Dr Tai Smith

Dr Tai Smith Dr Tai Smith is an Ophthalmologist specialising in Eyelid Surgery, Lacrimal Surgery and Orbit Surgery.
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Do you like my new scrubs??
14/05/2023

Do you like my new scrubs??

09/12/2022

Lower lid blepharoplasty in Thyroid Eye Disease

Typically lower eyelid blepharoplasty is considered a cosmetic procedure. However, in patients with thyroid eye disease it can be considered an important part of their surgical rehabilitation for their disease and is eligible for Medicare and health fund rebates.

This patient with thyroid eye disease has had a lower lid blepharoplasty following strabismus surgery.

14/11/2022

BCC lower eyelid reconstruction (Wendall-Hughes flap)

This shows a lower eyelid basal cell carcinoma, which was then removed by a Mohs micrographic surgeon ensuring clear margins, with a defect involving the full width of the lower eyelid. The reconstruction performed is known as a Wendall-Hughes flap which is a two stage reconstruction. In the first stage the upper eyelid donates tarsal plate to the lower eyelid whilst remaining attached to the upper eyelid, and a skin graft is placed on the anterior surface of the defect. A second procedure a month later separates the eyelids - with both the upper and lower eyelid able to function normally. The end result you can see looks amazing.

Greenmount 🌊🏄‍♂️
13/11/2022

Greenmount 🌊🏄‍♂️

02/10/2022

Ectropion repair
This patient has previously had a skin cancer removed and reconstructed near her eye (with another surgeon). As she recovered, the lower eyelid margin pulled down and out. She had symptoms of a blurry and watery eye - as well has being concerned by its appearance.

Surgical correction of the lower eyelid position borrowed skin from her upper eyelid which you can barely notice.

16/08/2022

Epiblepharon repair
**Look closely at the eyelashes on the lower eyelid**

In the before photos, the eyelashes are vertical and touching the cornea which can cause irritation. It’s a fairly common situation in Asian children that many will grow out of as they grow older and their face elongates. If not, then surgical repair corrects the eyelash position away from the eye.

This is subtlety different to lower eyelid entropion where the eyelid margin rolls inwards.

02/08/2022

Before and after blepharoplasty

This patient has had an upper lid skin reduction or blepharoplasty. At one month after surgery, you’ll agree she looks amazing.

25/06/2022

Upper lid blepharoplasty

The eyelids are one of the first areas of the face that suffer at the hands of time and gravity. Upper lid blepharoplasty is the removal of excess eyelid skin. It can make a world of difference to the overall appearance of a face.

12/05/2022

Upper lid lowering and blepharoplasty in thyroid eye disease

After monitoring to ensure her thyroid eye disease was stable and inactive, this lady had upper eyelid lowering to address her upper eyelid retraction, and at the same time had her excess upper lid skin reduced (blepharoplasty). She loves her new eyes that now look normal having fixed that startled appearance.

Lower eyelid blepharoplastyExcess fat or lid laxity can give rise to the appearance of bags. This can be a major concern...
12/04/2022

Lower eyelid blepharoplasty
Excess fat or lid laxity can give rise to the appearance of bags. This can be a major concern for some patients. Surgical correction of this is considered a cosmetic procedure apart from a few medical indications. It can be technically challenging surgery so it’s important to seek out a surgeon with expertise in the procedure.

This patient had a posterior approach (transconjunctival) lower lid blepharoplasty.

Lid lag on downgaze - Von Graefe’s signThis sign is most often seen in patients with Thyroid Eye disease (Graves orbitop...
03/04/2022

Lid lag on downgaze - Von Graefe’s sign
This sign is most often seen in patients with Thyroid Eye disease (Graves orbitopathy). It can be unilateral or bilateral.

It can also occur after ptosis surgery, such as congenital ptosis repair.

26/03/2022

Symmetry
When assessing the periocular region one important factor that needs consideration is symmetry.

In this example, a brow lift was performed on both sides, and excess skin was removed just from the right upper eyelid.

As you can see the result is symmetric and natural.

23/03/2022

Lower eyelid blepharoplasty before and after. This procedure was performed under local anaesthetic. The prominent blood vessel was ligated too.

Eyelid veins This patient enquired if this prominent blood vessel could be removed at the time of her lower lid blepharo...
23/03/2022

Eyelid veins
This patient enquired if this prominent blood vessel could be removed at the time of her lower lid blepharoplasty. The answer is “yes”.

