Treating dynamic wrinkles of the face helps to prevent the development of static wrinkles. I was selected by the American Academy of Ophthalmology to write the monograph on the management of facial nerve paralysis. This monograph is provided by them to instruct physicians nationally and internationally in the management of facial nerve paralysis. It is sometimes necessary to remove blind and painful eyes or eyes with intraocular tumors. Enucleation and evisceration remove eyes in different ways.
Enucleation removes all of the eye's content and covering by detaching the eye muscles.
This procedure is best performed for patients with blind, irreparable eyes due to acute trauma or in patients with intraocular tumors. Evisceration removes the inside contents of the eye and does not require detachment of the eye muscles. This technique generally is less traumatic to the tissues, gives a better cosmetic effect, and is easier to fit for a prosthetic eye. See monograph on primary implant placement with evisceration . I have extensive experience with eye socket surgery including the use of eye replacement implants made of hydroxyapatite and those made of porous polyethylene, both of which can be integrated to provide near normal eye movements.