Orbital reconstruction CENTER FOR FACIAL PLASTIC SURGERY AT ENT SPECIALISTS
Orbital reconstruction
Dr. Dan Georgescu is an oculofacial plastic surgeon that specializes in orbital
reconstruction after trauma or disease. His 15-year experience in the field of orbital
reconstruction, made him an expert in the management of difficult cases and those
complicated cases that have already been treated elsewhere but still need further
reconstruction to achieve the optimal result. His professional methodology is
characterized by a meticulous blend of functional restoration and aesthetic refinement
and involves:
1. Comprehensive Ocular Emphasis:
- Prioritizing a detailed assessment of ocular structures, with a keen focus on the
orbital bones, the eyelids, the tear ducts, and the eye itself.
- Integrating an aesthetic evaluation to address both functional and cosmetic
dimensions of trauma.
2. Precision in Eyelid and Tear Duct Repair:
- Undertaking nuanced eyelid reconstruction to restore both function and
aesthetics.
- Methodically managing tear duct injuries to ensure optimal drainage and
mitigate potential complications.
3. Advanced Orbital Fracture Repair:
- Employing cutting-edge imaging modalities to conduct a thorough evaluation of
orbital fractures.
- Executing precise techniques for the realignment and stabilization of fractured
orbital bones.
4. Expertise in Soft Tissue Reconstruction:
- Addressing injuries affecting periorbital muscles and soft tissues with a refined
surgical approach.
- Implementing principles of cosmetic surgery to optimize scar management,
particularly in aesthetically prominent areas.
5. Holistic Aesthetic Considerations:
- Prioritizing the restoration of facial harmony and symmetry in the aftermath of
trauma.
- Offering cosmetic enhancements when indicated, ensuring they harmonize
seamlessly with functional restoration.
6. Diligent Postoperative Monitoring:
- Vigilantly overseeing key ophthalmic parameters, including visual function, eye
movement, and potential signs of complications.
- Conducting regular assessments of aesthetic outcomes, with a commitment to
addressing any concerns that may arise.
7. Patient-Centric Education and Support:
- Engaging in transparent communication to elucidate the surgical plan,
anticipated outcomes, and potential challenges.
- Providing comprehensive guidance on postoperative care, including
rehabilitation exercises tailored to individual patient needs.
BEFORE THE SURGERY
From the time of your first consultation (whether on-line or in person) till the day of surgery you will have the opportunity to discuss with Dr Georgescu and his staff all your questions and concerns related to the surgical procedure, the preparation and the recovery. Make sure you fulfill all your financial obligations at least 2 weeks prior to surgery. Stop all anticoagulants (Eliquis, Pradaxa, Xarelto, Plavix, Coumadin, Warfarin), anti-inflammatory medication (Aspirin, Ibuprofen, Naproxen, Diclofenac, Indomethacin) and all vitamins and supplements (except for Calcium and Vit. D) two weeks prior to surgery, but only with the approval of your primary care doctor or cardiologist. Make sure you fill your prescriptions before surgery, as you will not be able go to the pharmacy immediately after surgery. You need to make arrangements for someone to bring you to the surgery center and take you back home, as you will not be able to drive the day of surgery. You also need someone to stay with you for at least the first night after surgery.
THE DAY OF SURGERY
Do not eat or drink anything past 10:00 PM the night before! If you need to take your blood pressure or anxiety medication, do so with a sip of water when you wake up. Make sure you arrive at the surgery center at the time indicated (our staff will call you the day prior with the exact time you need to be there). Our surgery center staff will greet you and make sure all the consent forms have been signed. Your companion can either wait in our comfortable waiting area, where there is coffee, water and snacks, or can return back home and we will call as soon as the surgery is over. You will be then taken to your room where our nurses will place an IV and EKG electrodes. A urine pregnancy test is performed on all pre-menopausal women. Then, you will meet in person our anesthesiologist who will explain the anesthesia procedure. Most surgeries are done under sedation. Dr Georgescu will come and read to you the consent form and answer any last-minute questions you may have. He will then do the skin markings and may take some additional photographs. The bed will then be wheeled into the operating room where the time out will be performed before you go to sleep. The anesthesiologist will then give you IV medication that will allow you to fall asleep. At the end of surgery, you will be taken to the recovery room where you will wake up with no pain. We typically use ice-packs in recovery for 20 minutes to decrease swelling. You and your companion will be shown in detail how to apply the ointments and ice. After approximately 30 minutes you will be discharged to go home with your companion. We will bring you to the car in a wheelchair. You will be given Dr Georgescu’s personal cell number to call at any time if you have any questions or concerns.
RECOVERY & RESULTS
Do not blow your nose for one month! Nose blowing can put significant pressure
behind the operated eye and affect your vision. Most patients take between 7 and 10
days off after orbital reconstruction surgery. Stitches dissolve or are removed at 10 days.
Bruising and swelling typically go away in about 2-3 weeks. Antibiotic and pain
medication may be prescribed for a few days. You will need to apply ice packs 20 min /
hour while awake for 2 days. Starting on the 3 rd day you switch to warm compresses
twice a day 10 min each till the bruising is completely gone. You will need to apply
antibiotic ophthalmic ointment on the incisions and inside the eyes 4 times a day for 3
weeks. You will also apply Refresh PM ointment every hour for 2 weeks followed by
every 2 hours for 2 weeks and 6 times a day for 2 more weeks.
Strenuous activity, such as golf, swimming, tennis and weightlifting should be avoided
for 4 weeks. Walking is allowed the day after surgery. Light running and biking can be
resumed after 2 weeks. The hair can be dyed after one month. Makeup can be applied
as early as 2 weeks after surgery.
You will need to come back to the office the following day to make sure your vision is
well and there is no pressure behind the eyeball. You will also be seen on days 7 and 14
followed by 1 month, 3 months and 6 months. However, Dr Georgescu is available to see
you at any time if you have questions or concerns.
Seek Dr DAN’s Advice
Would you like to ask Dr Dan a question? Or perhaps arrange an appointment?
If so, please complete the following form.
2122 NW 62nd ST, Ste 229 Fort Lauderdale, FL 33309
