Frequently Asked Questions

Sometimes it can be challenging to find all the answers to your questions when you need them most. Search our database for information on your diagnosis, surgery, or condition. Simply type your question or keywords in the search box.

Cornea Care

This is a wedge-shaped growth on the white part of the eye called the conjunctiva. Sometimes this abnormal growth becomes larger and advances onto the cornea.  In such a case, it may require surgical removal if it becomes bothersome or affects the vision. Dr. Lahners is our go-to Dr. for corneal problems.

This is a benign yellowish area on the white part of the eye. It typically results from a lifetime of sun exposure and can be located on the temporal or nasal side of the cornea. Sometimes this area can be a little irritating and we recommend the use of artificial tears.

I bet all of us can say (at some point in our life) that we have awakened in the morning, looked in the mirror and found a red lump on our eyelid. Eeewww!!! Where did that come from? This is an acute infection of an eyelash follicle in the eyelid margin. What to do? Warm compresses up to four times a day and wait for it to clear up. If it worsens, you may have a chalazion going on there and you should schedule to come in to see us.

Elasticity of the crystalline lens decreases as part of the normal aging process. By the age of 45, a significant amount of the lens’ ability to increase its curvature is lost and the individual is no longer able to focus on very near objects without glasses.

Ectropion is the outward turning of the upper or lower eyelid margin. When this occurs the eyelid does not rest against and protect the eyeball. This condition can be very irritating and can cause many other issues, such as dry eye and exposure. It’s best to see Dr. Fezza to determine if surgery is indicated to keep your eye happy and healthy.

Sometimes we have a lump on our eyelid. These lumps can be on the upper or lower lid and are the result of inflammation of an eyelid gland. This type of lump is stubborn and can be difficult to resolve, which may require surgical removal by Dr. Fezza. Before surgery, though, we treat with warm compresses, prescription ointment and (sometimes) drops. If it becomes chronic and bothersome, it’s time to call in the Dr. Fezza team for resolution!

Entropion is when the upper or lower eyelid margin and eyelashes turn in, resting against and rubbing the eye. This condition can be very irritating so it’s best to schedule with Dr. Fezza, our “eyelid” plastic surgeon, who will decide if surgery is necessary.

It typically takes at least two office visits to complete the contact lens fitting. After that, your eyes will need to be examined annually so the physician can monitor the health of your eyes.

There are many types of contact lenses available, with different materials (soft and rigid), bifocals, color and a variety of replacement schedules as well. Your optometric physician will suggest the best lens design and material for you. We specialize in fitting patients with hard-to-fit contacts, Ortho-K contacts and Toric contact lenses for astigmatism.


We can order any custom prescription contact lens available on the market today.


 

Measurement of the eye’s surface and curvature: An instrument called a keratometer will be used to measure the curvature of your eye’s clear front surface (cornea). It automatically assesses images of your cornea and creates mathematical representations of the curvature of the eye’s surface (K-readings). These measurements help the optometric physician determine the proper curve and size of the contact lenses. Corneal Topography may also be used. It provides precise details about surface characteristics of the cornea by analyzing photographic images taken of the way light projected into your eye travels. A computer creates and prints a surface “map” of the eye, with different contours represented by different colors.
Pupil and Iris measurements: These are taken with a pupil card, ruler or pupillometer to determine the eye’s pupil and iris size. This is done to help achieve a proper sizing and orientation of the contact lenses.
Tear film evaluation: The eye’s moisture content is evaluated through use of a small strip of paper inserted underneath the lower eyelid.
Evaluation of the eye’s surface and contact lens fit: The health of the cornea is evaluated using a biomicroscope. This lighted instrument with magnification will provide detailed information about the eye’s surface as a baseline for the optometric physician to evaluate any future changes to the eyes, related to contact lens wear. The biomicroscope is also used to evaluate the fit of trial contact lenses.
After finding a contact lens that fits properly, is comfortable and provides the best vision, the optometric physician will write a prescription. This prescription will designate contact lens power, a shape matching the curvature of the eye (base curve) and diameter.


It typically takes at least two office visits to complete the contact lens fitting. After that, your eyes will need to be examined annually so the physician can monitor the health of your eyes.


 

Accommodation disorders have a variety of causes. Symptoms include blurred vision, double vision, eye strain, headache, fatigue and difficulty concentrating (particularly while reading). Presbyopia is an accommodation disorder that affects everyone if they become old enough, since its causes relate to the aging of the eyes.


 

Amblyopia begins during infancy and early childhood. In most cases, only one eye is affected. But in some cases, reduced visual acuity can occur in both eyes.


Particularly if lazy eye is detected early in life and promptly treated, reduced vision can be avoided. But if left untreated, lazy eye can cause severe visual disability in the affected eye, including legal blindness.


 

Another clue that your child may have amblyopia is if he or she cries or fusses when you cover one eye. This may suggest that the eye you have covered is the good eye, and that the uncovered eye is amblyopic, causing blurred vision.


 

For some people, the stinging, burning and redness may seem like little more than a nuisance. But, if left untreated, dry eye syndrome can lead to serious eye problems, including blindness. Dry eyes are inflamed eyes. Inflammation of the front surface of the eye increases the risk of infection and can also lead to scarring. Once scarring occurs, permanent loss of sight can occur.


Understanding Dry Eye Syndrome


Tears are essential for good eye health, bathing the eye, washing out dust and debris while keeping the eye moist. The eyes produce two types of tears – lubricating and reflex tears. Lubricating tears are composed of three layers which coat the eye with mucus and contain water, proteins and oil to protect the eye and prevent evaporation of the aqueous layer. Reflex tears are produced in response to eye injury or irritation.


With dry eye syndrome, the eye does not produce enough tears or the tears have a chemical composition that causes them to evaporate too quickly. The cause of dry eye syndrome is a dysfunction of the tear-producing glands which results in reduced production of tears. It can occur as a part of the natural aging process, especially during menopause or as a side effect of many medications – such as antihistamines, anti-depressants, diuretics, certain blood pressure medications, Parkinson’s medication and birth control pills.


Dry eye syndrome can be aggravated if you live in a dry, dusty or windy climate. Air conditioning and dry heating systems can dry out your eyes as well. Insufficient blinking, such as when you are staring at a computer screen all day can contribute to it as well.


Recent research indicates that contact lens wear and dry eyes can be a vicious cycle. Dry eyes are the most common complaint among contact lens wearers. Dry eye syndrome results in contact lens discomfort and the rubbing of the lens against the conjunctiva seem to be a cause of dry eyes.


Dry eye syndrome is common in women, possibly due to hormonal fluctuations. Recent research suggests that smoking, too, can increase your risk of dry eye syndrome.


Dry eyes are also a symptom of systemic diseases such as lupus, rheumatoid arthritis, Rosacea or Sjorgren’s syndrome.



Signs and Symptoms of Dry Eye Syndrome


Persistent dryness, scratching and burning in your eyes are signs of dry eye syndrome. These symptoms alone may be enough to diagnose dry eye syndrome. Sometimes, the amount of tears in your eyes is measured, using a Schirmer test. This is done by placing a thin strip of filter paper at the edge of the eye. Some people also experience a “foreign body sensation” – the feeling that something is in the eye.


Center For Sight is a leader in bringing our patients the latest advances for the care of dry eye syndrome. Today, there are more treatment options than ever that can help to reduce or eliminate the symptoms, depending on the dryness of your eyes.


Artificial Tears


The simplest approach to treating dry eyes is to supplement your body’s natural tears with lubricating artificial tears. We recommend using mildly preserved brands such as Tears Plus, Refresh, Systane, Soothe or their preservative free counterparts, as well as Bion Tears or TheraTears.


Nutritional Supplementation


Studies have shown that Vitamin A deficiency is linked to dry eye syndrome. Your doctor might suggest a specific formulation, such as TheraTears Nutrition or BioTears.


Medications


Dry eye syndrome has been shown to be an “inflammatory” eye disorder and your doctor might prescribe “anti-inflammatory” medicines such as Restasis (eye drops used twice daily) or Lotemax (your doctor will prescribe the frequency of use).



Environmental Control


You may be able to significantly ease the discomfort of dry eye syndrome by reducing factors in your environment that contribute to the problem. Maintaining humidity, avoiding the use of ceiling fans and looking away from the computer or television screen every ten minutes are all helpful. Also, try to blink more frequently to spread tears over the eyes.


Tear Duct Inserts


The eye’s lubricating balance is maintained by its volume and quality of tears produced by certain glands, and excess tears are drained into the nose and throat through tear ducts located in each eyelid. If the drain is working “too well,” the eye’s natural moisture can be lost, resulting in a dry eye. Your doctor might elect to insert a temporary (collagen) or permanent (silicone or thermoacrylic) stopper to “plug” the drainage, allowing your own tears to bathe your eyes for
a longer period. They are inserted in a painless in-office procedure and may be removed at any time.


 

Children and adults with visual challenges can benefit from vision therapy. Common problems:


Learning-related vision problems
Poor binocular coordination
Strabismus and amblyopia
Stress-induced visual difficulties
Visual rehabilitation
Sports vision improvement


Vision Therapy Exercises
There are many different exercises based each person’s visual challenges, our board certified optometric physician Dr. Timko will help develop a plan and exercise program to fit your specific needs.


 

The number of exams you should have during a specific period of time depends upon your age, risk factors, whether you have an eye disease, and whether or not you wear corrective lenses. Please talk with your doctor about how often you should have your eyes examined.

Center For Sight has several locations from Sun City Center to North Port and Engelwood. Our hours vary depending upon location. Please click our Contact Us section to view our locations and hours. If weekend hours are more convenient for you, we offer Saturday hours in Sarasota and North Port. As always, patients with urgent needs have access to our doctors 24 hours a day, 7 days a week.

Clear lenses with UV protection may offer greater protection than dark lenses because they allow the eyes to be exposed to more light. This causes greater constriction of the pupil which lets less light enter the eyes. However, someone with extreme light sensitivity should protect their eyes with polarized lenses.

If neither of your eyes can see better than 20/60 without improvement from glasses or contacts, you may be defined as visually impaired. In addition, poor night vision, limited side vision, double vision and loss of vision in one eye may also determine visual impairment.

Low vision is a term describing a level of vision below normal (20/70 or worse) that cannot be corrected with conventional glasses. Low vision is not the same as blindness. People with low vision can use their sight. However, low vision may interfere with the performance of daily activities, such as reading or driving.

No, because it does not provide the specifications for lens diameter, thickness and base curve. A new prescription must be carefully fitted by an eye care specialist to avoid serious adverse reactions.

This measurement is usually given in a fraction. The top number refers to the testing distance measured in feet and the bottom number is the distance from which a normal eye should see the letter or shape. So, perfect vision is 20/20. If your vision is 20/60, that means what you can see at a distance of 20 feet, someone with perfect vision can see at a distance of 60 feet.

You are legally blind when the best corrected central acuity is less than 20/200 (perfect visual acuity is 20/20) in your better eye, or your side vision is narrowed to 20 degrees or less in your better eye. Even if you are legally blind, you may still have some useful vision. If you are legally blind, you may qualify for certain government benefits.

Generally, the hyperopic eye is too short with respect to the refractive state of the standard eye (ie an emmetropic eye or eye requiring no optical correction) or because the optical power of the eye is too low relative to the length of the standard eye. The focus is correctly adjusted using a plus lens power or convex lens.

Astigmatism is an irregularly shaped cornea, resulting in a vision error that occurs when light rays entering the eye scatter instead of providing a single focal point. Regular astigmatism is the most common type, in which the shape of the cornea resembles a football. Astigmatism can usually be corrected with eyeglasses, special contact lenses (toric lenses) or surgery.

It’s inevitable. It comes with blowing out candles on the birthday cake or, you know, the need for longer arms to read that newspaper article. This typically happens around the age of 40-45. We need glasses to read!!! Here’s why … The eye’s natural lens ages right along with us. Our lens accommodates (which means it can flex and zoom) our vision so we see clearly both near and far. This ability to accommodate slows down (kind of wears out) and next thing you know … we need reading glasses. This is where modern technology is a blessing and Center For Sight is here to help if reading glasses are not your cup of tea!

 It is this degree that designates an Ophthalmologist as a medical doctor who has been trained in all areas of eye care including the ability to diagnose and treat eye disorders and diseases. An Optometrist or Optometric Physician is a Doctor of Optometry (O.D.); a health care professional who is licensed to provide primary eye care services. These services include the examination, diagnosis and non-surgical treatment of eye related problems such as glaucoma, cataracts, retina and other ocular diseases. They may also diagnose related systemic conditions such as hypertension and diabetes which may affect the eyes. They examine, diagnose and treat visual conditions such as nearsightedness, farsightedness, astigmatism and presbyopia and may prescribe glasses, contact lenses, low vision rehabilitation and medications as well as perform minor in-office surgical procedures such as the removal of foreign bodies. To become an optometrist, one must complete pre-professional undergraduate college education followed by 4 years of professional education in a college of optometry. Some optometrists also complete a specialized residency training program. An Ophthalmologist is a Medical Doctor (M.D.) who is specialized in eye and vision care. Ophthalmologists are trained to provide the full spectrum of eye care, from prescribing glasses and contact lenses, to complex and delicate eye surgery. Ophthalmologist diagnose and treat a range of eye related problems including glaucoma, cataracts, retina and other ocular diseases. They may also be involved in eye research. After 4 years of medical school and a year of internship, every ophthalmologist spends a minimum of 3 years of residency (hospital-based training) in ophthalmology. During residency, the ophthalmologist receives special training in all aspects of eye care, including prevention, diagnosis and medical and surgical treatment of eye conditions and diseases. An ophthalmologist may spend an additional year or two in training in a subspecialty, that is, a specific area of eye care such as Cornea and External Disease, Glaucoma, Neuro-ophthalmology, Ophthalmic Pathology, Ophthalmic Plastic Surgery, Pediatric Ophthalmology and Vitreoretinal Disease. At Center For Sight, your Optometrist and Ophthalmologist work cooperatively to manage each patient’s individual needs and on-going care. In many cases, your optometrist will provide pre-operative and post-operative care for surgical procedures such as cataract surgery and laser vision correction.

