Reconstruction

The eyes and surrounding structures are vital to how we see and how others see us. When disease, trauma, or congenital conditions affect these delicate areas, expert reconstructive care restores both form and function. Thoughtfully performed surgery can protect vision, relieve discomfort, and rebuild confidence.

Skin Cancer & Growths Tear Duct Abnormalities and Tearing Orbital Conditions

Thoughtfully Performed Surgery to Protect Vision, Relieve Discomfort, and Rebuild Confidence Upper East Side Reconstructive Oculofacial Surgery

Reconstructive oculofacial surgery addresses medical conditions that impair the eyelids, tear ducts, orbit, or surrounding structures, often with a significant impact on vision, comfort, and quality of life. As a board-certified oculofacial plastic surgeon and ophthalmologist, Dr. Allison Coombs combines advanced microsurgical training with an unwavering focus on patient-centered care. Her work blends reconstructive precision with aesthetic sensitivity, ensuring that every procedure supports long-term function and a natural, harmonious result.

Whether you're facing a medical diagnosis, recovering from trauma, or seeking correction after prior surgery, Dr. Coombs brings the expertise and compassion needed to guide you through each step of the process with clarity and confidence.

Reconstructive Procedures Offered

Dr. Coombs provides comprehensive care for a wide range of medical and reconstructive conditions involving the eyelids, tear ducts, and orbit. Each treatment is tailored to preserve visual function, relieve symptoms, and restore structural integrity.

Skin Cancer & Growths

Biopsies – Careful evaluation and diagnosis of suspicious skin lesions around the eyes using minimally invasive techniques.
Removal of Eyelid Growths – Surgical excision of benign or malignant eyelid growths, performed with tissue-sparing precision and a focus on aesthetic reconstruction.
Mohs Reconstructive Surgery – Advanced reconstruction following Mohs surgery for skin cancer, restoring eyelid function and appearance using customized surgical plans.

Tear Duct Abnormalities and Tearing

Surgical and non-surgical solutions for patients experiencing chronic tearing, blocked tear ducts, or recurrent infections.
Treatments address both acquired and congenital tear drainage issues, focusing on restoring comfort and reducing tear overflow.
Minimally Invasive Endoscopic Surgical Solutions—Endoscopic dacryocystorhinostomy (DCR) and related procedures use a camera-assisted technique to correct internal tear ducts without external incisions.

Orbital Conditions

Dr. Coombs offers expert diagnosis and treatment for complex orbital disorders, including tumors, trauma, and inflammatory disease.

Thyroid Eye Disease – Comprehensive care for proptosis, eyelid retraction, and double vision associated with Graves’ orbitopathy.
Orbital Tumors – Surgical management of benign or malignant orbital tumors with preservation of vision and structural integrity.
Trauma & Fractures – Repair of orbital wall fractures, soft tissue damage, or post-traumatic deformities, often with minimally invasive techniques.
Vascular Tumors – Treatment of hemangiomas and other vascular growths that affect vision or cause orbital asymmetry.
Lacrimal Gland Tumors – Diagnosis and removal of masses within the lacrimal gland, with a focus on protecting ocular function.
Minimally Invasive Neurosurgical Approaches – Transorbital techniques offer access to deep orbital or cranial lesions through natural corridors, minimizing the need for large incisions or brain retraction.

Choose an Expert in Oculofacial Surgery

Dr. Coombs is one of the few surgeons in New York City with specialized fellowship training in oculofacial plastic and reconstructive surgery. Her board certification through the American Board of Ophthalmology and ASOPRS underscores her elite level of expertise in vision and facial anatomy, an essential foundation for delicate reconstructive procedures.

She completed advanced training at nationally recognized institutions, including Tufts Medical Center, Weill Cornell, and Manhattan Eye, Ear, and Throat Hospital (MEETH), where she currently leads the oculofacial plastic surgery division, as well as Columbia and NYU. Her approach combines academic rigor with individualized care, ensuring that each reconstructive plan is tailored to the patient’s unique condition, anatomy, and goals.

Patients value her thoughtful explanations, technical skill, and deep commitment to safety. Whether addressing the aftermath of skin cancer, managing complex orbital pathology, or correcting tear duct abnormalities, Dr. Coombs provides comprehensive, high-level care in a calm, supportive environment. Every decision is made with the patient’s function, comfort, and long-term well-being in mind.