Oculoplasty and eye aesthetics in Paschim Vihar: eyelid, tear duct and facial aesthetic surgery
Oculoplasty is surgery of the eyelids, the tear drainage system, the eye socket and the face around the eyes. It treats problems that affect comfort, vision and appearance, and includes aesthetic procedures such as blepharoplasty, Botox and fillers. At New Vision Eye Centre, oculoplasty and aesthetic procedures are performed by Dr Shilpa Taneja Mittal, DNB (Ophthalmology), MNAMS, who completed an 18-month fellowship in Orbit, Oculoplasty and Ocular Oncology at Aravind Eye Hospital, Madurai, and a 12-month fellowship in Facial Plastic and Aesthetic Surgery at The Esthetic Clinics, Mumbai.
Eyelid and tear duct surgery
Ptosis (droopy eyelid)
What it is: The upper eyelid sags and can cover part of the pupil. In adults it usually comes with age or long-term contact lens use; some children are born with it.
Treatment: Ptosis correction surgery, which tightens or shortens the muscle that lifts the eyelid.
Entropion
What it is: The eyelid turns inward, so the lashes rub against the eye, causing redness, watering and scratching of the cornea.
Treatment: Surgery to turn the eyelid back to its normal position.
Ectropion
What it is: The lower eyelid sags and turns outward, causing watering, dryness and red, exposed lining.
Treatment: Surgery to tighten and reposition the eyelid.
Blocked tear duct (watering eye)
What it is: Tears cannot drain into the nose, so the eye waters constantly and may have sticky discharge or a swelling near the nose.
Treatment: DCR (dacryocystorhinostomy), which creates a new tear drainage passage into the nose.
Eyelid lumps
What it is: Chalazion (stye-like lump), cysts and other growths on the eyelid.
Treatment: Excision, with the tissue sent for laboratory testing when needed.
Artificial eye
What it is: For an eye that has been lost, or is blind and shrunken, after injury or disease.
Treatment: Fitting of an artificial eye (ocular prosthesis) matched to the other eye, with advice on care.
Eyelid injuries
What it is: Cuts and tears of the eyelid after an accident.
Treatment: Repair to restore eyelid shape and function.
Eye and facial aesthetics
Blepharoplasty (eyelid surgery)
What it is for: Excess, hooded skin on the upper eyelids, or puffiness and bags under the eyes. When drooping skin blocks the upper field of vision, it is also a functional problem.
How it is done: Removal or repositioning of excess skin and fat through fine incisions hidden in the eyelid crease or below the lashes. Day-care surgery under local anaesthesia.
Botox (botulinum toxin)
What it is for: Crow's feet, frown lines and forehead lines. Also used medically for eyelid twitching and spasm (blepharospasm) and facial spasm.
How it is done: Small injections into specific muscles. Takes about 15 minutes; results appear over a few days and usually last 3–4 months.
Dermal fillers
What it is for: Hollows under the eyes, deep folds, and lost volume in the face.
How it is done: Injections of a gel (usually hyaluronic acid) to restore volume. Results are seen immediately and last several months, depending on the area and the filler used.
Other facial aesthetic procedures
What it is for: Discussed individually at consultation.
How it is done: Planned after examination, with realistic expectations explained.
All aesthetic treatments begin with a consultation to understand your concerns, examine the area and explain what can and cannot be achieved.
Ptosis in children
A droopy eyelid in a child is more than a cosmetic concern. If the eyelid covers the pupil, the eye may not develop normal vision (lazy eye). Children with ptosis need an eye examination early, and surgery may be advised sooner if vision is at risk.
Watering eyes in babies
Many babies are born with a tear duct that has not fully opened. It often opens by itself in the first year, helped by gentle massage shown by the doctor. If it does not, a simple probing procedure usually clears it. DCR is mainly needed in adults.
What to expect
Most oculoplasty and blepharoplasty procedures are day-care surgery under local anaesthesia; you go home the same day. Healing usually takes one to two weeks, and stitches, if any, are removed at a follow-up visit. Botox and fillers need no recovery time, and most people return to their routine the same day. Your treatment plan is discussed in detail before you decide.
Your surgeon
Dr Shilpa Taneja Mittal, Oculoplasty and Facial Aesthetic Surgeon (visiting)
MBBS, Bharati Vidyapeeth Deemed University, Pune (2005)
DNB (Ophthalmology), National Board of Examinations (2008); MNAMS
Fellowship in Orbit, Oculoplasty and Ocular Oncology, Aravind Eye Hospital, Madurai (18 months)
Fellowship in Facial Plastic and Aesthetic Surgery, The Esthetic Clinics, Mumbai (12 months)
Delhi Medical Council Reg. No. DMC/R/2538
Consultations by appointment only. Call or WhatsApp 81309 30330 to book.
Frequently asked questions
Is ptosis surgery cosmetic?
When a droopy eyelid blocks vision, surgery is a medical treatment and is often covered by insurance. Purely cosmetic eyelid surgery is usually not covered.
Will DCR stop my eye from watering?
DCR usually relieves watering caused by a blocked tear duct. The cause of watering is checked first, because watering can also come from dry eye or eyelid problems.
Is blepharoplasty covered by insurance?
Only when excess eyelid skin is shown to block vision. Blepharoplasty for appearance, Botox and fillers for cosmetic reasons are not covered by insurance or CGHS.
Are Botox and fillers safe?
In trained hands, with genuine products and correct doses, they are well-established treatments. Your consultation covers what to expect before any treatment.
How long does an artificial eye last?
With good care it lasts several years. It is checked and polished periodically and replaced when it no longer fits well.
Is oculoplasty covered under CGHS or insurance?
Many procedures, including DCR, entropion, ectropion and ptosis surgery that affects vision, are covered under CGHS, ECHS and health insurance, subject to approval. Call the insurance team on 96251 54575.
Appointments and address
New Vision Eye Centre, A-5/233, 1st & 2nd Floor, Paschim Vihar, Delhi 110063. Appointments: 81309 30330 (call or WhatsApp), 011 4978 5858. Monday to Saturday, 10 AM to 7 PM. Lift and wheelchair access.
Related information
This page is general information, not a substitute for an examination. Treatment is decided after examination, and individual results vary.
New Vision Eye Centre is a NABH-accredited eye care clinic in Paschim Vihar, New Delhi, providing vision correction and comprehensive eye treatment. Led by Dr Manik Mittal, the centre provides LASIK, Contoura Vision, cataract surgery, ICL and complete eye checkups.
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newvisioneyecentre@gmail.com
011-49785858, 81309 30330
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