Myopia can be due to either an eye which is too long relative to the optical power of the eye (axial myopia) or because the optical power of the eye is too high relative to the length of the standard eye (refractive myopia). The focus is correctly adjusted with a minus power lens, or concave lens.

These are in-depth procedures that are usually performed by either an Ophthalmologist or Optometrist.

Annually.

 If you need corrective lenses, you’ll get a refractive assessment, a test that determines how light waves bend. The results of these tests help the doctor determine your prescription. He may put a Phoroptor, a device that resembles a big black mask, over your eyes in order to fine-tune these measurements. Your peripheral vision will also be tested. A slit lamp exam uses a microscope that emits a sharp beam of light to evaluate the cornea, lens and iris. The back of the eye is also examined and finally your eyes will be tested for glaucoma.

Yes. Routine eye exams are important even for people who are not experiencing eye trouble.

Yes, it is covered by Medicare and virtually all commercial insurance plans.

Center for Sight is one of only five practices in the U.S. paving the way for this new technology, which is expected to become the gold standard for cornea transplants in the next few years. The IntraLase® FS laser is making the procedure safer and more accurate, with fewer complications and faster recovery time.

No. The cornea is a clear tissue that is in the front of the eye and the iris, which gives your eyes their color.

A successful cornea transplant requires meticulous care and attention on the part of both patient and doctor. Patients must adhere to their medication schedule and avoid any injury to the eye.

In some conditions corneal grafting or (cornea transplants) offer a good prospect for visual improvement.

Cornea transplants may be required if functional vision cannot be achieved by medications or special contact lenses. Conditions for cornea transplants include: Keratoconus, a steep curving of the cornea, cornea failure following other eye surgery, hereditary conditions, scarring after infections, injury or rejection after cornea transplant.

When the cornea is damaged, its smoothness and clarity may be lost. Scars, swelling or irregular shape may cause the cornea to scatter or distort light, resulting in glare or blurred vision.

Corneal dystrophies form a group of rare disorders which usually affect both eyes. They may be present at birth, but more frequently develop during adolescence and progress gradually throughout life.

Usually corneal dystrophies tend to run in families and the causes of most corneal dystrophies will lie in individual genetic make-up.

The cornea is a thin clear layer of tissue on the eye’s outermost layer. It is the clear, dome-shaped surface that covers the front of the eye. It helps to shield the rest of the eye from germs, dust and other harmful matter.

When light strikes the cornea, it bends–or refracts–the incoming light onto the lens. The lens further refocuses that light onto the retina, a layer of light sensing cells lining the back of the eye that starts the translation of light into vision. The cornea also serves as a filter, screening out some of the most damaging ultraviolet (UV) rays.

Your cornea may become hazy or damaged because of disease or injury. Corneal infections caused by inadequately cleaned contact lenses can lead to permanent corneal damage if not treated promptly. Trauma to the eye can likewise permanently injure the cornea, as can certain progressive diseases, such as keratoconus.

Give us a call and we’ll be happy to make those arrangements. We’re here to help you.

Every cornea has a certain shape and it’s important that we know the shape of your cornea to plan your surgery. This special map gives us a very accurate measurement of the amount of astigmatism you may have, providing you the best ever surgical outcome.

Not at all. Enjoy!

You don’t have to stop wearing your contacts prior to your eye examination.

Absolutely! We want you to be feeling your very best when you come in for your eye exam.

Dilation is when we put drops in your eyes to make the pupils big so the doctor can take a good look inside. Dilation is necessary and important to check for cataracts and a healthy retina. The drops will make your vision blurry.

Unfortunately, your vision will be blurry for most of the day, but don’t worry; you’re back to normal the next day.

You should plan on someone driving you or picking you up after your exam. Your eyes will be sensitive to light, so bring your sunglasses. If you don’t have any or forget them, we can provide you with throwaways.

Cosmetic Surgery

No, Dr. Fezza prefers to diligently cauterize blood vessels and rarely uses drains. Drains do not reduce the risk of hematomas and are cumbersome.

Pain is generally not an issue. However, some numbness after surgery can last up to 6 months.

Using the energy emitted from a laser beam, laser skin resurfacing can help rejuvenate the skin of the face. A laser works instantaneously as a shrink wrap, ridding the face of wrinkles with little downtime. This tightens elastic tissue and rebuilds collagen in the skin, while removing brown spots. A chemical peel produces a controlled injury to the skin, which promotes the growth of new skin. Many different chemicals are used for chemical peels, including glycolic acid, trichloroacetic acid (TCA), salicylic acid, “Jessners” solution, and phenol, all of which produce different degrees of injury of the skin. Any skin peel leaves the skin red and raw and the patient must stay indoors for 7 – 10 days because any sun exposure will damage the healthy skin while it is “rejuvenating.”

It varies from patient to patient based on what type of treatment they require. Dr. Fezza will discuss this with you during a personal consultation.

Heavy CO² Laser: A carbon dioxide (CO²) laser beam uses intense, precisely-focused light which vaporizes the surface skin and reveals the undamaged layer beneath. Active FX is a procedure using fractional laser resurfacing. Fractional coverage means that only a fraction of the surface of our skin is actually treated by the laser. By leaving small “bridges” of untouched skin, you heal much quicker and you can get back to your busy lifestyle sooner. So the greatest benefit to the Active FX is noticeable results with little downtime.

Lower face lift surgery generally takes about 2 hours of surgery time and then 2 weeks to heal. Your final result is 2 – 3 months.

There isn’t a non-surgical way to correct a double chin. A double chin is caused by a lax neck muscle and extra fat and skin. By tightening the plastisma muscle in the neck and performing a sort of sling to tighten and smooth out the neck, great results can be achieved. This is combined with fat removal and a lift to tuck extra skin. Laser treatments alone cannot tighten the neck.

About 7 – 12 years. Factors that increase longevity are good health and nutrition while avoiding smoking and sun exposure.

The CO2 Laser is an outstanding, state-of-the-art tool to rejuvenate aged skin and works well around the mouth; however, Dr. Fezza will suggest a personalized procedure for you during your consultation.

Yes. Dr. Fezza has spent years perfecting his face lifts. Dr. Fezza’s technique includes tightening the facial muscles when performing a face lift for a more natural, rested looking “new you. He may also suggest that fat be added to plump up the cheeks to achieve a more youthful effect.

Unfortunately, yes, unless corrected. Surgery can reduce extra tissue and tighten the lid muscle to raise it.

Most people feel that the results from a blepharoplasty last around 10 years. Gravity, the aging process, and your genetics will determine this exact length of time.

In most cases, yes.

A mini-lift will help to improve the appearance of your lower face, jaw line and under the chin. However, a lower face lift would be the correct procedure for the neck.

Dr. Fezza typically hides stitches inside the cartilage of the ear to make them virtually unnoticeable.

This technique generally lasts 8 years, but the length of time is dependent on many factors, such as how one ages, skin elasticity, smoking, weight fluctuations and general health.

It depends. You will be given a visual field test and if the skin is resting on your lashes and functionally affects your ability to see, Medicare will typically cover the procedure.

The length is dependent on filler interactions with the body and how much motion takes place in the area. The mouth tends to be the hardest area to keep a filler, due to talking, eating, etc. Most fillers last 6 to 9 months, but Juvederm can last up to a year.

A mini face lift costs approximately $6000, while a lower lift (which includes the neck and jowls) will cost approximately $8000 – $9000.

No. You might get a headache the night after surgery is performed, but most patients experience a numbing sensation for a period of a couple of months rather than pain. You won’t experience the “moaning and groaning.” as sometimes portrayed on TV shows. In reality, face lifts and eyelid tucks are not very painful either. Of course, heavy exercise is not recommended for 2 weeks after the procedure, but daily walking is appropriate.

There are a number of causes for wrinkles around the mouth, including aging, sun damage, genetics and smoking. Treatments range from laser resurfacing and dermabrasion to mini lifts, face lifts, or even dermal fillers. When consulting with Dr. Fezza, he will recommend the procedure he believes will give you the optimum results.

Yes, it could; however, Dr. Fezza prefers not to compromise his patients’ comfort, since he actually works with lifting the facial muscle. IV sedation keeps the patient comfortable during the procedure.

Yes, The Laser is the only procedure that doesn’t require you to stop taking your medication, as this treatment does not require any cutting, which would necessitate discontinuing the use of blood thinners for a set period of time.

Laser technology has advanced so much that discoloration is not an issue as it was with the older lasers. In fact, the Active FX laser treats smaller spots with less heat. Heavy laser can slightly lighten skin in deeply wrinkled areas.

There is some evidence that the injection of dermal fillers, such as Restylane or Juvederm, may stimulate the body’s own production of collagen. This effect is not so much because of the product itself, but rather because of the way the product stimulates the skin cells.

At Center For Sight, we use the CO2 Laser, since Dr. Fezza’s experience has been that it is an excellent and more effective laser for minimal patient downtime.

Yes. The goal of laser skin resurfacing is simple: replace damaged skin with new, fresh skin. Techniques for skin resurfacing have made enormous advances, allowing nearly everyone to achieve close to flawless complexions. The CO2 Laser allows Dr. Fezza to determine whether to use light, moderate or deep laser resurfacing. For acne scars, Dr. Fezza selects the deeper resurfacing technique to provide optimum results.

Overall, Botox is a safe product; however, if you have any uncertainties or concerns, you should discuss those with your allergist. Dr. Fezza will need to know what type of skin allergy you have, as well as the underlying causes for such an allergic reaction.

Procedures such as Botox and other injectable fillers can be performed in any of the offices in which Dr. Fezza sees patients. All surgeries (including Laser) that require anesthesia are carried out in our AAAHC-accredited Sarasota Ambulatory Surgery Center (ASC).

Yes, Dr. Fezza has used this technique and feels it works very well to reinflate the face. This is a good solution to keep your body from rejecting the filler because we use your own tissue and it is about 30% permanent. However, while the results of using your own fat as a filler should last over a year, Dr. Fezza believes that in many instances other commercial fillers provide a better option, because they do not require harvesting of fat.

He completed his internship in general surgery and residency in ophthalmology at Yale University and his two-year fellowship in oculofacial plastic surgery at Vanderbilt University, widely considered a premier center for aesthetic plastic surgery. In addition, he completed a second fellowship in cosmetic surgery sponsored by the American Academy of Cosmetic Surgery. His seven years of subspecialty training is focused solely on face and neck surgery, which is his passion.


Dr. Fezza is dedicated to helping Center For Sight patients look and feel as good as they see. His expertise in today’s advanced techniques couples the use of lasers for skin smoothing and rejuvenation along with small incisions in the most recent surgical techniques.


A nationally recognized author and lecturer on cosmetic facial and laser surgery, Dr. Fezza is a member of the American Academy of Cosmetic Surgery, the American Society Ophthalmic Plastic and Reconstructive Surgery, the American Board of Opthalmology and the American Board of Cosmetic Surgery. Dr. Fezza is on the prestigious National Education Faculty for Botox, a Lumenis Laser teacher for physicians world wide, an ad hoc preceptor for ASOPRS fellows and an active Assistant Clinical Professor at the University of South Florida.


Dr. Fezza enjoys his own great sense of humor as well as a myriad of outdoor athletic activities, whether it’s exercising, a round of golf, tennis, jogging, surfing or skiing. Most of all, he cherishes the time he shares with his wife, Heidi and three sons, Blake, Reed and Tyler.


 

Facial implants are an effective way to improve and enhance certain facial features. By balancing your face and features you will feel better about the way you look and thus have greater self confidence. Whether you choose to strengthen your jawline or balance your chin and cheekbones, there are many implants tailored to fit your desired needs. Facial implants are safe and often placed through small incisions hidden inside the mouth.


 

LATISSE is made by Allergan, the makers of BOTOX Cosmetic® and like Botox which was originally intended for medically treating eye disorders; the active ingredient in LATISSE, bimatoprost was first approved in 2001 to treat glaucoma patients.


Allergan began studying the potential of using a lower dose of topical bimatoprost to stimulate eyelash growth after glaucoma patients taking the medication Lumigan started to develop unusually lush lashes.


LATISSE is just one of many examples of how Center For Sight is the premier, multi-specialty practice with the perfect marriage between Vision and Cosmetic Services.


LATISSE is a cosmetic product solely available by physician prescription, it will not be available for over the counter purchase, schedule now with Dr. Fezza in Sarasota and Venice or Dr. Soscia in Bradenton.


 

Although nice results are seen in one treatment, two to three treatments may need to be performed to achieve cumulative results giving 50% wrinkle reduction. Patients love this light treatment for a quick, refreshing appearance with little downtime.


 

In addition, eyelid surgery is frequently performed in conjunction with a brow lift. The overall effect is to give the face a younger, brighter appearance. Dr. Fezza frequently performs browlift surgery using a small-incision endoscopic approach to minimize scarring and speed recovery.


At Center For Sight, all cosmetic procedures are performed in our state-of-the-art AAAHC accredited surgery center with our licensed certified registered nurse anesthetists (CRNAs) on site during all procedures.


 

For softer, smoother, younger-looking appearance, Dr. Fezza uses a state-of-the-art laser to resurface the skin. This technology is painless, safe and fast – taking less than half an hour to resurface the entire face.

Juvederm is a gel that when injected into your skin instantly smoothes out those wrinkles and folds. Its Hylacross technology results in a smooth consistency, which is a primary factor in the long-lasting, natural look and feel provided by this filler.

After a mini-facelift, discomfort will likely be minimal, but can be controlled with oral pain medication if needed and cold compresses.

The mini facelift is an outpatient procedure performed in Center For Sight’s AAAHC surgery center. The procedure is performed painlessly under sedation in the safety of an accredited sterile operating room with appropriate monitoring by trained professionals.

