Oculoplastic surgery is a subspecialty of ophthalmology that deals with disorders of the eyelid, orbit (bones around the eyes), and lacrimal (tear) system. An oculoplastic surgeon is an ophthalmologist that has completed an extensive post-residency training in this unique sub-specialty. The training involved includes plastic and reconstructive surgery of the periorbital and facial tissues that includes eyelids, eyebrows, cheeks, orbit and the lacrimal system. There is a difference between medically necessary (functional) procedures and aesthetic (cosmetic) elective procedures. Medically necessary procedures are usually covered by insurance however an elective cosmetic procedure is not covered by health insurance. Some procedures can be either functional or aesthetic depending how it effects your vision or the function of the eye. Your physician will help to determine this with a thorough exam and testing when you have your consult.