Orbital Implants

Dr. Rad’s orbital implant surgery is a procedure that involves the insertion of implants to reduce eye prominence, which can be achieved using a variety of different methods. These include orbital rim onlay implants, extended orbital rim implants, or infraorbital rim implants depending on the concern.

Dr. Rad’s expertise and extensive experience allows him to assess each case and determine which method is the most appropriate for each patient. Oftentimes, this procedure is combined with others to meet the aesthetic or reconstructive goals of the individual.

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“Plastic surgery is the craft of enhancing beauty without the evidence.”

- Ariel N Rad, MD, PhD, FACS

Real Patient Results Gallery

Facial Implants before and after photos by Sherber and Rad in Washington DC

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01 Artistry

Dr. Rad has performed thousands of orbital implant surgeries, and his artistry is customized for each patient whose anatomy and needs are unique. In Dr. Rad’s experience the key to artistry is to view a face holistically and artistically rather than in individual parts or by following some “recipe” or rote formula. The reason behind this is because changing one area will influence the relative contour of adjacent areas and change the overall balance of a face. Furthermore, following a “recipe” for every face rarely works well. Overall, Dr. Rad’s artistry is rooted in his deep experience treating thousands of patients and his deep focus on facial aesthetics at the highest level!

02 Safety

Experience is everything when it comes to safety. Dr. Rad has performed thousands of facial operations and prides himself in achieving beautiful, natural results for both women and men, and he operates with safety at top of mind by working with expert anesthesia and nursing teams at DC’s top hospital-based surgery centers. In Dr. Rad’s hands, orbital rim implant surgery entails low risk and safety is always top of mind. Dr. Rad’s innate familiarity with facial anatomy, knowledge of safe navigation of the delicate nerves, muscles and blood vessels, and working with expert anesthesia and nursing teams, all translate to keeping patients safe.

03 Technique

Dr. Rad employs the following technique when performing an orbital implant surgery:

An orbital implant surgery must be done with light sedation/general anesthesia. Therefore the initial safety steps focus on reviewing your medical history to ensure no major health concerns such as heart, lung, or kidney disease. You will need a preoperative medical clearance by your primary physician and/or cardiologist or other specialists if indicated.

Dr. Rad further ensures your comfort with an injected anesthetic. This also minimizes bleeding and hematoma risk.
First, an incision is made and then the porous implant is placed on the eyesocket bone to enhance both facial structure and projection

A brow lift and/or lower blepharoplasty may also be needed for more comprehensive results. Speak with Dr. Rad about the possibility of these during your consultation.
A light dressing is applied after which you can return home, driven by a friend or family member. The procedure is performed on an outpatient basis in almost all cases.

04 recovery

Recovery is a process of tissue healing and feeling back to normal that requires time. The length of time depends on which facial areas are treated, the complexity of surgery, and individual healing factors. The key principle of surgery that Dr. Rad always adheres to is minimizing surgery to achieve best results, thus minimizing healing and recovery time. Since each case is different, Dr. Rad will make sure to guide each patient through the recovery process with comprehensive information based on your unique situation.

The recovery process after an orbital implant surgery procedure is different for each patient. Following Dr. Rad’s post-surgical care directions is vital. Mild bruising and temporary swelling are normal and resolve quickly. Patients can typically return to work or go to social outings about 5-7 days after surgery.

05 Aftercare

Care post-surgery is important for both your recovery and results whether at your home or at a hotel. For your safety, as you’ll be somewhat sleepy, you will need a responsible adult to stay with you for at least the first night. If you’re interested in having an experienced private duty nurse, we can help facilitate this care.

We also have a relationship with The Jefferson Hotel, the only privately owned 5 star boutique hotel in downtown DC, close to our office. Their back-door access allows patients to go straight to their room without crossing through the main lobby. Dr. Rad has personally trained hotel staff to help his patients enjoy a private and comfortable recovery. They can help meet any needs and requests, from private dining to helping obtain basic supplies. We have a private room rate arrangement with The Jefferson for patients to enjoy 20% off best rates. (Note that we do not receive any payments for patient stays at The Jefferson – it is purely for patient comfort and convenience.)

Once home or in a hotel, you will mostly rest, although you should be able to perform “activities of daily living,” meaning being up and about and doing basic self care. Since your head will be wrapped, you’ll defer showering until your first post-op appointment with Dr. Rad 1-2 days after surgery.

During the daytime you should walk 10-15 minutes each hour and should not be on bed rest. Pain is relatively mild and most patients need a mild pain medicine to help them sleep. Tissues react with swelling and bruising that distorts facial appearance and causes facial muscles not to work normally, but this is normal and temporary. Cold compresses and head elevation helps with comfort and swelling.

Since nausea is not uncommon after anesthesia, no matter how light the anesthesia given, nausea prevention is essential and straightforward by taking an anti-nausea medicine such as Zofran (Ondansetron). Nausea side effects typically wear off in 24-48 hours. Other side effects of anesthesia include feeling a bit groggy or “out of it”, but this is relatively mild and wears off quickly. Dr. Rad recommends not planning important work-related activities or phone calls as you will not feel your sharpest.

Drinking liquids is most important to maintain hydration. Dr. Rad recommends Gatorade, or Drip Drop and Liquid IV electrolyte replacement powders mixed in water. If deep neck sculpting has been done then patients often feel some neck tightness that is normal, common and temporary. You will see Dr. Rad within the first few days to check on your early healing.

06 Longevity

Your vision for your results will emerge through detailed consultation with Dr. Rad, meticulous examination of your anatomy, and careful pre-surgical planning. While Dr. Rad’s surgical approach is unique for each patient, the goal of naturalness remains constant.

The results of an Orbital Implant Augmentation are permanent. However, one must take into account that the aging process will still occur and gravity will continue to affect the lower region of the eyes. Because of this, new signs of aging can still appear where surgery was performed. To see Before & After results, visit our gallery page.

Testimonials

“Dr. Rad is not only a skilled and talented surgeon but a kind and compassionate doctor, who treats the whole person. For me, he exemplifies medical excellence.”

“He is the most gifted physician that I’ve ever met. Dr. Ariel Rad is in the top-echelon of physicians. He has a brilliant brain and a big heart. His skills as a surgeon are unparalleled.”

“He was very thorough, knowledgeable and most of all empathic to my situation.”

“He is not only a great surgeon, but an artist.”

“He is very skilled, his manner is absolutely delightful, and he is a truly kind, considerate person”

“He is an expert in his field. He is brilliant and very caring. I will never forget how compassionate he was on the day of my surgery”

“Dr. Rad is one of the world's best! His artistic eye and incredible skill shows in my incredible face lift results. His ability as a surgeon is surpassed only by his kindness and approachability as a person.”

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Related Procedures

Orbital Implants

- Ariel N Rad, MD, PhD, FACS

Real Patient Results Gallery

01 Artistry

02 Safety

03 Technique

04 recovery

05 Aftercare

06 Longevity

Testimonials

Next Steps

PLAN YOUR VISIT

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