A mini face lift has a shorter, more limited incision than that of a full face lift. The incision used for a mini face lift may be half the length of a full face lift incision and eliminates most of the incisions behind the ears. While a mini face lift corrects jowls and some loose tissue under the chin, a lower face lift corrects both jowls and the lax turkey neck giving a more dramatically angular jaw and neck line.

Mini-facelift results can last for about 5-10 years, but depend on the patient’s lifestyle and will be affected by continued aging, gravity and the elements.

It is recommended that patients keep the head elevated when resting and sleeping during the initial stage of mini-facelift recovery. Sutures dissolve in about one week after surgery. Many patients are able to return to work just several days after surgery, but bruising is present for 7-10 days.

Because of the cosmetic nature of a mini-facelift, insurance is not involved.

It takes about one hour to perform a mini-facelift surgery, which may include neck liposuction.

Mini-Facelift side effects include temporary discomfort, bruising, and numbness, but usually pain is minimal.

Results are quickly evident and natural, revealing smoother, more youthful facial contours and jawline. Many mini-facelift patients are in the early stages of visible aging or seeking enhancement of a previously performed facelift.

There may be a red, crusted appearance for eight or more days with the heavier CO² laser or just four days with the Active FX laser. Make-up can be worn in 4-10 days to cover residual pinkness which can last for three months with heavier laser treatments.

During the procedure, which can last anywhere between 10-minutes to ½ hour, the laser will be passed back and forth over the treatment area. The depth with which the laser penetrates the skin can be controlled precisely by the surgeon according to the desired correction.

Laser resurfacing results can last for 10 years with a good skin care regimen. ActiveFX: ActiveFX is a procedure that combines the laser for resurfacing with fractional coverage. Fractional coverage means that only a fraction of the surface of our skin is actually treated by the laser. By leaving small “bridges” of untouched skin, you heal much quicker and you can get back to your busy lifestyle sooner. The greatest benefit to the ActiveFX is noticeable results with little downtime. Typically a 30% wrinkle reduction is witnessed but with a series of three Active FX treatments performed three months apart a 50% wrinkle reduction will be noticed. Combination Laser: A combination laser, pioneered by Dr. Fezza, is a customized laser treatment tailored to an individual’s skin, which combines the benefits of heavy CO² laser and the added benefit the Active FX laser provides, little downtime.

People with olive, suntanned or black skin are not the best candidates for laser skin resurfacing. Others who do not make good candidates include those who are prone to scarring, are taking certain medications or have a skin disorder.

Using the energy emitted from a laser beam, laser skin resurfacing can help rejuvenate the skin of the face, remove benign growths, reduce the appearance of wrinkles and minimize surface scars. This is done by tightening collagen and elastic tissue which results in dramatic skin tightening and wrinkle reduction.

Don’t be alarmed at the presence of bruising and swelling. The swelling will begin to disappear within the first seven days. Many patients return to work with the help of camouflaging cosmetics at about five days post-operative.

You can expect to resume regular activities in about one to two weeks, except for exercising which should be reserved for after the third week.

The results are immediate, although swelling will reduce in two months.

Now, they are being applied aesthetically to enhance a person’s chin or to create symmetry within the facial structure from a weak chin. With a chin implant, the face is transformed into a more aesthetically pleasing shape. Most chin implants are made of solid silicone and provide a cleaner, stronger jawline.

either hidden inside the lower lip or in a crease below the chin. The risk of infection is higher if an incision is placed within the mouth area. Although a strict post-operative oral hygiene regimen can decrease this risk.

Yes, bandages are applied to the head and neck with the purpose of maintaining the area and keeping it stationary. The bandages are removed the day after the procedure.

Again, this will depend on the individual. Typically, a facelift can be completed in less than two hours. However, the amount of work you will require will directly affect the amount of time the operation takes.

Several types of substances are used in cheek augmentation surgery but typically solid silicone is preferred. These come in various shapes and sizes to fit different faces. One benefit of using a solid implant is that it can be removed if there are any problems if necessary.

A facelift can help to minimize visible signs of aging and enhance self-confidence by making the patient look younger and fresher. A firmer, cleaner jaw and neck can restore your more youthful, natural appearance.

 Additionally, a good candidate will have a strong, well-defined bone structure. It is important for patients to have a realistic expectation of their surgery and to understand the risks and benefits of a facelift. For those patients with weaker bone structure a chin implant often compliments this procedure.

Patients experience minimal discomfort, which usually clears up within a day; however many patients do not feel much pain following surgery. If there is any pain or discomfort, the patient can be comforted with oral medication.

No one can say for sure. Many patients never have a second lift, while others may desire further surgery 7 to 15 years later. Factors that increase longevity are good health and nutrition while avoiding smoking and sun exposure.

Most patients are able to return to work in two to three weeks. You should allow four to eight weeks before major social engagements.

Your surgeon will discuss post-operative camouflage techniques with you prior to your surgery, but be assured that while almost everyone has some sort of temporary side effect such as bruising and swelling, there are makeup techniques that both men and women can use almost immediately to disguise them.

Drooping eyelids and tired, puffy eyes are instantly rejuvenated with the excision of the extra skin and tissue. Depending on your goals, an upper eyelid excision, or lower eyelid excision or both will be performed if needed. Dr. Fezza often uses a laser which reduces bruising, shortens surgery time and provides an extremely precise and fine incision. Upper Eyelid Blepharoplasty Removal of excess skin and fatty tissue corrects droopy, sagging eyelids. Lower Eyelid Blepharoplasty Removal of fat deposits and loose skin corrects bags under eyes. Dr. Fezza often uses a hidden incision inside the eyelid on the lower lids, there is no skin incision. He may even suggest a laser and peel to resurface or polish the lower lid skin.

The swelling could last a month or six weeks. You will need to keep your head elevated when you sleep and don’t put any pressure on the treated areas. You are restricted from heavy lifting or bending for two weeks.

A facelift or (rhytidectomy) is a surgical procedure designed to improve the most visible signs of the aging process by eliminating excess fat under the chin, tightening the muscles beneath the skin of the neck and removing sagging skin. This results in a cleaner neck and jawline, reduces jowls and the “turkey” neck.

The eye area is often the first area to reveal signs of our true age. An eyelid lift (or blepharoplasty) is the perfect solution for younger-looking eyes. A blepharoplasty is great for removing bags, correcting sagging eyelids, removing excess skin and minimizing eye wrinkles.

A routine blepharoplasty generally takes ½ hour to complete for both upper and lower eyelids. Any incisions should be subtle in two weeks and final eyelid surgery results take about two months.

Expect to be swollen, tender and bruised with a possible headache the night of surgery. This is very normal so do not be alarmed at the presence of any of the above. If you are in pain, take your prescribed medications and do not forget to take your antibiotics and apply your salves and ice packs as instructed.

The stiches will be removed in a week and does not hurt.

You may also think that your brows are too high; this is normal and will relax. Any numbness along the incisions should subside within six months. Remember that as each day goes on you will be that much closer to your final result.

Collagen keeps the skin looking smooth and helps rid unwanted lines and wrinkles. Collagen is a protein that provides your skin with structural support and the human based form doesn’t require any skin testing.

A brow lift, or forehead lift, is a procedure to reduce the angry or tired look of the brows by lifting the muscles and suturing them higher, creating a subtle, rejuvenated appearance or a youthful arch. The surgery takes 45-minutes and healing time is 10 days.

Dr. Fezza will go over your options that can realistically attain your goals. He will discuss the risks and complications, anesthesia choices, fees and what to expect post-operatively. This is the time where you can ask questions regarding your concerns to determine if this procedure is for you.

Restylane is the first dermal filler made from non-animal based hyaluronic acid. It is a safe and natural filler that restores volume and fullness to the skin to correct severe to moderate facial wrinkles and folds. It lasts about six months.

Juvederm is a gel that when injected into your skin instantly smoothes out those wrinkles and folds. Its Hylacross technology results in a smooth consistency, which is a primary factor in the long-lasting, natural look and feel provided by this filler.

Perlane is an hyaluronic acid injectable that is made by the same company as Restylane but it is thicker. Perlane is used to soften deeper wrinkles and facial folds and lasts for about one year.

Dr. Fezza uses all FDA-approved products including Radiesse, Restylane, Juvederm and Perlane which are all hyaluronic acids, in addition to collagen, Radiesse and Sculptra. No skin testing is required for any of these fillers that Dr. Fezza uses.

An FDA-approved dermal filler that restores a natural, youthful look by filling in smile lines and wrinkles. It is made from calcium-based microspheres in a natural gel that is injected into the skin through a minimally invasive procedure. It is a long lasting, safe filler maintaining corrections for about 1 ½ years.

Botox® Cosmetic lasts up to 4 months.

Fillers can also increase the fullness of the lips and lessen the downward slant of the corners of lips. The most common areas treated are the smile lines around the nose and mouth, fine lines above the mouth, frown lines between the eyes and acne scars. The fillers take a few minutes to inject and there is no downtime, except a possible bruise which can be covered with make-up.

Each filler has its own unique risks associated with it. However, risks generally include allergic reactions, bruising, swelling, infections, pain and scar formation.

Botox® Cosmetic reduces frown lines between the eyes, crow’s feet and horizontal forehead creases. It can also be used around the mouth to relieve lipstick pucker lines as well as infiltrating underarm sweat glands significantly and sometimes completely reduces perspiration in this area.

Any woman or man who is concerned about the appearance of their frown lines can consider BOTOX® Cosmetic. Treatment can be used on people from ages 18 to 80.

Delivered with a very small needle, discomfort is minimal and brief. Your physician may choose to use a local anesthetic cream or ice to minimize the discomfort. Once the injection is complete, there is usually no discomfort and there is no downtime.

Botox® Cosmetic is a non-surgical, no downtime, FDA-approved procedure that smoothes the deep, persistent lines between your brows that develop over time from muscle movement. One five-minute treatment, a few tiny injections and the muscles that cause those lines to form are relaxed.

When injected into a muscle, Botox® Cosmetic blocks the message for the muscles contraction. For example, the muscles responsible for frowning can be relaxed resulting in a smooth appearance. The effects of Botox® Cosmetic start 3-7 days after the injection and a treatment usually remains effective for three months or more.

I know this can be confusing, but in this day and age there are so many different types of facial fillers, whether it be Collagen or Botox or Restylane, they are all injected into the facial tissue. We offer these options to help you look as good as you feel.

I love Botox and Dr. Fezza offers a wide variety of treatments for unwanted facial lines, including Botox and Dysport for lines around the eyes. Injections of dermal fillers such as Restylane, Perlane, Juvederm, Radiesse, Sculptra, and Collagen are available for lines around the mouth and to sculpt your cheeks or lips.

It depends. Possibly, if it’s something minor. Otherwise, he may want you to return on a separate day when he has more time for you and for what needs to be done.

Dermatology

Dr. Newman received his Bachelor of Arts degree from the University of Michigan, and his medical degree from the University of Virginia School of Medicine. During his medical education he was awarded a four-year academic scholarship and was inducted into the Alpha Omega Alpha medical honor society. He continued his post-doctoral education with an internship in Internal Medicine followed by a residency in Dermatology, both at the noted Cleveland Clinic Foundation in Cleveland, Ohio. After completing his residency, Dr. Newman entered private practice, first in Chicago Heights, Illinois and more recently in Largo, Florida.


At Center For Sight, Dr. Newman specializes in providing advanced medical care, including the diagnosis and treatment of skin cancers, as well as the removal of both benign and malignant skin growths. In addition, he offers patients the latest cosmetic dermatological techniques, including sclerotherapy for spider veins, chemical facial peels and other non-surgical skin rejuvenation treatments utilizing FotoFacial RF™.


Dr. Newman is board-certified by the American Board of Dermatology and is a fellow of the American Academy of Dermatology. He is also a member of the Florida Society of Dermatologic Surgeons and the Florida Society of Dermatology and Dermatologic Surgery.


As a University of Michigan graduate, Dr. Newman is a diehard Wolverine fan. When not cheering on his team, he enjoys tennis and boating. He and his wife, Donna, have two sons, Jared and Eli.


 

After an initial infection, the virus goes into a dormant phase beneath the skin, but may periodically reappear in the same area. The typical lesion appears as a cluster of tiny blisters which break, leaving a sore that heals in about one week. New medications can greatly speed healing or, if taken regularly, prevent a reoccurrence.


 

A fungus infection of the nail is one of the most common of all skin infections. Toenails are often affected because shoes increase the warmth and moisture and create an ideal environment for fungus growth. Taking oral medication for a few months is usually the most effective cure.

Some are found in plants such as poison ivy. Chemicals found in clothing, jewelry, creams and perfumes may cause direct irritation or stimulate an allergic response. The affected skin becomes tender or itchy and, in extreme cases, blisters may appear. If the offending chemical is unknown, allergy testing may be able to identify the cause. Topical creams and ointments can be used to reduce the reaction.


 

A wart is a growth on the skin that is caused by an infection of the human papilloma virus. Although warts are benign, they are often treated due to their unsightly appearance and because they can spread to other areas of the skin. Depending on the location of the wart, treatment options include topical medications, freezing, electrodessication, laser therapy and surgery.


 

The lesions of shingles appear as a trail of painful blisters that extend around one half of the body without ever crossing the mid-line. The rash clears up after several weeks but pain may continue in the area much longer. If medication is taken early during this condition, the rash will heal quickly with less chance of persistent pain.


 

Psoriasis is a genetic disorder that appears as red, scaly patches on the skin. Although it can surface anywhere, the elbows and knees are most commonly affected. In ten percent of psoriasis patients, arthritis is also associated with this condition. Topical creams and ointments are often successful in controlling small areas of psoriasis. More severe or widespread cases may be treated with ultraviolet light and oral medications.


 

Immediately after your treatment the area is cleansed and you can return to your normal activities. There is virtually no down time, and you may go right back to work. Do not suntan for the next week, and avoid any excess sun exposure for the next month.

