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Oculoplasty & adnexa · Varanasi

Best oculoplasty & eye-adnexa surgeon in Varanasi

Oculoplasty covers the eye's supporting structures — the eyelids, lacrimal (tear-drainage) system, and orbit. The specialty sits between ophthalmology and plastic surgery, and requires equal comfort with a slit lamp and a scalpel. Most oculoplastic surgery is functional (restoring lid closure, tear drainage or orbital integrity), with cosmetic correction as a welcome bonus.

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Reviewed by Dr. Shantanu Kumar Gupta

Why patients choose us for this care

Ptosis (droopy eyelid) correction

Frontalis-sling, levator resection, and Muller's muscle-conjunctival resection — chosen by the amount of levator function.

Lacrimal surgery for a watering eye

External and endoscopic dacryocystorhinostomy (DCR) — reroutes tears when the nasolacrimal duct is blocked. High success in Purvanchal, where chronic dacryocystitis is common.

Entropion / ectropion repair

Age-related lid margin malposition — corrected in a 30-minute out-patient procedure with immediate comfort restoration.

Orbital fracture management

Trauma from road traffic accidents and sports injuries — early reconstruction prevents enophthalmos and diplopia.

Blepharoplasty (functional + cosmetic)

Upper-lid hooding restricting vision, lower-lid bags — done under local anaesthesia in the OPD suite.

Services & pages related to this specialty

Ptosis (droopy eyelid)
Congenital, senile, myogenic
Watering eye / blocked tear duct
Probing + DCR
Entropion / ectropion
Lid malposition surgery
Orbital trauma
Fracture management, foreign bodies

Credentials — Dr. Shantanu Kumar Gupta

MBBS + MS Ophthalmology
MAMC / Guru Nanak Eye Centre, New Delhi
DNB (Ophthalmology)
National Board
FICO (Merit)
International Council of Ophthalmology

Real (anonymised) case scenarios from our clinic

The 62-year-old struggling to keep her right lid open

Senile ptosis with 3 mm margin-reflex distance. Levator resection under local anaesthesia — restored symmetry in one sitting.

The 4-month-old with constant tearing and mucus discharge

Congenital nasolacrimal duct obstruction. Simple probing under local drops at 6 months cleared the block — no surgery needed.

The 34-year-old post road-traffic accident with orbital floor fracture

Enophthalmos + restricted upgaze. Reconstructive surgery with porous polyethylene implant at 10 days post-injury — full extraocular motility restored.

You should consult if you have any of these

  • Droopy or asymmetric eyelids
  • Watering eye / recurrent discharge from the tear-sac area
  • Inward or outward turning of the lid margin
  • Facial trauma with periocular swelling
  • Prominent eyes (proptosis) or asymmetric globe position
  • Cosmetic concerns about hooding or bagging around the eyes

What a consultation actually looks like

  1. 1
    External photography (baseline)
    Documents lid position and asymmetry.
  2. 2
    Margin-reflex distances (MRD1, MRD2)
    Quantifies ptosis severity.
  3. 3
    Levator function measurement
    Determines which ptosis surgery is appropriate.
  4. 4
    Lacrimal irrigation (for watering)
    Confirms or rules out nasolacrimal duct block.
  5. 5
    Orbital CT (where indicated)
    For orbital trauma or proptosis workup.

Frequently asked questions

Is oculoplasty covered by insurance?
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Functional oculoplasty (ptosis with visual field defect, DCR for chronic dacryocystitis, entropion, orbital trauma) is covered by most insurance policies with pre-authorisation. Purely cosmetic blepharoplasty is not covered.
How long is the recovery after ptosis surgery?
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Swelling settles over 2–3 weeks. Final result is judged at 6 weeks. Stitches are removed at 7–10 days.
Does DCR leave a visible scar?
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External DCR leaves a small (8 mm) scar on the side of the nose that usually fades to invisibility by 6 months. Endoscopic DCR has no external scar but has a slightly lower success rate.
Can adult ptosis be a sign of something serious?
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Yes — sudden or fluctuating ptosis can be a sign of myasthenia gravis, third-nerve palsy or Horner's syndrome. A careful neurological history is part of every ptosis evaluation.
Will insurance cover blepharoplasty for droopy upper lids?
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If the lid hood is documented to reduce visual field on Humphrey perimetry, most insurance policies will authorise functional blepharoplasty. Purely cosmetic hooding is not covered.

Ready to book?

Same-week appointments are common. Bring your previous reports, medications and glasses to the visit.

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Medical disclaimer

This article is for patient education. It is not a substitute for personalised medical advice, examination or diagnosis. If you have symptoms discussed here, please book an in-person consultation with a qualified ophthalmologist.