most procedures, you’ll need a responsible adult to take you home and assist you for the first 24 hours. We can recommend private nursing or aftercare facilities if needed.

Some medications, supplements, and over-the-counter products can affect bleeding, anesthesia, or recovery. However, you should not discontinue a prescribed medication without appropriate medical guidance. Provide our office with a complete list of everything you take, and follow the individualized pre-operative instructions you receive.

Smoking and nicotine use can interfere with healing and may increase the risk of complications. If you smoke, vape, or use other nicotine products, tell your surgical team during consultation. You may be instructed to stop using nicotine for a period before and after surgery.

Before surgery, arrange transportation and any help you may need during the initial recovery period. Fill prescribed medications as directed and have recommended supplies available. Preparing meals, completing errands, and creating a comfortable place to rest can make the first few days easier.

Wear comfortable, loose-fitting clothing and follow any specific instructions provided by the office. A shirt that buttons or zips in the front may be preferable because it does not need to be pulled over your face. Leave jewelry and other valuables at home.

This depends on your procedure and the type of anesthesia or sedation being used. You will receive specific instructions about when to stop eating and drinking. Follow these directions carefully, as failing to do so may require your procedure to be postponed.

Some swelling and bruising are common after many facial and eyelid procedures. They are most noticeable during the early recovery period and improve as you heal. Your specific recovery will depend on the procedure performed and your individual healing response.

You may be advised to sleep with your head elevated during the early stages of recovery to help manage swelling. Follow the positioning and sleeping instructions provided for your procedure.

Light activity may be permitted relatively early, but strenuous exercise, heavy lifting, bending, and other activities that increase pressure should be avoided until you receive clearance. Your timeline will depend on your procedure and how your recovery is progressing.

Follow your incision-care instructions carefully and avoid unnecessary rubbing, pulling, or pressure around the surgical area. Sun protection is also important while incisions heal. Dr. Isaacs will provide recommendations based on your procedure and stage of recovery.

Your surgical team will explain which symptoms are expected and which require attention. Contact our office if you experience worsening or unexpected swelling, increasing pain, persistent bleeding, signs of infection, vision changes, or any other symptoms that seem unusual or concerning. Seek emergency medical care for severe or rapidly developing symptoms, particularly if you cannot reach the office.

Yes! Dr. David Isaacs offers financing through Cherry and CareCredit, allowing patients to explore flexible monthly payment plans for eligible procedures. Patients can apply through these providers to review available financing options, terms, and eligibility requirements.

In addition to financing, Dr. David Isaacs accepts Bitcoin and Health Savings Account (HSA) funds for eligible procedures. Contact the office to confirm accepted payment methods and whether your planned procedure qualifies.

Yes! Dr. David Isaacs participates in several rewards programs, including Merz Xperience+, Allē, and Aspire. Patients can earn points on eligible treatments, redeem rewards for discounts on future services, and access special promotions. Eligible treatments vary by program.