One of the greatest benefits of a FotoFacial RF treatment is that there is usually no down time. The only limitation after a procedure is to minimize sun exposure, which can be accomplished by hats and judicious use of a broad spectrum sunscreen. Some patients do experience a slight temporary darkening and peeling of their brown spots before they fade.

Side effects can include transient redness and increased or decreased pigment in the treated area. Minimizing sun exposure can reduce these side effects.

FotoFacial RF is primarily a treatment to improve color and texture of sun damaged skin. Results may vary, but one can reasonably expect a 50-75% improvement in redness, spider veins on the face, brown blemishes, melasma, and sun damage spots. A lesser and more variable degree of improvement can be seen in fine wrinkling, pore size and skin texture irregularities.

Patients will see a gradual and persistent improvement of their skin over a 12-20 week program which is about 3-5 treatments.

During this in-office procedure, a thin layer of cooling gel is applied to the desired body part. Dr. Newman then employs a hand piece which passes over the area utilizing a series of pulses to deliver the energy. Some patients may experience discomfort which is almost always well tolerated.

Most of our patients report a tolerable level of discomfort during the procedure, and usually no pain or a slight burning sensation for a few hours afterwards. For their comfort, patients are provided with a topical anesthetic cream which may be applied 60 minutes before the procedure.

It specifically targets brown and red discolorations of the skin, including sun spots, broken blood vessels, melasma, and rosacea. Unlike many other cosmetic procedures, it can be performed not only on the face but upon any body area, including the neck, chest and hands.

FotoFacial RF utilizes advanced technology which delivers pulses of optical and radio-frequency (RF) energy selectively into the brown and red blemishes on the skin without damaging the normal areas. It also has been shown to strengthen the skin by increasing collagen and elastin, which can lead to improvement in skin texture and may smooth fine wrinkles.

The ABCD’s of melanoma are as follows: • A – Asymmetry (common moles are round and symmetrical) • B – Border (skin cancers may have uneven borders) • C – Color (watch for varied shades of brown, tan or black and also red, white, and blue) • D – Diameter (if a spot is larger than a pencil eraser (6mm or ¼ inch in diameter) it could be trouble)

Aside from the ABCD’s, you should watch out for these changes: • Size – mole suddenly or continuously gets larger • Elevation – a mole that was flat or slightly elevated increases in height rapidly • Surrounding skin – skin around the mole becomes red or develops colored blemishes or swellings • Surface – a smooth mole develops scaliness, erosion, oozing, crusting, ulceration, and bleeding • Sensation – there is itching, tenderness or pain.

Whenever possible, people should avoid exposure to the midday sun (from 10AM to 2PM). Keep in mind that protective clothing, such as sun hats and long sleeves, can block out the sun’s harmful rays. Also, lotions that contain sunscreens can protect the skin.

Even though most skin cancers are cured, people who have been treated for skin cancer have a higher-than-average risk of developing a new cancer of the skin. That is why it is so important that you continue to examine yourself regularly, to visit your doctor for regular checkups, and to follow your doctor’s instructions on how to reduce your risk of developing skin cancer again.

Squamous cell carcinoma begins in squamous cells, which are thin, flat cells that look like fish scales found in the tissue that forms the surface of the skin, the lining of the hollow organs of the body, and the passages of the respiratory and digestive tracts. Basal cell carcinoma and squamous cell carcinoma are sometimes called non-melanoma skin cancer. Another type of cancer that occurs in the skin is melanoma that arises in melanocytes, cells that produce pigment. Melanoma usually begins in a mole.

To plan the best treatment, the doctor considers the location and size of the cancer, the risk of scarring, and the person’s age, general health, and medical history. It is sometimes helpful to have the advice of more than one doctor before starting treatment. It may take a week or two to arrange for a second opinion, but this short delay will not reduce the chance that treatment will be successful.

Treatment for skin cancer usually involves some type of surgery. In rare cases, doctors suggest radiation therapy or chemotherapy. Sometimes a combination of these methods is used.

Keep in mind that protective clothing, such as sun hats and long sleeves, can block out the sun’s harmful rays. Also, lotions that contain sunscreens can protect the skin. Sunscreens are rated in strength according to a sun protection factor (SPF), which ranges from 2 to 30 or higher. Those rated 15 to 30 block most of the sun’s harmful rays.

Examine your body front and back in the mirror • Bend elbows and look at your arms and the palms of your hands • Look at your legs and feet, spaces between toes and bottom of soles • your back and buttocks with a hand mirror • Examine your neck and scalp with a hand mirror Any suspicious spots should be reported to your doctor. The doctor should also look at your skin during routine physical exams.

 Doctors generally divide skin cancer into two stages: local (affecting only the skin) or metastatic (spreading beyond the skin). Because skin cancer rarely spreads, a biopsy often is the only test needed to determine the stage. In cases where the growth is very large or has been present for a long time, the doctor will carefully check the lymph nodes in the area. In addition, you may have to have additional tests, such as special x-rays, to find out whether the cancer has spread to other parts of the body. Knowing the stage of a skin cancer helps the doctor plan the best treatment.

The cancer may start as a small, smooth, shiny, pale or waxy lump. Or it can appear as a firm red lump. Sometimes, the lump bleeds or develops a crust. It can also start as a flat red spot that is rough, dry or scaly. Both basal and squamous cell cancers are found mainly on areas of the skin that are exposed to the sun – the head, face, neck, hands and arms. However, skin cancer can occur anywhere.

Artificial sources of UV radiation, such as sunlamps and tanning booths, can also cause skin cancer. Although anyone can get skin cancer, the risk is greatest for people who have fair skin that freckles easily – often those with red or blond hair and blue or light colored eyes. In addition, skin cancer is related to lifetime exposure to UV radiation. Most skin cancers appear after age 50, but the sun’s damaging effects begin at an early age. Therefore, protection should start in childhood to prevent skin cancer later in life.

Skin cancer is the most common of all cancers. It is a disease in which malignant cells are found in the outer layers of your skin. Several types of cancer can start in the skin. The most common are basal cell carcinoma and squamous cell carcinoma. These types are called non-melanoma skin cancer.

Yes.

Rejuvenate and refresh the skin • Minimally invasive • No sun sensitivity after the procedure • Immediate results that improve with time • No downtime • Completely natural process the top layer of skin (epidermis) is protected • Safe and effective

Five treatments, two weeks apart are recommended for maximum improvement, although changes in skin tone will begin after just one or two treatments.

With New Derm CET there is no downtime, so you can immediately resume your normal activities or go back to work without concern.

Results are immediately noticeable—you will see an attractive and healthy glow to your skin after just one treatment. During the next six weeks, as new collagen forms, you will experience further changes in skin tone and thickness.

Since the micro-channels are less than 1mm, no topical anesthetic is needed and there is no pain.

The procedure lasts only about an hour.

New Derm CET can be used to treat skin anywhere on the body.

Unlike lasers or chemical peels, which destroy the epidermis, New Derm CET safely penetrates the epidermis to the layer below, called the dermis. There is none of the redness, bruising, peeling or sun sensitivity found with more invasive treatments.

The micro-channeling causes the release of growth factors that promote scar-less healing. This method is safe, cost-effective and simple. The channels created by the roller allows for the natural vitamins and growth factors to be infused into the dermis—promoting faster healing and allowing for the creation of the body’s own collagen.

During the CET procedure, patients can opt for either infusion of one of Dr. Greco’s proprietary toning formulas—comprised of a unique blend of vitamins and growth factors—or Platelet Rich Plasma (PRP) drawn from the patient.

PRP has the added benefit of containing up to ten times the concentration of growth factors—producing a heightened immune response—which produce collagen.

New Derm CET reverses the damage caused by the natural aging process and sun damage and repairs skin by thickening it with the formation of new collagen.

During step two, our unique, all-natural blend of vitamins, trace minerals, amino acids and antioxidants is applied to the skin. The toning formula is infused through the epidermis into the dermis, encapsulating the vital nutrients, further stimulating the formation of new collagen. Finally, a collagen sheet is applied to the face to infuse the toning formula and collagen into the skin.

New Derm Collagen Enhancement Treatment (CET) is an innovative skin treatment that induces the formation of new collagen within six weeks. It is remarkable new therapy that can help men and women of all skin types look more youthful and refreshed without many of the side effects of more invasive treatments.

New Derm CET firms, tones and thickens the skin, can diminish wrinkles and fines lines and can reduce pigmented spots on the skin.

Of course we’re as anxious to call you with the results as you are to get them! We know the angst of waiting. You will receive a call from us as soon as we have results from the lab, and we’ll let you know before you leave the office when to expect to hear from us.

That would be determined by what needs to be done. Dr. Newman will make the determination and let you know right away and whether it needs to be scheduled at a different time.

Family Eye Care

Fitting fees for contact lenses start at $40, depending on the type of lenses. We can fit all types of lenses, including specialty lenses. Since we customize fittings and lenses for the individual patients, your doctor will be able to fit you with the perfect lens for the unique needs of your eyes. For detailed information, please visit our Contact Lens page of our website at http://www.centerforsight.net/Vision-Care/Contact-Lenses.cfm.

Yes, but this condition is a medically necessary procedure not a cosmetic one.

You can conveniently order your contact lenses online through Center For Sight. Simply click on Vision Care at the top of page, go to Contact Lenses and click on the order link found on the Contact Lenses page. If you have any questions, please call any Center For Sight location.

Center For Sight has several locations from Sun City Center to North Port and Engelwood. Please click our Contact Us section to view our locations and hours. If weekend hours are more convenient for you, we offer Saturday hours in Sarasota and North Port. As always, patients with urgent needs have access to our doctors 24 hours a day, 7 days a week.

Yes. To view our special offers, please visit the News & Promotions section of our website.  

We also offer the Competitive Value Guarantee so if you purchase a frame/lens combination from any Center For Sight location and find the exact frame/lens combination from another local retailer at a lower price within 30 days of the original date of purchase, we will match the lower price and refund the difference.

Computer glasses are specially designed frame-lens combinations for people who spend more than one hour a day working on a computer. Computer glasses are individually designed specifically for you, providing a wide range of vision, reduced glare, lightweight polycarbonate lenses with the benefit of being able to read small print without changing glasses.

All LASIK patients are given a 25% discount on any prescription eyewear (such as monovision needing “driving glasses”) • All discontinued frames are discounted between 50% to 75% • Medicare reimbursement of $60 toward any new frame, $45 toward single vision lenses, $65 toward bifocal lenses and $85 toward trifocals or progressive lenses • Several contact lens rebates ranging from $30 to $75 • Optical value guarantee-if you purchase a frame/lens combination from any Center For Sight location and find the exact frame/lens combination from another local retailer at a lower price within 30 days of the original date of purchase, we will match the lower price and refund the difference. This excludes contact lenses and internet retailers.

• Costa Del Mar • Nike • Bolle’ • Ray-Ban • Maui Jim • Coach • Ted Baker • Tom Ford • Saks Fifth Avenue • Adidas • Nine West • Liz Claiborne • Ellen Tracy • Gucci • PRADA • BCBG MAXAZRIA • Valentino • GIORGIO ARMANI

If you purchase a frame/lens combination from another Center For Sight location and find the exact frame/lens combination from another local retailer (excluding internet purchases and contact lenses) at a lower price within 30 days of the original date of purchase, we will match the lower price and refund the difference.

Call us and our optical department will be happy to help you. If you are a Center For Sight patient, we always have your glasses or contact lens prescription on file.

General Questions

Our Contact Us page has information on our locations, hours, phone numbers and addresses.

Center For Sight provides video introductions by physicians about various procedures.  Please visit www.centerforsight.net/resources/ to select your procedure and view the video.

To see what position(s) may be available, please visit www.centerforsight.net/about/careerSelection.cfm.

At Center For Sight we are proud to offer courtesy transportation to our patients that need transportation to and from surgery. We are more than happy to offer this door-to-door service from your home to our Sarasota surgery center upon your request. We only ask that you utilize our transportation as a last resort, only if you have no other means of getting to your surgery.  For more information, please visit www.centerforsight.net/resources/transportation.cfm.

Center For Sight is a participating Medicare provider. We accept Medicare assignment, and as a courtesy, will file with your secondary insurance if applicable.


We are also participating providers with most major, commercial insurance plans.  For additional information, please visit www.centerforsight.net/resources/payment-options.cfm.

To download current forms for patient history, notice of privacy, insurance authorization or a medical release form, please visit:  Prepare for your appointment

Glaucoma

A native of the Pacific Northwest near Seattle, Dr. Kim graduated magna cum laude from the University of Washington with a Bachelor of Science in Biochemistry. He went on to earn his medical degree from Tufts University in Boston. Returning to the University of Washington, he continued his education with an internship in medicine followed by a residency in ophthalmology. Dr. Kim then joined the premier New York Eye & Ear Infirmary in New York City for a distinguished fellowship specializing in glaucoma under the tutorage of Drs. Ritch, Liebmann and Tello.


Dr. Kim is a member of the American Academy of Ophthalmology and board-certified by the American Board of Ophthalmology. He has co-authored various research papers; most notably, the consensus report on trabeculectomy for the Association of International Glaucoma Societies – guidelines published for all glaucoma surgeons around the world. Dr. Kim held a research fellowship in corneal healing and served on the Medical Education Representative Committee. In addition, he was a member of The Association for Research in Vision and Ophthalmology.


At Center For Sight, Dr. Kim performs advanced diagnostic exams, glaucoma and cataract surgery, glaucoma laser therapy and implantation. As a specialist focusing on glaucoma, he is skilled in laser therapy, trabeculectomy, AquaFlow® Implantation and SLT treatment. Dr. Kim is committed to bringing his patients the best care with the latest medical advancements by remaining on the leading edge of glaucoma research and treatment.


Dr. Kim leads an active life in Venice with his wife, Janna. He enjoys taking in a few rounds of golf, or joining a game of volleyball, softball or basketball.