Post op result coming up.

18/03/2022

Right congenital ptosis repair

Lester-Jones tube This is a tiny glass tube inserted into the inner corner of the eye to drain tears through to the nose...
12/03/2022

Lester-Jones tube
This is a tiny glass tube inserted into the inner corner of the eye to drain tears through to the nose.

In this example, the normal drainage system was sacrificed at the time of basal cell carcinoma removal.

This is also an option for patients that have watery eyes due to canalicular obstruction .

If you have a watery eye, consider seeing a lacrimal surgeon to discuss the options that may help you.

10/12/2021

Ptosis surgery
Here is a nice result after ptosis surgery. This patient constantly looked and felt tired and it was an effort to lift her eyelids. Ptosis surgery corrected this. It’s hard to believe this is the same person.

It’s beginning to look a lot like Christmas…. When Dr Zugai reveals his carefully prepared Christmas cake for 2021. Abso...
06/12/2021

It’s beginning to look a lot like Christmas…. When Dr Zugai reveals his carefully prepared Christmas cake for 2021. Absolutely delicious!

15/10/2021
10/09/2021

Upper lid retraction in Thyroid Eye Disease

This patient had right upper eyelid retraction where the eyelid was too high. Not only did she dislike the appearance, it also gives rise to dry eye symptoms in the one eye.

Surgery to correct this is an upper lid lowering procedure. This is performed only after confirmation that the active phase of her thyroid eye disease has passed.

There’s more to life than eyelid surgery posts……Once a year, at Eyetech Day surgery we have a cob loaf cook-off. It’s a ...
01/09/2021

There’s more to life than eyelid surgery posts……

Once a year, at Eyetech Day surgery we have a cob loaf cook-off. It’s a fun event and it’s very competitive. The best bit is eating all the delicious creations.

This year I made a Tiramisu cob loaf.

19/08/2021

Brow lift then upper lid blepharoplasty followed by lower lid blepharoplasty

This patient demonstrates nicely the logical sequence to address age and gravity changes in the periocular region.

Three planned procedures over two years; with each building on the improvement of the previous one.



Disclaimer: Any surgical or invasive procedure carries risks, before proceeding you should seek a second opinion from an appropriately qualified health professional

Quarantine over!!Thanks to all my patients, colleagues and staff for your understanding and support over the past two we...
13/08/2021

Quarantine over!!

Thanks to all my patients, colleagues and staff for your understanding and support over the past two weeks.

I’ll be back on deck on Monday to start where we left off.

Well done to all the families of the affected schools that did as we were instructed.

17/07/2021

Lower lid blepharoplasty - posterior approach

In younger patients wanting fat contouring without the need for skin removal, then a posterior (transconjunctival) approach lower lid blepharoplasty is a good option.

It is also a consideration for those patients concerned about external scarring and patients with darker skin.

If you think this might help you, then please call (07)3359 1169 to arrange a consultation.

16/07/2021

Lower eyelid blepharoplasty

Hate the bags under your eyes? Look at this lovely result after lower eyelid blepharoplasty.

If you would like to see if this procedure is appropriate for you, please call (07)3359 1169.

14/06/2021

Upper lid blepharoplasty

A nice outcome from upper lid blepharoplasty with attention to detail to achieve a perfectly symmetric result. This result at her one month post op visit.

04/06/2021

Bilateral upper lid ptosis repair

31/05/2021

Upper lid blepharoplasty

Blepharoplasty removes excess upper eyelid skin which makes the eyelids look hooded or tired. Some women may be frustrated by the inability to wear eyeliner or mascara. In more serious cases, peripheral vision may be compromised.

Surgery needs to maintain normal eyelid function when closing the eye or blinking.

17/05/2021

Ptosis repair with frontalis slings

The levator muscle of the eyelid is responsible for lifting the eyelid. In some conditions, the levator muscle is weak or doesn’t work at all. In these cases, a frontalis sling is used to connect the eyelid to the brow. When the patient lifts his eyebrow the eyelids also now lift.

Address

708 Gympie Road
Brisbane, QLD
4032

Opening Hours

Monday 8am - 4:30pm
Tuesday 8am - 4:30pm
Wednesday 8am - 4:30pm
Thursday 8am - 4:30pm
Friday 8am - 4:30pm

Telephone

+61733591169

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