Surgery or skincare—whatever your goals, we want you to feel informed, not overwhelmed. Our FAQs page is here to address the most common questions patients ask, with honest, concise answers that reflect our commitment to education, safety, and patient-centered care.
FAQs
Start With Confidence
Whether you're preparing for your first consultation or considering a specific procedure, knowing what to expect makes all the difference. These FAQs are grouped by topic so you can quickly find answers relevant to your journey. Don’t see your question? We’re happy to help—contact us here.
FAQ General Practice
Do I need a referral to see Dr. Coombs?
No. You can book a consultation directly without a referral, though some insurance-covered services may require it, depending on your plan.
Where is Dr. Coombs located?
Dr. Coombs sees patients on the Upper East Side at Manhattan Eye, Ear & Throat Hospital.
What procedures does Dr. Coombs perform?
She specializes in cosmetic and reconstructive oculofacial surgery, including eyelid surgery, midface lifting, orbital tumor removal, tear duct repair, Mohs reconstruction, and injectables.
Does Dr. Coombs personally perform all procedures?
Yes. From consultations to surgical and non-surgical treatments, Dr. Coombs provides hands-on, physician-delivered care at every step.
How long does a consultation last?
Most consultations are 45–60 minutes and include an exam, discussion of goals, and personalized treatment planning.
FAQ Eyes
What’s the difference between upper and lower eyelid surgery?
Upper eyelid surgery removes excess skin and fat to open the eyes, while lower eyelid surgery addresses under-eye bags, puffiness, or hollowing.
Is eyelid surgery purely cosmetic?
Not always. It can improve vision, comfort, and eye function if excess tissue is obstructing the visual field or causing discomfort.
How long is the recovery from blepharoplasty?
Most patients return to normal activities within seven to ten days, with final results settling over a few months.
Are the results from eyelid surgery permanent?
Results are long-lasting, though natural aging will continue. Many patients enjoy improved appearance and function for 10 years or more.
Can I get an eyelid lift and brow lift at the same time?
Yes. Combining procedures can optimize outcomes and reduce overall downtime when appropriate.
FAQ Face
What does a midface lift address?
A midface lift elevates the cheeks and under-eye area, restoring volume and softening nasolabial folds without treating the jawline or neck.
What is facial fat transfer?
Fat is taken from one part of your body, purified, and injected into areas of facial volume loss for natural-looking rejuvenation.
Is brow repositioning the same as a full forehead lift?
Not necessarily. Dr. Coombs customizes techniques to reposition brows without dramatically changing your forehead length or shape.
How long do results from facial surgery last?
Facial surgeries like midface lifts or brow lifts often last seven to ten years or longer, depending on skin quality and aging factors.
Can face procedures be done under local anesthesia?
Yes. Many facial surgeries can be performed with local anesthesia and sedation, depending on the procedure and patient preference.
FAQ Reconstructive Surgery
What is Mohs reconstructive surgery?
After a skin cancer is removed via Mohs surgery, Dr. Coombs restores the affected area using precise techniques to protect eye function and minimize visible scarring.
How soon after Mohs surgery can reconstruction be performed?
In most cases, reconstruction is performed the same day or shortly after cancer removal, depending on size and location.
Will I have visible scarring after Mohs reconstruction?
Dr. Coombs places incisions along natural creases and uses meticulous techniques to minimize scarring.
What are the common types of eyelid growths?
These include chalazions, cysts, papillomas, and basal or squamous cell carcinoma. Some are benign; others may require biopsy and removal.
How do I know if a growth is cancerous?
A biopsy is required to confirm the diagnosis. Dr. Coombs performs precise, small-sample biopsies with minimal tissue disruption.
Can tear duct issues be corrected without external incisions?
Yes. Endoscopic DCR allows internal access to the tear drainage system, avoiding external scars and improving recovery.
What is thyroid eye disease?
An autoimmune condition where the muscles and tissues behind the eyes become inflamed, causing bulging, discomfort, and sometimes vision problems.
How is thyroid eye disease treated?
Treatment may include steroids, orbital decompression, eyelid repositioning, or strabismus surgery, depending on severity and symptoms.
What are orbital tumors?
These are growths behind or around the eye that may be benign or malignant. They can affect vision, eye movement, or appearance.
Do all orbital tumors require removal?
No. Some can be monitored over time. Surgery is recommended when there is vision loss, pressure, or diagnostic uncertainty.
What is orbital trauma?
This includes fractures or soft tissue damage from injury to the eye socket. Prompt repair is often needed to protect function and restore symmetry.
Can children undergo reconstructive surgery?
Yes. Dr. Coombs treats pediatric patients with congenital differences or trauma using techniques designed to support growth and long-term function.
FAQ Pediatric
What conditions does Dr. Coombs treat in children?
She treats congenital eyelid differences, pediatric trauma, tear duct blockages, and craniofacial anomalies requiring reconstructive care.
At what age can a child have surgery for eyelid ptosis?
Timing depends on severity. If vision is affected, surgery may be done as early as infancy. For mild cases, treatment may be delayed until age three to five.
Can children outgrow tear duct blockages?
Yes, many infants outgrow them by 12 months. If symptoms persist, Dr. Coombs may recommend probing or endoscopic surgery.
Will my child’s surgery require general anesthesia?
Most pediatric surgeries are done under general anesthesia for safety and comfort. Dr. Coombs works with experienced pediatric anesthesiologists.
How do I prepare my child for surgery?
We provide age-appropriate instructions and guidance to help families feel prepared and supported throughout the experience.
FAQ Minimally Invasive
What injectables does Dr. Coombs offer?
She offers neurotoxins (BOTOX, Dysport, Xeomin) and dermal fillers (Juvederm, Restylane, Sculptra), all administered personally by Dr. Coombs.
Will I look frozen or overdone with BOTOX?
Not under Dr. Coombs’ care. Her approach prioritizes subtle, natural expression while smoothing wrinkles and softening lines.
How long do fillers last?
It depends on the type and area treated. Most fillers last six to 18 months, while Sculptra may last up to two years.
Can fillers be dissolved if I change my mind?
Yes. Hyaluronic acid fillers can be safely dissolved using hyaluronidase if needed.
Is laser resurfacing safe around the eyes?
Yes—when performed by an oculofacial surgeon. Dr. Coombs uses tailored energy settings for delicate eye-area skin.
What concerns can laser skin resurfacing treat?
It can improve texture, fine lines, discoloration, and sun damage while stimulating collagen production.
How many laser treatments will I need?
Some patients see results after one session; others benefit from a series. Dr. Coombs will create a custom plan based on your goals.
Are chemical peels still relevant?
Absolutely. Medical-grade peels are a powerful option for brightening skin, improving tone, and reducing pigmentation, especially when customized for your skin type.