 

 • Open-angle glaucoma, the most common form of the disease, has no symptoms at first. It is a progressive disease characterized by optic nerve damage. High eye pressure is the most significant recognized risk factor for the development and progression of the disease. The pressure in the eye builds up gradually. At some point, side vision (peripheral vision) is lost and without treatment, total blindness will occur. • Closed-angle glaucoma comes in two forms: chronic or acute. Acute closed-angle glaucoma is a medical emergency that must be treated immediately or blindness can result in one or two days. This happens when the normal flow of aqueous humor between the iris and the lens suddenly becomes blocked. Symptoms may include severe pain, nausea, vomiting, and blurred vision. When the patient looks at a light source they may also see colored halos around the lights. Chronic closed-angle glaucoma progresses slowly and can produce damage without symptoms, similar to open-angle glaucoma.

No, but laser surgery can help control the symptoms of glaucoma to help maintain a normal eye pressure and minimize the risk of further damage to the optic nerve.

Treatments vary depending on the glaucoma diagnosis, some treatments are Trabeculectomy and the SLT Laser.

Age is the biggest risk factor, the older you get the more likely you are to develop glaucoma. Those who have suffered an eye injury, people with high blood pressure, diabetics, African Americans and people with a family history of glaucoma.

There are usually no signs that you’re developing glaucoma until vision loss occurs, which is why it’s so important to have regular annual eye exams.

Glaucoma is a disease that occurs when there is an increase in the fluid pressure within the eye. Over time, this pressure may cause irreversible damage to the optic nerve, resulting in vision loss. In fact, glaucoma is one of the leading causes of blindness in the World. The damage to vision caused by glaucoma can pose significant safety risks for older patients.

The pressure of the eye is measured and the optic nerve is evaluated for damage. Additionally, Center For Sight has in-house technologies that are employed for enhanced testing of the potential vision loss. Center For Sight provides the GDX and OCT testing right on our premises, with no need to go anywhere else, for our patients’ maximum convenience.

Hearing Services

Vision and hearing function inseparably together every minute of every day. These two senses together create your 3-dimensional awareness of your environment. Neither works particularly well without the other, and unfortunately, both tend to fail as the years go by. Leading eye groups across the United States now evaluate and treat vision and hearing problems together.

No, Medicare does not pay for hearing instruments just as they typically do not pay for eyeglasses or contact lenses for most vision problems.

We now routinely screen for indications of hearing loss in all of our patients; however, you can call and schedule a comprehensive hearing evaluation by calling our office and scheduling an exam at anytime. A comprehensive hearing evaluation is included as part of the total package of care that we provide at no additional cost.

We have a 30-day trial period. If you are dissatisfied with your hearing instruments, you may return them within the 30-day period and receive a refund, or exchange them for a different style that better meets your needs.

We do not use promotional pricing, misleading advertising or sell outdated technology or discontinued models which can make the process of selecting a hearing aid confusing. You can be assured of being prescribed the correct hearing instruments at an excellent price.

Miscommunication is noticeable to others and can lead to negative changes in your personality. Many people with untreated hearing loss gradually withdraw from activities they enjoy, leading to isolation and depression, and may demonstrate anger management problems and other more complicated psychosocial changes.

As we have stated before, every case of hearing loss is different, and the most appropriate hearing instruments for any particular patient depend on the extent of the loss, the activity level of the patient, and the performance demands on the instruments themselves.

Simply Stated – “vision and hearing go together.” We use the finest technology available, first-rate clinical staff, and the combination of care for your eyes and ears under the watchful eye of your trusted doctor.

 In addition, your hearing specialist will obtain a detailed history of your experience (if any) with classic symptoms of hearing loss and any sudden or unusual progression that would indicate the need for evaluation by a specialist in otology. Test results, recommendations and treatment options will be reviewed with you in detail.

Every case of hearing loss is different. For approximately 90% of all cases, hearing instruments of some kind are the only treatment option because the problem is not medically or surgically correctable or reversible. In some cases, further consultation by a specialist in ENT/Otology is appropriate, and your hearing specialist will discuss this with you following your evaluation.

More than 55 million Americans are estimated to suffer from hearing loss significant enough to have a debilitating effect on communication, and 80% of that group are undiagnosed or untreated. As our population continues to age, the problem is growing. Recent studies show up to 50% of Baby Boomers are experiencing significant hearing loss as much as 20 years earlier in life than previous generations.

Unfortunately, statistics suggest only about 15% of family doctors address hearing loss. The onset of symptoms is gradual, and your family doctor is likely to be concerned about other immediate health issues. As specialists in vision care, we are acutely aware of the importance of evaluating and treating sensory losses that affect everyday living.

 • Others complaining that you watch TV with the volume too high • Frequently asking others to repeat themselves • Feeling that people are mumbling, speaking too fast or speaking unclearly in everyday conversations • Difficulty understanding women or young children’s voices • Trouble knowing where sounds are coming from

Laser Cataract Surgery

Cataract surgery is one of the safest and most common procedures performed in the world. All surgery has risks associated with it and our staff will review the risks, benefits and alternatives during your consultation. The LensAR Laser is unique in that it uses a liquid interface between the surface of your eye and the laser device. This advanced interface creates a painless suctioning effect that immobilizes the eye so we can take precise measurements and create exact incisions. As a result of the suction, most patients will have a small, red ring in white portion of the eye. This redness will go away after a few days.

Thousands of procedures have been done worldwide with the LensAR Laser. Center For Sight surgeons were among the first in the United States to use the laser. Each of our surgeons has performed numerous cases since August 2012. Other lasers have also been used in the U.S. and around the world for the last few years. We believe the LensAR Laser – which has been specifically designed for cataract surgery – offers unequaled precision and accuracy. While the laser is new technology for cataract surgery, we have been using similar laser technology for LASIK for approximately seven years.

The laser helps perform some of the most critical and delicate procedures during cataract surgery offering greater precision and accuracy which has the potential to lead to better visual outcomes. The LensAR Laser has a 3-D imaging device that measures the anterior and posterior lens of your eye so it can tell the laser exactly where to go – right down to the micron level. The laser also creates a perfectly round and centered capsulotomy which cannot be matched by manual techniques. Finally, the laser pre-fragments the damaged natural lens requiring less ultrasonic energy to remove the tiny pieces.

If you don’t mind wearing glasses for daily activities, we offer what we call Basic+ Vision. The Basic+ Vision option uses the standard manual cataract surgery technique without advanced lenses or other vision correction techniques. The laser is not used to achieve Basic+ Vision.

If you have already had cataract surgery, it is likely that your eyes have permanently healed and have encased your intraocular lens (just as the surgery is designed to do). Therefore, another cataract procedure is not possible. However, if you have previously had cataract surgery and would like to reduce your dependence on glasses for distance vision, we may be able to help you with LASIK surgery. LASIK surgery uses a similar technology to the Cataract Laser, but only focuses on reshaping your cornea.

No, the LensAR Laser is specifically designed for cataract surgery. If you have other eye conditions, you should see one of your other specialists to evaluate your treatment options. If you have glaucoma and have a qualifying cataract it may be possible to remove the cataract using the laser, but it will not treat your glaucoma.

If you have a qualifying cataract, your underlying cataract surgery will be covered by Medicare or most insurance plans. Depending on your insurance, you will likely have some out-of-pocket costs for deductibles, co-payments or co-insurance. After basic cataract surgery (without advance lenses), most patients are dependent on glasses for day-to-day activities. If you wish to reduce your dependence on glasses, our surgeons may use the laser during cataract surgery along with advanced technology lenses and other techniques to help you reduce your dependence on glasses. However, procedures to reduce your dependence on glasses are not covered by Medicare or insurance.

Your insurance plan or Medicare typically covers the cataract consultation fee. The advanced diagnostics are not covered by Medicare or insurance. A refraction fee of $45 (covered by some plans) and a corneal topography fee of $199 per eye will be charged during your first visit. If you elect to reduce your dependence on glasses, those diagnostic costs are factored in the total price along with the laser and other procedures to improve your vision.

First we will need to evaluate whether you have a qualifying cataract, so you will want to schedule a consultation. During your visit, we will perform advanced diagnostic evaluations to assess several factors that will help determine whether Laser Cataract Surgery is right for you. The diagnostics also help us create a treatment plan that is customized to your eyes. A small percentage of patients will not be suitable candidates for Laser Cataract Surgery.

Limbal Relaxing Incision (LRI) -is a refractive surgical procedure to correct minor astigmatism in the eye. Incisions are made at the opposite edges of the cornea, following the curve of the iris, causing a slight flattening in that direction. Because the incisions are outside of the field of view, they do not cause glare and other visual effects that result from other corneal surgeries like Radial Keratotomy. LRI’s have become the most common technique to correct astigmatism as part of cataract surgery.

There are two types of Toric lenses. Toric lenses are designed for people with a significant degree of astigmatism.
1. Toric IOL’s (Intraocular Lens) as a cataract implant option.
2. Toric Contact Lenses.
Have you been told you can't wear soft contact lenses because you have astigmatism? The difference is in the design of the lens. Toric lenses have two powers in them, created with curvatures at different angles (one for astigmatism, the other for either myopia or hyperopia). There's also a mechanism to keep the contact lens relatively stable on the eye when you blink or look around. To provide crisp vision, toric contact lenses cannot rotate on your eye.

Advanced Lenses are an implant that is placed in the eye, typically during cataract surgery. We currently implant 3 types of Advanced Lenses; ReStor, Crystalens, and Tecnis Multifocal. LASIK is a procedure that improves vision by treating the surface of the eye which is called the cornea.

Monovision is one way we can fight presbyopia. Presbyopia happens when we lose the ability to see clearly up close without glasses. This typically occurs around the age of 40-45 and can be very bothersome to deal with. If you don’t like the idea of wearing those silly reading glasses, monovision is an alternative. This is easily done with the use of a contact lens or Lasik surgery. One eye sees well in the distance and the other eye sees well close up. All our O.D.’s can help with a contact lens fitting for this type of vision or check out Dr. Lahners if you want a permanent fix.

The average cost to the patient of basic cataract surgery (including pre-operative evaluation and diagnostic testing) is entirely dependent on the patient’s health insurance coverage.  It can be as little as $500 (Medicare and supplemental insurance) to $1500 (Medicare only without annual deductible having been met).

YAG … Yes, the infamous YAG laser.  This is one of many laser treatments available to us in the world of ophthalmology. This particular laser treatment is done in order to restore your sight if clouding of vision occurs after cataract or lens replacement surgery. Let me explain … when your natural lens is removed we leave a membrane in place (like a drumhead) to help stabilize the eye. This membrane, also called a capsule, most likely will become cloudy as a normal part of the healing process.  The cloudiness is not harming your eye; however, you may notice symptoms of blurred vision and glare. 


The YAG laser treatment is very simple and one of the safest procedures in ophthalmology. Your eye will be dilated (you might want to bring a driver with you) so your surgeon has a good view of the cloudy capsule. You just sit upright in a chair like when you have your eyes examined.  The procedure is performed in a matter of minutes with an invisible laser beam and there is no pain or discomfort.


You may experience floaters for up to two weeks after the laser, however, this is normal and to be expected.  Do let us know immediately, though, if you have flashing lights with a new onset of floaters or a curtain of darkness that comes over your vision.  As I said, the YAG laser is very safe, however no procedure is risk free.  That “Fourth of July” celebration with flashing lights and multiple floaters could be symptoms of a retinal detachment (less than a 1 in 1,000 chance of occurrence). Keep in mind that the YAG laser is much safer than cataract surgery and the benefit of restored vision certainly outweighs the risk.


Here’s some more good news about the YAG laser … No eye drops are needed and there are no restrictions before or after the procedure. If you currently use eye drops your normal routine will not change. This is a medically necessary laser procedure and is billable to your insurance just like cataract surgery. Last, but not least, I’ll bet you’d like to know what YAG stands for, right?  Y= Yttrium  A= Aluminum  G= Garnet.

Yes.  Mission Cataract is Center For Sight’s way of giving back to the people of the community by providing free cataract surgery to people of all ages without the means to pay; Mission Cataract is another name for caring.  Following the 1991 dream of Dr. Frederick Richburg in California, the mission of the program is to bring as many people as possible from blindness to useful and productive lives.  Center For Sight’s goal is to expand the program each year so that more and more people can enjoy the wonderful gift of sight.

To schedule an appointment, please contact Center For Sight at 941-925-2020 or 800-941-6956.

Dr. Soscia has extensive experience in cataract and lens replacement surgery with premium intraocular lenses. He also is experienced in refractive procedures such as LASIK, CK and refractive lens exchange. Dr. Soscia has published papers and given many lectures at national meetings on topics in refractive surgery as well as cataract surgery and intraocular lens technology.


Board Certified by the American Board of Ophthalmology, Dr. Soscia is also a member of the American Medical Association, Florida Medical Association, Manatee Medical Society, The American Academy of Ophthalmology and the American Society of Cataract and Refractive Surgery (ASCRS).


Dr. Soscia lives in Bradenton with his wife of 20 years, Karen and their two daughters, Sarah and Maria. He is dedicated to practicing Kung Fu, studying the Northern Shaolin-Mi Jong style. He also enjoys weightlifting, running and fishing.


 

Our unwavering commitment is to Bring Clear Vision To Life™ and improve quality of life for all age groups. This commitment is at the core of our philanthropic work. To this end, we established Center For Sight Foundation in 2012.


The mission of Center For Sight Foundation is to restore vision and transform lives by providing world class surgical care to patients who, due to financial need, would otherwise be left untreated. You can learn more by visiting www.CFSfoundation.org.


 

For a complete list of our upcoming seminars and events, please see our Seminars section online or call 941-925-2020.

Join a superior team of professionals as we advance into the future of vision care, facial cosmetic surgery, dermatology and skin care services-while enjoying a competitive compensation package including full benefits and a drug-free environment.


