Oculofacial Plastic Surgery
Restoring Function, Refreshing Appearance
The area around your eyes is delicate, expressive, and central to both how you see and how you look. At Innovative Ophthalmology, our oculofacial plastic surgery services combine specialized surgical expertise with advanced technology to treat medical conditions, restore function, and refresh your appearance.
What is Oculofacial Plastic Surgery?
Oculofacial plastic surgery is a specialized field focused on the areas around the eyes. This can include the tear ducts, eye socket, and, of course, the eyelids. Because these tissues are among the most delicate in the body and sit so close to the eye itself, they call for a surgeon who understands both how the eye functions and how the face looks. Oculofacial procedures aim to restore comfortable, healthy function while preserving and often enhancing a natural, refreshed appearance. This is a discipline where precision matters in millimeters. Oculofacial plastic surgery brings medical expertise and surgical artistry together in one carefully trained hand.

Oculofacial Plastic Surgery at Innovative Ophthalmology
At Innovative Ophthalmology, oculofacial plastic surgery is led by Andrea Tooley, MD, FACS, a fellowship-trained specialist dedicated to the eyelids, orbit, and surrounding facial structures. Dr. Tooley cares for the full spectrum of oculofacial concerns from cosmetic and functional eyelid surgery to complex orbital and reconstructive conditions.
Our approach is built around you. Every consultation begins with understanding your concerns and goals, whether they are medical, cosmetic, or both, so we can recommend the treatment plan that fits your needs and delivers results that look and feel like you.
Eyelid Surgery
The eyelids do a great deal of work, and over time or because of an underlying condition, they can begin to interfere with comfort, vision, and appearance. Dr. Tooley performs both blepharoplasty, which is often referred to plainly as eyelid surgery, and ptosis repair, both of which can correct drooping upper eyelids.
At Innovative Ophthalmology, we offer both cosmetic and functional blepharoplasty. Functional eyelid surgery addresses heaviness or excess skin that obstructs the field of vision, while cosmetic blepharoplasty refreshes tired, aging eyes.
Many patients benefit from a combination of the two, achieving a result that is both healthier and more youthful.
Periocular Rejuvenation
The skin around the eyes is the first place many people notice signs of aging. Our periocular rejuvenation services are designed to restore a rested, natural appearance using both surgical and non-surgical options.
On the surgical side, Dr. Tooley offers upper and lower blepharoplasty, brow resets and brow lifts, and skin resurfacing with the UltraClear laser. For patients who prefer non-surgical refinement or who want to complement surgical results, we also offer injectables, including Botox and dermal fillers.
Because we provide both surgical and non-surgical treatments under one roof, we can tailor a rejuvenation plan to your goals, your timeline, and how much (or how little) intervention you’re looking for.
Before and After Gallery
Upper Blepharoplasty
Upper and Lower Blepharoplasty
Upper Blepharoplasty and Brow Lift
Ptosis Repair
Ptosis Repair
Ptosis Repair
Ectropion Repair
Advanced Treatments for the Delicate Skin Around the Eyes
What sets periocular skin care at Innovative Ophthalmology apart is the combination of Dr. Tooley’s surgical precision and the UltraClear laser in one practice. Whether you are addressing fine lines, pigmentation, acne scarring, uneven texture, or dull under-eyes, treatments are tailored to your skin and performed by a surgeon who understands exactly what lies beneath it.
Orbital and Functional Conditions
Beyond the eyelids, the orbit and surrounding tissues can be affected by a range of medical conditions. Dr. Tooley diagnoses and treats:
- Ectropion (outward-turning eyelid)
- Entropion (inward-turning eyelid)
- Trichiasis (misdirected eyelashes)
- Thyroid eye disease
- Orbital tumors
- Lacrimal (tear duct) obstructions
- Orbital inflammation
- Skin cancers around the eyes
These conditions can affect comfort, vision, and appearance, and several require the specialized knowledge that comes with oculofacial training. Our goal is accurate diagnosis followed by treatment that protects both the health of your eyes and the function of the tissues around them.
Reconstructive & Inflammatory Care
Some of the most rewarding oculofacial work involves restoring form and function after injury, surgery, or disease. Dr. Tooley provides expert reconstructive and inflammatory care, including treatment of orbital myositis and orbital inflammatory disease.
On the reconstructive side, her areas of focus include:
- Eyelid reconstruction after skin cancer removal surgery
- Eye socket reconstruction after eye removal surgery
- Eye socket reconstruction after trauma
This work demands meticulous technique and a deep understanding of how the eyelids and orbit are meant to look and move. Patients facing these challenges can trust that they are in experienced, compassionate hands.
Advanced Treatments for the Delicate Skin Around the Eyes
What sets periocular skin care at Innovative Ophthalmology apart is the combination of Dr. Tooley’s surgical precision and the UltraClear laser in one practice. Whether you are addressing fine lines, pigmentation, acne scarring, uneven texture, or dull under-eyes, treatments are tailored to your skin and performed by a surgeon who understands exactly what lies beneath it.
Orbital and Functional Conditions
Beyond the eyelids, the orbit and surrounding tissues can be affected by a range of medical conditions. Dr. Tooley diagnoses and treats:
- Ectropion (outward-turning eyelid)
- Entropion (inward-turning eyelid)
- Trichiasis (misdirected eyelashes)
- Thyroid eye disease
- Orbital tumors
- Lacrimal (tear duct) obstructions
- Orbital inflammation
- Skin cancers around the eyes
These conditions can affect comfort, vision, and appearance, and several require the specialized knowledge that comes with oculofacial training. Our goal is accurate diagnosis followed by treatment that protects both the health of your eyes and the function of the tissues around them.
Reconstructive & Inflammatory Care
Some of the most rewarding oculofacial work involves restoring form and function after injury, surgery, or disease. Dr. Tooley provides expert reconstructive and inflammatory care, including treatment of orbital myositis and orbital inflammatory disease.
On the reconstructive side, her areas of focus include:
- Eyelid reconstruction after skin cancer removal surgery
- Eye socket reconstruction after eye removal surgery
- Eye socket reconstruction after trauma
This work demands meticulous technique and a deep understanding of how the eyelids and orbit are meant to look and move. Patients facing these challenges can trust that they are in experienced, compassionate hands.
Why Choose Innovative Ophthalmology for Oculofacial Plastic Surgery?
When it comes to the area around your eyes, experience and specialization make all the difference. At Innovative Ophthalmology, your care is led by a fellowship-trained oculofacial plastic surgeon who treats the full range of conditions in this field, including cosmetic, functional, orbital, and reconstructive.
Our team brings together advanced surgical technique, the latest laser and injectable technology, and a patient-first philosophy that respects your goals and your comfort.
If you’re considering eyelid surgery, periocular rejuvenation, or treatment for an orbital or reconstructive condition, schedule a consultation with our oculofacial team at Innovative Ophthalmology in Paducah, KY.








