Chiara Del Noce · Ophthalmology
Oculoplastic and eyelid surgery
Oculoplastic surgery for eyelid conditions, blepharospasm, chalazion, eyelid tumours and reconstruction.
Oculoplastic, or ophthalmoplastic, surgery is the area of ophthalmology concerned with the structures surrounding and protecting the eye. Dr Del Noce’s work focuses particularly on eyelid disease and functional eyelid disorders.
Ptosis · Dermatochalasis · Entropion · Ectropion · Blepharospasm · Chalazion · Eyelid tumours · Eyelid reconstruction
Eyelid function, protection and appearance
The eyelids protect the eye, distribute the tear film and support complete closure. A change in their position or movement can therefore affect function as well as the appearance of the eyes.
An oculoplastic assessment considers eyelid position and movement, opening and closure, the relationship with the ocular surface, any effect on vision and each person’s individual anatomy.
Main conditions
Eyelid ptosis
The upper-eyelid margin sits lower than normal and may restrict the upper visual field.
Learn moreDermatochalasis
Loose or excess eyelid skin may feel heavy, cover the natural crease and sometimes have a functional impact.
Learn moreEntropion
The eyelid turns inwards, allowing the eyelashes to rub against the surface of the eye.
Learn moreEctropion
The eyelid turns away from the eye and may cause watering, dryness or incomplete closure.
Learn moreOther eyelid treatments
Blepharospasm and botulinum toxin
Botulinum toxin may temporarily reduce spasms in benign essential blepharospasm. It may also be considered as a temporary measure in selected cases of involutional entropion. Indications and follow-up are defined individually.
Learn moreChalazion surgery
Surgery may be considered for persistent or symptomatic chalazia after assessing their site, duration, response to initial measures and clinical features.
Learn moreEyelid tumours and reconstruction
Suspicious lesions require an appropriate diagnostic pathway. When removal is indicated, reconstruction is planned with close attention to eye protection, eyelid closure and anatomy.
Learn moreDiagnosis first, treatment second
A surgical recommendation is made only after identifying the cause and considering expected benefits, alternatives, limitations and personal risks. The same description—for example, “a drooping eyelid”—may relate to different or coexisting conditions.
What happens during the consultationFrequently asked questions
Is oculoplastic surgery purely cosmetic?
No. Many eyelid conditions may affect vision, eye closure or protection of the cornea.
Is surgery always necessary?
No. Treatment depends on the cause, the severity of symptoms and the effect on ocular function.
Can ptosis and dermatochalasis occur together?
Yes. This is one reason why a photograph alone is not sufficient to choose the appropriate treatment.
Can perfect symmetry be guaranteed?
No. Eyelids often differ anatomically before treatment, and no surgical result can be guaranteed.
Is botulinum toxin used only for cosmetic purposes?
No. In oculoplastic practice it may have functional indications, including the treatment of benign essential blepharospasm. Diagnosis and specialist assessment are required.
Images on this website are for illustrative purposes. AI-generated images do not depict real patients and do not document the outcome of a specific procedure.
Specialist assessment
Every recommendation begins with a consultation
Anatomy, function and expectations are considered together to define an appropriate individual pathway.
Appointment information