 

Performing nearly 100,000 cataract surgeries, more than any other surgeon his age, Dr. Shoemaker has been voted a Castle Connolly Top Doctor for three consecutive years and named by Bausch + Lomb as an inaugural member of the Crystalens Millennium Society. The Society is an elite group of twelve cataract surgeons from around the world who have implanted 1,000 or more Crystalens lenses—the first and only FDA approved accommodating intraocular lens used to treat cataracts and presbyopia. As a result of Dr. Shoemaker’s commitment to excellence, more patients have chosen Dr. Shoemaker to restore their vision than any other surgeon his age in the United States.


Dr. Shoemaker performs cataract and lens replacement surgeries at Center For Sight’s surgical center, which is one of only two AAAHC accredited outpatient surgery facilities in the Sarasota area specializing in ophthalmology. The Accreditation Association for Ambulatory Health Care (AAAHC) has reviewed operations of Center For Sight’s surgical center and has granted it a three-year accreditation, the maximum permitted under the organization’s regulations. Certification at the three-year level means that Center For Sight is providing the highest possible level of quality care to patients.
Center For Sight's surgical center consists of three operating rooms used to perform cataract, glaucoma, cornea, retina and facial cosmetic surgery. In addition, the center has a laser suite comprised of the IntraLase Laser and the Allegretto Wave Laser used to perform All-Laser LASIK (laser assisted in situ keratomileusis).


Education: Dr. Shoemaker received his bachelor and medical degrees from the University of Florida. He studied at the Swiss Institute for Medical and Surgical Research, and completed a residency in ophthalmology at the noted Ochsner Clinic and Alton Ochsner Medical Foundation in New Orleans.


Certification and Member: Board certified by both the American Board of Ophthalmology and American Board of Eye Surgery, Dr. Shoemaker is a member of the following:


• American Academy of Ophthalmology
• American Society of Cataract and Refractive Surgery
• American College of Eye Surgeons
• International Society of Refractive Surgery
• Society for Excellence in Eye Care


For more information about Center For Sight or to schedule an appointment with Dr. Shoemaker, please call 941-925-2020.


 

At Center For Sight, we strive to provide you with an opportunity to experience a more rewarding and enjoyable life and consider it an honor to be entrusted with your care.


Under the clinical direction of Dr. David W. Shoemaker and Dr. William J. Lahners, our offices offer the most advanced medical technology by the most caring and experienced medical professionals. Our management team is dedicated to the goal of exceeding each patient’s expectations by delivering the gold standard in service. No team is more qualified – or more committed – to caring for you.


You can learn more about the exciting procedures offered at Center For Sight by attending one of our seminars or visiting our booth at one of many local events. Our patient care counselors are available by calling 941-925-2020. Our counselors can answer your questions about LASIK, Cataract Surgery and Laser Cataract Surgery with Advanced Lenses, as well as Cosmetic Procedures.


 

If you’re over 40, your vision is inevitably changing. Many people who never wore glasses before are suddenly finding they require corrective lenses to do things like drive at night, work on a computer or read a menu.


CK is the first alternative to laser vision correction for Baby Boomers who struggle with the sudden need for glasses as they age. It developed as the result of more than 20 years of research into the use of heat to shrink the cornea tissue (thermokeratoplasty) and steepen its surface. In CK, radio frequency energy is used at precise temperatures based on research to achieve the necessary refractive change.


 

Advanced lenses represent the best implant technology in the world and have produced some of our happiest patients. If you have cataracts or are experiencing the onset of presbyopia, an advanced lens offers you a choice to experience your favorite lifestyle activities with less dependence on glasses or contact lenses.

Refractive Lens Exchange (RLE) corrects nearsightedness and farsightedness using an intraocular lens implant. RLE is often the procedure of choice for patients who are too nearsighted, too farsighted or have corneas that are too thin for laser vision correction. It is also an excellent alternative for those over the age of 40 and for those individuals who may be showing signs of developing cataracts.


 

Bausch & Lomb’s Crystalens HD is the only FDA approved accommodating intraocular lens which provides enhanced depth of focus. This lens is designed to improve near vision without compromising intermediate and distance vision.

The AcrySof ReSTOR multi-focal lens provides good vision at all distances. Alcon’s patented technology combines the strengths of apodized diffractive and refractive technologies which are similar to the technologies used in microscopes and telescopes, allowing for good vision near and far.

Until recently all IOL’s were fixed for one distance; requiring most patients to need glasses after cataract surgery. Today, there are many different lens options available and depending on your individual needs and lifestyle, the cataract surgeon will help you decide which lens is best for you.


 

These multi-focal or accommodating IOLs, combined with treatment for astigmatism, will give you the best chance to reduce your dependence on eyeglasses. Imagine your life reading to your grandchildren, playing cards with your friends and enjoying all your favorite activities like golfing, swimming, sewing and tennis without the nuisance of glasses.

  • Cloudiness or blurry vision

  • Poor night vision

  • Double vision

  • Colors seem faded

  • Glare or halos

  • Light sensitivity

A cataract is the clouding of the eyes natural lens, making it difficult to read, drive and perform many daily functions. Cataracts are a normal part of the aging process, developing slowly and usually without causing problems in the early stages. However, as the cataract matures the cloudiness increases resulting in significant loss of sight and even blindness.

Cataract symptoms are:

  • Cloudiness or blurry vision
  • Poor night vision
  • Double vision
  • Colors seem faded
  • Glare or halos
  • Light sensitivity

You should see your optometrist if you are experiencing any of these symptoms.

Yes, Center For Sight offers several convenient payment plans through a third party. You can speak to a patient care counselor to see what will work best for you, or visit our website to fill out the application.

The aspheric monofocal (fixed-focus) lens implant provides excellent vision after cataract surgery, however most patients will require bifocals and/or contacts to have near and intermediate vision. Advanced lenses offer the greatest opportunity to reduce or eliminate your dependence on glasses.

• patients who drive at night for a living • patients with an occupation or hobby that depends on good night vision • patients who are amateur or commercial airline pilots • patients who have lifelong complaints about glare. If you are not an ideal candidate for multifocal advanced lenses, you might be a great candidate for the accommodating Crystalens HD advanced lens.

Among Drs. Shoemaker, Lahners, Soscia, and Kim, thousands of advanced lenses have been implanted, making Center For Sight one of the leading groups in the United States.

The greatest risk is infection, which is very rare, occurring in less than one in every 5,000 cases. Lens replacement surgery is one of the most commonly performed surgeries in the United States.

After surgery, the adaptation period may take up to six months, but most patients report less. After surgery in the second eye, you can expect a progressive increase in quality vision during the first three months.

At Center For Sight, 95% of patients find they never need glasses again after receiving advanced lenses. Occasionally, although rare, some patients may continue wearing glasses to help them perform specific tasks or see certain objects. The results achieved after receiving advanced lenses are truly life changing. In FDA studies, nearly 84 percent of patients see 20/40 or better.

Although advanced lenses were initially approved for cataract patients with or without presbyopia, cataracts are not necessary to qualify foto receive advanced lenses. You simply need a desire see at a range of distances without corrective eyewear. The best candidate for advanced lenses is an individual who is 50 or older and who is dependent on glasses and/or contacts.

Some patients see more clearly immediately following their procedure. Most report their vision is good the next day and continues to improve over several months. Optimal results are best after both eyes have been implanted with advanced lenses.

There is minimal recovery time and most patients are able to resume their normal activities within a day or two of the procedure. Advanced lenses have been shown in clinical studies to provide good vision at all distances with decreased dependence on glasses.

These IOLs are breakthrough technology that may restore more youthful vision for people with cataracts and/or presbyopia (over 40 vision). Unlike traditional single-vision lens implants, advanced lenses provide quality vision at all distances – near, intermediate, and far. Traditional single-vision (monofocal) lenses usually provide good vision only at a distance with limited ability to see objects that are near without glasses.

Of course we will be happy to prepare any correspondence necessary.

Mmmm. Maybe and maybe not. You should call us and we will let you know what to do.

If you’re planning surgery with us, we’ll discuss all the medications you take and we’ll decide together.

This would depend on what surgery you’re planning and who your doctor is. We try to keep it pretty simple and we will be more specific with you when you come in for your evaluation. We will provide you with written instructions and are always available to answer any questions you may have.

Absolutely. Artificial tears are a comfort solution, not a prescription medication. It’s an over-the-counter bottled eye drop you can use all day long whenever you want.

Of course! A warm compress is like a warm fuzzy. The eyelid loves warm compresses. You can start your morning with a warm compress and you can end your day with a warm compress. They’re so easy…just take a warm washcloth, apply it to your eyes, kick back and relax.

We keep it pretty simple for you. We will make sure your instructions are written down and we will always be available for you to call us. We know how easy it is to forget and how confusing it can be.

The difference between LASIK and cataract surgery is that LASIK is a laser beam that treats the surface of the cornea. Cataract surgery requires a tiny incision in the eye to remove the cataract and implant your new lens. For patients with cataracts who wish to experience greater freedom from eyeglasses, we offer Laser Cataract Surgery. The LensAR laser system we use is ultrafast and makes super-precise incisions so that you get a perfectly round and centered opening to the lens of the eye. This is important if you wish to see better with an aspheric or advanced lens to reduce your dependence on glasses. 

You can hop on a plane the day of surgery if you’d like. There are swimming restrictions for two weeks. As for exercise, we love exercise and suggest you go for it. Just remember to protect your eyes for a few weeks. Golf? Sure … day after surgery. Tennis? Of course … day after surgery.

With other surgeries we need a little more information and our Center For Sight nurse will work directly with you to get you ready for surgery.

No, not the day of surgery. The light sedation you receive may make you just a little less responsive behind the wheel of the car. Therefore, for your safety and for others on the road, you will need a driver. Courtesy transportation is available if you have no other means of travel.

There’s a little incision in the eye that needs to heal and the teeth are very close to the eyes. We don’t want any infection started that would affect the outcome of your surgery. Also, we will remind you not to push on or rub your eye for a few weeks as you heal.

I’m happy to tell you, if you’re planning cataract surgery, it is not necessary to stop any of your blood thinners, including aspirin and Coumadin. We try to keep you on your normal daily routine and not make this difficult or change things up. There’s only a little adjusting to your normal lifestyle when planning cataract surgery with us.

Sometimes it’s nothing to eat or drink after midnight and sometimes it’s two hours before surgery. That’s something we’ll decide when you’re here for your cataract surgery evaluation. Not to worry, though, we’ll have a hot or cold beverage and a snack waiting for you after surgery.

Oh, we’ll always call you the day before and let you know of your arrival time. Each doctor has a different schedule, so it depends on who you plan to see for your surgery.

 If you sleep in your soft lenses or your soft lenses treat astigmatism, you must keep your contacts out for two weeks. If you are one of those that wears RGP’s … you know, the hard contacts … you must have them out for three weeks.

LASIK

During his medical education, he was inducted into the Alpha Omega Alpha medical honor society, was one of only six students to complete the four-year honors research program, and was awarded the Luis Perez Award for excellence by the Department of Ophthalmology. He continued his education with a combined internship in Medicine and Surgery at the Mayo Clinic, a residency in ophthalmology at Emory University, and a prestigious fellowship at the Phillips Eye Institute and Minnesota Eye Consultants.


Dr. Lahners has a special interest in refractive surgery and has authored many papers and textbook chapters on the subject, in addition to being a principal investigator for ongoing FDA LASIK and Intraocular Lens Studies. He is experienced in all types of refractive surgery including intraocular lenses such as the ICL, ReSTOR, ReZoom, Conductive Keratoplasty (CK) and Epi-LASIK.


Dr. Lahners is also interested in improving modern glaucoma surgery and has been a clinical investigator for various types of non-penetrating glaucoma surgery such as the AquaFlow device.


In addition to his certification by the American Board of Ophthalmology, Dr. Lahners is also board-certified in LASIK by the American Board of Eye Surgery. He is an active member of the American Academy of Ophthalmology, American Society of Cataract and Refractive Surgery, International Society of Refractive Surgery and the American Medical Association.


Dr. Lahners lives in Sarasota with his wife and two children. He enjoys weightlifting, windsurfing, flying, boating, fishing, reading and tennis.


 

Implantable Contact Lenses (ICL-also known as Visian lenses) may be appropriate for people who have very large corrective errors or are otherwise not good laser vision correction candidates. During a brief, painless procedure, a prescription lens resembling a soft contact lens is inserted in the natural space between the iris (the colored part of the eye) and the eye’s natural lens.


 

The main advantage of Epi-LASEK is its simplicity. The results are identical to LASIK except that the healing time is an extra few days.


In Epi-LASEK, the eye is numbed and the ALLEGRETTO WAVE laser is then used to sculpt the cornea. A special soft contact lens is placed on the eye until the surface layer has healed-usually in four to six days.


 

The main advantage of Epi-LASEK is its simplicity. The results are identical to LASIK except that the healing time is an extra few days.


In Epi-LASEK, the eye is numbed and the ALLEGRETTO WAVE laser is then used to sculpt the cornea. A special soft contact lens is placed on the eye until the surface layer has healed-usually in four to six days.


 

Improved Safety: Eliminates the most severe microkeratome-related complications, including invasive corneal incisions and button-hole flaps.


Better Vision: Patients achieve statistically better vision when IntraLase is used in the LASIK procedure in comparison with the microkeratome. More patients achieved 20/20 vision, and those with a preference preferred the post-operative vision of their IntraLase treated eye 3-to-1.


Highest Degree of Predictability and Precision: Micron-level precision creates significantly more predictable and accurate flap dimensions, including most critically, reproducible flap thickness, within +/- 10 microns, whereas variability with microkeratomes has been reported up to +/- 40 microns. This increased precision preserves valuable corneal tissue and improves the predictability of the LASIK treatment.


Fewer Re-Treatments: The number of LASIK re-treatments (or enhancements) is significantly lower for laser-created corneal flaps, avoiding the patient inconvenience of subsequent surgeries and the increased surgeon costs entailed with re-operations.


Reduced Dry Eye Symptoms: In several clinical studies, standard tests performed to diagnose dry eye show a significant reduction in symptoms, the largest of which shows patient symptoms were reduced by 72 percent.


Individualized Flaps: The laser flap can be tailored to the individual patient’s needs, allowing physicians to individualize all steps in the LASIK procedure: custom diagnosis with wavefront, personalized flap creation with IntraLase and custom laser treatment with custom ablation.

The ALLEGRETTO WAVE laser is used to treat the central and peripheral area of the cornea. It uses a proprietary system to adjust to the aspheric shape of the cornea and to reshape the cornea based on the front, or prolate curve. This is the main reason for the excellent quality of both day and night vision it produces in patients.


 

How LASIK Works


The LASIK procedure involves two steps: making a flap and reshaping the cornea with the Excimer laser. At Center For Sight, we use the sophisticated IntraLase Laser to make the flap and the ALLEGRETTO WAVE laser with wavefront technology to reshape the cornea. This combination makes every LASIK procedure performed at Center For Sight an ALL-LASER, BLADE-FREE procedure.

Center For Sight is the exclusive provider of all-laser LASIK in Southwest Florida. We have been using this technology since 2005 and Dr. Lahners has more experience with all-laser LASIK than anyone on the entire west coast of Florida. Dr. Lahners performs more LASIK yearly than all other providers in our area combined.

Patients have clear, natural vision with reduced (or eliminated) dependence on glasses and contact lenses. While some medical plans may cover the cost, most still consider this an elective treatment and therefore do not pay for the procedure. Center For Sight offers many financial options and payment plans, or you can utilize your medical spending accounts. You can speak to a patient care counselor to see what will work best for you.

Some patients may experience small vision changes during the first several months, which is a normal occurrence as the cornea reaches its stable state. Based on recent studies, some patients who undergo all-laser LASIK using wavefront-guided technology will see better than they could in glasses or contact lenses.

Most people go back the day after treatment. Two days are suggested. Most surgeries are performed on Thursday so that patients can return to work on Monday. There are no weight lifting restrictions after LASIK, so exercising can be resumed immediately.

As with any surgery, laser vision correction involves a degree of risk. Dr. Lahners gives patients the information regarding those risks and answers any questions that they may have. Results of clinical studies indicate that the chances of having a vision-reducing complication are less than 1 percent. Recent studies have suggested that LASIK is safer than contact lens wear.

Although patients can’t be assured 20/20 vision, most LASIK patients with mild to moderate prescriptions do achieve 20/20 vision or are within one line of their best corrected vision. This means they no longer need glasses or contacts to drive, play sports or to watch TV. And they can participate in careers requiring excellent vision such as being a pilot, police officer or firefighter.

The LASIK procedure causes little or no discomfort and no needles are used. Instead, Dr. Lahners uses anesthetic drops to numb the eye just before surgery begins. After a LASIK procedure, the patient may feel a slight gritty sensation for a few hours, but should be quite comfortable after taking a short nap. Dr. Lahners can prescribe pain medication to alleviate any discomfort during recovery.

* no risk of blade-related complications * faster visual recovery * less discomfort after surgery * less risk of corneal haze or scarring * less need for prolonged use of anti-inflammatory eye drops * better quality vision * better for patients with dry eyes

Dr. Lahners performs LASIK with the IntraLase and ALLEGRETTO Wave lasers. The IntraLase laser creates the flap without using a blade and the Allegretto Wave laser uses wavefront guided technology to reshape the cornea.

Laser surgery is used to treat a wide range of nearsightedness, astigmatism and farsightedness. In most cases, even patients with severe degrees of nearsightedness, astigmatism and farsightedness can be treated. Good candidates have realistic expectations.

LASIK is an outpatient surgical procedure that uses a laser beam to gently reshape the surface of the cornea. This causes little or no discomfort and improves vision. The beam gently pulses to remove a microscopic amount of tissue, allowing images to be more sharply focused on the retina.

Typically, you sure can and you’ll be driving yourself here for your post op visit (and enjoy that new found vision without your glasses or contacts). Of course, there are some exceptions to this rule, but for the most part you are back to normal and on the road the next day.

Retina & Macular Care

The cavity of your eye is filled with a clear jelly-like substance called the vitreous. With age, the vitreous gel begins to contract and pull away from the retina or inner lining of the eye, Through this process, small clumps may form in the vitreous gel and “float” throughout the eye cavity. These clumps cast a tiny shadow on the retina and are commonly referred to as “floaters”. Floaters are generally no cause for concern although they may pose an occasional nuisance to clear vision. However, should you experience the sudden onset of many new floaters accompanied by flashes or a “curtain” of darkness over the eye, please contact your physician immediately.

In addition, Dr. Mestrezat completed his fellowship training in retina-vitreous surgery at the Massachusetts Eye and Ear Infirmary affiliated with the prestigious Harvard University. Dr. Mestrezat offers the most advanced treatments available for patients who suffer from retinal detachments, eye trauma, macular degeneration and retinal vascular diseases which include diabetic retinopathy. As a clinical investigator for national clinical trials, Dr. Mestrezat continues to research and develop new and innovative treatments for sight threatening diseases. At Center For Sight, Dr. Mestrezat
uses the latest state-of-the-art equipment for diagnosis and treatment of retinal diseases including the latest 25-gauge instrumentation which has been proven to reduce patient discomfort following surgery.


Dr. Mestrezat resides in Sarasota with his wife Elaine and is the proud father of two sons in college: Christopher is in medical school and Scott is studying biology and economics. Dr.Mestrezat spends his free time staying active in the outdoors. As an avid runner, biker and swimmer, he has participated in triathlons. He also enjoys water skiing, snow skiing and golfing.


 

For mild symptoms, no treatment may be necessary, but if there is significant vision loss, vitrectomy surgery is recommended to remove scar tissue.

Macula Pucker symptoms include blurred central vision, distorted or “wavy” vision, difficulty reading or performing tasks that require detail vision, and gray or cloudy in the central vision.

As the vitreous begins to pull away from the retina, scar tissue may develop on the macula. The scar tissue may warp and contract, causing the retina to wrinkle or bulge. 

Warning signs of a tear or detachment include flashing lights, new floaters, a shadow in the periphery of your field of vision, or a gray curtain moving across your field of vision. If you are experiencing any of these signs, please call your doctor.  

Macula Pucker is when wrinkles, creases or bulges form in the macula.

Risk factors of Diabetic Retinopathy include high blood pressure, smoking and high cholesterol.

Symptoms of PVD include flashes and floaters in which you will experience cobwebs or spec-like floaters in the field of vision, they are usually black and float in and out of view. There is no way to tell if a PVD caused a retinal tear so if someone has symptoms of a PVD they need a prompt dilated retinal exam.

Anyone can have a tear or detachment but there are factors for those most at risk, which include family history of vitreo-retinal problems, age, cardiovascular disease or diabetes, nearsightedness, previous eye surgery or trauma to the eye.


 

Symptoms of diabetic retinopathy include blurry, darkened or cloudy vision, seeing floaters or black lines. If you are experiencing any of these symptoms, please contact your doctor.

Common vitreo-retinal problems include diabetic retinopathy, post vitreous detachment (PVD), and tears or detachments.

A macula hole occurs when the shrinking vitreous gel adheres to the macula. This causes the macular tissue to stretch and after several weeks or months the macula tears, forming a hole. As the hole progresses, a blind spot develops in your central vision and impairs the ability to see at both distant and close ranges. Vitrectomy surgery is the most effective treatment option to repair a macula hole.

No, but treatment can slow or even stop the progression of the disease or in some cases reverse some of the damage. The earlier you’re diagnosed, the better.

Photodynamic therapy (PDT) uses a low intensity laser to stimulate a light sensitive drug that is injected intravenously to cause shrinking of abnormal blood vessels of the macula. Anti-VEGF Injections are the newest treatment involving a series of injections of a small quantity of drugs called anti-VEGF into the eye. These drugs block chemicals that allow the abnormal blood vessels to grow. Treatment for wet macular degeneration can involve combining these types of treatments and treatments may take many months to complete.

• History of hypertension • History of cardiovascular disease • Smoking • Sun Exposure • Hyperopia(farsightedness) • Light skin & eye color • Lens opacities (cataracts)

Most people with macular degeneration retain peripheral vision and learn to optimize the use of their remaining vision. Low vision aides can sometimes be helpful too.

This is particularly important if a close relative has been diagnosed with macular degeneration. Even though it can’t be prevented, its progress and severity can sometimes be reduced with certain vitamins, minerals and Omega III fatty acids. Controlling high blood pressure and quitting smoking can be helpful.

Amsler Grid Test: this test checks for blind spots, loss of sight and distortion. Color Testing: this can help determine the status of your cone cells which are the cells located in the macula and are the retinal cells that interpret color. Fluorescein Angiogram Test: a dye is injected in the vein of your arm and then photos are taken of the retina and the macula in order to identify new blood vessel growth and leakage from blood vessels. Optical Coherence Tonography (OCT): this test takes a cross section photo of the layers in the back of the eye. It is very beneficial to see if there is swelling, abnormal blood vessels or scar tissue in the macula.

Macular degeneration is the leading cause of vision loss in adults over the age of 55. Studies have found that both genetic and environmental risk factors influence the disease. Rarer forms of macular degeneration can occur in younger people and can be inherited or associated with trauma, infection or systemic disease.

• Blurring of central vision • Difficulty seeing detail — up close and at a distance • Distortion of lines and shapes • Diminished color vision

 The retina is the delicate innermost layer of tissue that lines the back of the eye. It contains layers of light receiving cells called photoreceptors that are connected to the brain by the optic nerve. If you think of the eye as a camera, the retina is the film on which images are recorded and the macula is the small, central part of the retina.

Sometimes abnormal substances called drusen can accumulate under the macula in dry form of macular degeneration and can cause distortion and blind spots. Wet macular degeneration has abnormal blood vessel growth under the macula which can cause swelling and or bleeding. The vision loss with the wet form of macular degeneration is usually more rapid and severe then the dry form.

Yes. People with diabetes are most susceptible to developing it, but your risk is reduced if you follow your prescribed diet and medications, exercise regularly, control your high blood pressure and avoid alcohol and cigarettes. Regular eye exams are an integral part of making sure your eyes are healthy.

Yes. Many of the problems caused by diabetic retinopathy such as swelling of the retina, bleeding in vitreous and scar tissue can be treated with modern techniques such as injections, laser or surgery. The earlier problems are found the easier they are to treat before vision loss becomes irreversible. Early and periodic dilated eye exams are very important.

Diabetic retinopathy is a complication of diabetes that weakens the blood vessels that supply nourishment to the retina. When the weak vessels leak, swell or develop thin branches, vision loss can occur. In its advanced stages, the disease can cause blurred or cloudy vision, floaters and blind spots and eventually, blindness.

A retinal detachment can occur at any age, but it is more common in people over age 40. It affects men more than women and Caucasians more than African Americans. A retinal detachment is also more likely to occur in people who are nearsighted or have had a retinal detachment in the other eye, a family history of retinal detachment, cataract surgery, an eye injury or systemic eye diseases.

Problems with the retina and vitreous including retinal tear, retinal detachment, severe intraocular infection, eye disease and trauma can lead to vision loss and even blindness. Surgery, lasers and injections can correct problems before vision is lost or prevent further deterioration from occurring.

When the retina detaches, it separates or pulls from its normal position, this can occur because of retina holes, tears or traction from scar tissue. If not promptly treated, retinal detachment can cause permanent vision loss.

Another symptom is the appearance of a curtain over the field of vision. A retinal detachment is a medical emergency. Anyone experiencing the symptoms of a retinal detachment should see an eye care professional immediately.

The vast majority of PVDs do not cause problems except annoying floaters and sometimes brief flashes of light. Improvement in symptoms is usually seen within a few months. Occasionally retinal tears can occur with PVD. Retinal tears can lead to a detached retina if the retina tear is not treated. There is no way to tell if a PVD caused a retinal tear so if someone has symptoms of a PVD they need a prompt dilated retinal exam.

The vitreous is a gel-like substance that fills the back of the eye and is loosely attached to the retina.

Floaters, floaters and more floaters … Floaters (big or little) are black specks that drift up and down or side to side in our line of sight. What a nuisance!! Floaters are generally no cause for concern, but here goes with the technical stuff. The cavity of your eye is filled with a jelly-like substance called vitreous. As we age … seems like we hear that cliché often enough….this jelly begins to contract and pull away from the retina. Small clumps (floaters) may form in the retina, cast a shadow with the result being those pesky floaters. Typically, not sight-threatening; however, if you have a change in the normal pattern of your floaters, or a new onset with flashes of light, or a curtain of darkness, please contact your Center For Sight physician immediately. Floaters can be a symptom of a retinal tear or detachment.

Our Center For Sight vitreo-retinal specialist, William J. Mestrezat, M.D. is a medical doctor who has completed his training in eye surgery and disease. This includes a residency and fellowship specific to vitreo-retinal disease.

The retina is the delicate, light-sensitive tissue that covers the interior wall of the eye. Like the film of a camera, it receives images projected through the lens of the eye and sends these images to your brain through the optic nerve. When the retina is damaged in any way, your vision becomes impaired. Damage to the retina may be caused by injury, illness or as a result of aging.

Skin Care

A touch-up is a color re-enhancement. Almost always, the implanted color is not perfect after the first procedure. We recommend a follow-up visit 4 weeks after initial procedure.

Generally there will be some swelling of the treated area. While eyebrows may show little after-effect, eyeliner and lips may show more and the edema may last from 2 – 72 hours. During the procedure, there may be some bleeding or bruising. There is usually some tenderness for a few days. The color is much darker than expected for the first 6 – 10 days.

You can develop an allergy to anything at anytime. However, documented allergies to permanent cosmetic procedures are extremely rare. There have been very few reactions to pigments and only rarely in the case of blue-based red pigments.

Permanent cosmetics are completely safe as long as proper sterilization and sanitation guidelines are met.

Although the procedures are considered permanent, you have the flexibility to change the color and/or shape, to some extent. Colors will appear darker immediately following the procedure but will soften and lighten during the healing process. The healing time is different for each individual and procedure.

Technically, permanent cosmetic procedures are considered permanent because the color is implanted into the upper reticular part of the dermal layer of the skin and cannot be washed off. However, as with any tattoo, fading can and often does occur, requiring periodic maintenance, color re-enhancement or color refreshing.

Because of the delicate area, some discomfort may be experienced. The use of topical anesthetics combined with a relaxing atmosphere help to lessen any discomfort.

active people who want to look their best for activities such as swimming, hiking, biking, tennis, or aerobics and don’t want to worry about “sweating off” or reapplying cosmetics; and those with motor impairments such as arthritis, Parkinson’s disease, multiple sclerosis, or stroke survivors with unsteady hands who cannot apply traditional makeup.

Permanent cosmetic procedures can be subtle or dramatic, depending upon what you are looking for. Options include eyebrows, eyeliner, or full lip color.

All-natural pigments are deposited into the dermal layer of the skin in a sterile and sanitary manner using a state-of-the-art machine. The process includes an initial consultation, application of the pigment and a follow-up visit to adjust the shape and color or density of the pigment.

The consultation is an in-depth look at your skin, complexion and face shape to match the appropriate technique to your desired result.

Permanent cosmetics are often referred to as “permanent makeup” or “micropigmentation.” The cosmetic implantation technique deposits colored pigment into the upper reticular layer of the dermis.

Waxing makes the hair finer and but it’s not a permanent hair removal method.

Exfoliate before waxing and again 2-3 days after so that the hairs can grow freely through the skin.

Unlike shaving, waxing removes the entire hair, which, with consistent waxing, may then take up to eight weeks to grow back. Hair that has been shaved may grow back feeling more coarse and looking darker — but the hair that grows back after waxing often feels softer and appears lighter than it did before.

For best results waxing should be repeated every 4-8 weeks.

For a bikini wax, I recommend older underwear to wear during the service; we will discuss where you would like your bikini line to fall. For an underarm wax, please avoid deodorant/antiperspirant prior to your service; it stops the wax from adhering properly. If avoidance is not possible I will cleanse the area before your service.

To assure ease in removal, the unwanted hair should be at least 1/4? long. For body waxing, plan to exfoliate, or scrub, the area to be waxed on the day before your treatment, to slough off dead skin cells and help prevent ingrown hairs. Always wear clean comfortable clothing that will not irritate the area you are having waxed.

In most cases, hair growth is minimal during the first week or two and noticeably increases in the third and fourth week. Heat stimulates hair growth; therefore hair grows quicker in the summer than in the winter. With regular waxing the length of time between treatments will increase. Continued waxing results in sparse hair re-growth.

Depending on the body part and the density of the hair growth, your waxing appointment will take between fifteen minutes and one hour.

The wax can be used on almost any part of the body as needed. It is wise to test a small area first for sensitivity. Some frequently waxed areas for women are legs, underarms, bikini line, eyebrows and face. For men: chest, leg, arms, and back. The exceptions for waxing are the beards and inside the ears.

Most people experience some, since as a new hair grows in it may become trapped under the surface of the skin causing slight irritation. Exfoliating regularly helps. To remove ingrown hairs, rub ice over irritated areas to draw hair to the surface of the skin, and then gently remove with disinfectant.

Over time, hair in waxed areas regrows lighter and sparser or not at all. Even fine hair shadows the face, distorting and aging your features. Waxing the brows opens up the eyes, providing a non-surgical facelift. You keep the hair on your head well-maintained, so why not everywhere else?

No, but after removing hair lightened by the sun darker re-growth may appear thicker. Often hair grows in sparser after regular treatments and since waxing removes hair by the root, a soft new hair with a fine tip grows in, eliminating razor stubble.

It’s fine for most everyone, but isn’t appropriate for those on certain medications such as Retinoids and Accutane, or for people with diabetes or particular skin conditions.

Hair typically grows back several weeks after your treatment. For best results waxing should be repeated every 4-8 weeks, although once a year before your warm-weather vacation is fine, too!

1/4”-1/2” long. If too short, hair won’t come out. If too long, hair will break and the service will be less comfortable. I suggest either shaving three weeks before your appointment, or trimming bikini line hair just prior to your appointment.

It’s most uncomfortable at first since it’s a new sensation. Any discomfort dissipates quickly and decreases with regular treatments, as less hair is removed each time. Caffeine, menstruation and pregnancy increase skin sensitivity.

Laser hair removal is very successful. The length of laser hair removal treatment depends on each person’s makeup and body chemistry. But once hair follicles have been treated and destroyed, they can no longer produce hair. Hair that is entering the anagen phase (growth phase) after laser treatment will need to be treated again.

It’s the removal of unwanted facial and body hair by the root. Warm wax, the consistency of honey, is applied over the hair to be removed. A cotton strip is pressed over the wax, and then the strip, wax and hair are removed together in a quick pull.

Within several minutes of the treatment, the treated area will become slightly red and puffy. This reaction subsides, and within a few hours the area returns to normal. Since the laser does not burn or cut the skin in any way, no bandages are necessary and you can return to your normal activities immediately.

Our certified laser specialist will work with you to develop the treatment program that best fulfils your hair removal needs, and can also provide conventional electrolysis on sparse growth or persistent re-growth. The combination will be very quick, permanent hair removal.

Laser hair removal began 10 years ago, but hair removal laser technology has really progressed in the last five years.

Most laser clients describe the treatment as mildly uncomfortable, but not painful. For sensitive facial and body areas, however, some people do ask for a topical anesthetic cream.

The most popular areas are female facial hair, bikini line hair and back hair for men.

Yes. The laser parameters were carefully defined to inhibit regrowth by studying the anatomy of the hair follicle and matching the laser light and pulse duration to the follicle size, depth and location to safely and effectively remove hair.

Around 3-10 days after treatment hairs will begin to surface. Most of these hairs were treated and are falling out, it is not regrowth. The hair follicles need to purge the hairs that remained under the skin. Please refrain from waxing, plucking, or bleaching between treatments (shaving is okay).

The light energy passes harmlessly through the skin, but is absorbed by the pigment in the hair follicle and hair shaft. By absorbing this laser energy, the hair follicles are disabled, impairing their ability to grow. The laser is effective on hair follicles in the active growth phase (anagen).

elos™ laser provides superior results with the highest levels of comfort and safety.

Side effects can include transient redness and increased or decreased pigment in the treated area. Minimizing sun exposure can reduce these side effects.

Immediately after your treatment the area is cleansed and you can return to your normal activities. There is virtually no down time, and you may go right back to work. Do not suntan for the next week, and avoid any excess sun exposure for the next month.

FotoFacial RF is primarily a treatment to improve color and texture of sun damaged skin. Results may vary, but one can reasonably expect a 50-75% improvement in redness, spider veins on the face, brown blemishes, melasma, and sun damage spots. A lesser and more variable degree of improvement can be seen in fine wrinkling, pore size and skin texture irregularities.

Patients will see a gradual and persistent improvement of their skin over a 12-20 week program which is about 3-5 treatments.

One of the greatest benefits of a FotoFacial RF treatment is that there is usually no down time. The only limitation after a procedure is to minimize sun exposure, which can be accomplished by hats and judicious use of a broad spectrum sunscreen. Some patients do experience a slight temporary darkening and peeling of their brown spots before they fade.

During this in-office procedure, a thin layer of cooling gel is applied to the desired body part. Dr. Newman then employs a hand piece which passes over the area utilizing a series of pulses to deliver the energy. Some patients may experience discomfort which is almost always well tolerated.

Most of our patients report a tolerable level of discomfort during the procedure, and usually no pain or a slight burning sensation for a few hours afterwards. For their comfort, patients are provided with a topical anesthetic cream which may be applied 60 minutes before the procedure.

Reactions to chemical peels are similar to sunburn. The recovery time is dependant on the depth of the peel. After any peel, it is very important that the skin be protected from the sun.

FotoFacial RF utilizes advanced technology which delivers pulses of optical and radio-frequency (RF) energy selectively into the brown and red blemishes on the skin without damaging the normal areas. It also has been shown to strengthen the skin by increasing collagen and elastin, which can lead to improvement in skin texture and may smooth fine wrinkles.

The superficial peels are usually done several times over the course of several months while the deeper peels usually only need to be performed once to achieve the desired effect. Regardless of the technique, you will likely need repeat treatments in the future.

With good sun protection and depending on the depth of the peel, results can last months to several years. Generally, the deeper peels have a more long lasting effect.

Chemical peels can restore a more youthful appearance to reduce blotchy and uneven pigmentation, age spots, fine lines, shallow acne scars and sun damaged skin.

Sometimes, this level of peel is called “exfoliation.” Light peels injure the entire epidermis and stimulate the regeneration of a new epidermis and may produce a burning sensation during the procedure. Medium depth peels involve injury to the upper level of the dermis to stimulate the formation of collagen and “plump” up the skin. 35% TCA, in combination with another chemical such as glycolic acid, is used safely with minimal discomfort. Deep peels involve injury to the mid dermis and are usually performed using a phenol solution and anesthesia.

Depending on size of the area being treated, most peels are performed in less than one hour.

To achieve this, chemical peels produce a controlled injury to the skin which promotes the growth of new skin. Many different chemicals are used for chemical peels and include glycolic acid, trichloroacetic acid (TCA), salicylic acid, “Jessners” solution, and phenol all which produce different degrees of injury of the skin. There are two layers of the skin; the outer layer (the epidermis) and the inner layer (the dermis).

Chemical peels are used for the treatment of photoaging (from sun damage), wrinkles, scarring, acne, precancerous lesions, and discoloration including melasma, freckles and age spots.

Microdermabrasion treatment is painless. Some patients have reported some itchiness or stinging when micro crystals came in contact with their skin.

That depends on your skin. Some patients reported changes after the first treatment. Your skin will look cleaner and healthier after a few microdermabrasions, but major changes (like reduction of wrinkles and scars) become visible after five treatments.

After a complete series of micro dermabrasion treatments, you may want to keep your skin looking smooth and younger by scheduling a microdermabrasion-maintenance session once every three months.

A typical microdermabrasion face treatment takes between 20 and 30 minutes. However, if you want your neck or other parts of the body treated, it may last up to an hour.

Microdermabrasion can reduce fine lines and wrinkles, help fight acne and remove acne scarring, even skin tone, eliminate white and black heads, minimize large pores and revitalize dull skin. Microdermabrasion helps skin regeneration by increasing its elasticity and collagen production. The skin looks fresh and feels smooth as soon as treatment is over. With micro abrasion, there is no recovery time and no discomfort.

Most patients will see significant results within 2 or 3 weeks. However the maximum improvement may not be seen for a month after your final treatment.

Microdermabrasion is an effective, non-surgical way to get rid of acne scars, fine wrinkles and sunspots by exfoliating the top layers of the skin. Microdermabrasion also stimulates collagen production, helping your skin rejuvenate faster than normal.

Your skin is first cleansed with a special cleansing gel. The aluminum oxide micro crystal flow is sandblasted through a small tube pressed against the skin. The tube also vacuums back dead skin cells and used micro crystals.

Avoidance of sun exposure before and after treatment is paramount. You should keep sun exposure to a minimum for 4 to 6 weeks prior to treatment. Sun block of at least 30SPF should be applied with any outdoor activity.

Overall, the results can be excellent. Certain conditions like spider veins, rosacea, PFB and pigments lesions can be completely eliminated. Wrinkles, skin laxity, acne scars and pore size will have more moderate results depending on your condition. Typically, a 40-60% improvement can be expected

Non-ablative lasers have gained immense popularity in recent years because of their effectiveness and little to no downtime. No one laser or light-based (IPL) system can treat all of the above conditions. Three different lasers can be applied individually or in combination to meet your specific needs. They work by targeting the superficial skin as well as the deeper (dermis) layers of the skin. They epidermis is resurfaced by inducing a “laser peel,” resulting in a smoother texture. The dermis is stimulated to activate collagen regeneration resulting in wrinkle reduction and increased skin tone. The laser energy can also be used to target melanin and oxy-hemoglobin for the treatment of pigmentary and vascular lesions respectfully.

These procedures are usually well tolerated. A few may find the full strength treatments uncomfortable.

Essentially, there is no downtime. This is a tremendous advantage over ablative or surgical therapies. Depending on the procedure, there may be some initial redness usually lasting for a few hours to a light peeling or slight crusting of the skin. The micro-crusting can last 7 to 10 days. This is easily covered by the application of makeup. Sun protection is absolutely necessary.

There are many other ways to treat wrinkles from botox to surgical face lifts. If it is felt that laser skin rejuvenation is not appropriate other possible treatments will be discussed.

Wrinkles, skin laxity, acne scars, enlarged pores, pigmentary lesions, blotchy pigmentary changes due to sun over-exposure, freckles, birth marks, spider veins, rosacea, and localized capillaries.

Typically two specialized lasers are used during each treatment session. 30 minutes is the usual length of a session but this does depend on the size of the area being treated.

Depending on skin type and condition, between 3 to 8 treatments may be necessary.

New wrinkles occur over time as a result of ageing and sun damage. Therefore care should be taken to wear sun block to reduce further sun damage. Wrinkles cannot be stopped from occurring, however the collagen stimulation by the laser should help slow the appearance of new wrinkles.

When the light is applied it feels like a warm pulse against the skin. A topical anesthetic can be applied to the area being treated but most patients do not require this.

Following the treatment the laser clinician will recommend a sun block for daily wear. Normal activity can be resumed and make up can be applied. There may be some slight redness or swelling for a few hours.

rejuvenation is a wonderful, cost effective alternative for people who want a more youthful appearance without needles, cosmetic surgery or weeks of recovery time.