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Meet Dr. Nicole J. Topilow – a board-certified oculoplastic surgeon specializing in reconstructive and cosmetic procedures for the eyelids, tear ducts, and surrounding facial structure.
With expertise in minimally invasive techniques, Dr. Topilow enhances both function and aesthetics, delivering natural-looking results. She is dedicated to personalized patient care, ensuring each treatment plan is tailored to meet individual needs while prioritizing safety, precision, and optimal outcomes.
Insurance coverage for oculoplastic surgery depends on whether the procedure is functional or cosmetic.
A. Medically necessary procedures, such as correcting droopy eyelids (ptosis) that obstruct vision, repairing eyelid malpositions, or treating tear duct blockages, are often covered by insurance.
B. Cosmetic procedures, like eyelid rejuvenation or under-eye bag reduction, are typically not covered and are considered out-of-pocket expenses.
Financing options may be available for cosmetic treatments. Request an Appointment with Dr. Nicole J. Topilow to discuss your options and determine the best treatment plan for you.
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Oculoplastic surgery can effectively address a range of upper and lower eyelid concerns, improving both function and appearance.
Unlike traditional approaches, Dr. Nicole J. Topilow utilizes advanced, minimally invasive techniques to ensure natural-looking results with a quicker recovery.
1. Upper Eyelid Surgery (Blepharoplasty) – Corrects droopy or sagging eyelids that may obstruct vision or create a tired appearance. By removing excess skin and fat, this procedure restores a refreshed, youthful look.
2. Lower Eyelid Surgery – Reduces puffiness, under-eye bags, and sagging skin, helping to rejuvenate the eyes and enhance overall facial symmetry.
Expert in Functional & Cosmetic Oculoplastic Surgery – Combining precision and artistry for optimal results.
Minimally Invasive Techniques – Faster recovery with natural-looking outcomes.
Personalized Care – Customized treatment plans to match your unique needs and goals.
Oculoplastic surgery is a specialized field of ophthalmology focused on cosmetic and reconstructive procedures for the eyelids, tear ducts, and surrounding facial structures. These surgeries improve both function and appearance.
Dr. Nicole J. Topilow specializes in treating a variety of conditions, including:
- Droopy eyelids (ptosis) that impair vision
- Excess eyelid skin (blepharoplasty)
- Under-eye bags and puffiness
- Blocked tear ducts and excessive tearing
- Eyelid tumors or growths
- Eyelid malpositions (ectropion, entropion)
You may benefit from upper or lower eyelid surgery if you experience:
- Obstructed vision due to sagging upper eyelids
- A tired, aged appearance caused by droopy or puffy eyelids
- Chronic under-eye bags that don’t improve with skincare
- Discomfort or irritation from eyelid malpositions
Upper blepharoplasty: removes excess skin and fat from the upper eyelids to restore a youthful, refreshed appearance and improve vision if the eyelids are obstructing sight.
Lower blepharoplasty: targets puffiness, bags, and sagging skin under the eyes for a smoother, more rejuvenated look.
It depends on the procedure. If the surgery is performed for functional reasons (e.g., improving vision, correcting eyelid malposition, or treating a medical condition), insurance may cover it. However, cosmetic procedures are typically not covered. Our team can assist with verifying insurance coverage
Most patients experience swelling and bruising for about 1–2 weeks. Many return to normal activities within 7–10 days, though full healing may take a few months. Minimally invasive techniques used by Dr. Topilow help promote a quicker recovery.
Dr. Topilow provides oculoplastic care at five convenient locations in San Diego County, including:
- San Diego (Mission Hills & Sorrento Valley)
- La Jolla
- Oceanside
You can request an appointment online or call any of our San Diego-area locations to schedule a consultation with Dr. Topilow. During your visit, she will evaluate your concerns and recommend a personalized treatment plan.
Dr. Topilow is a board-certified oculoplastic surgeon with extensive experience in both functional and cosmetic eyelid procedures. She uses advanced, minimally invasive techniques to deliver natural-looking results while prioritizing patient safety and comfort..
At Eye Care of San Diego and Pendleton Eye Center, your eye health and aesthetic goals are our top priority. Our oculoplastic specialist, Dr. Nicole J. Topilow, is highly trained in reconstructive and cosmetic procedures for the eyelids, tear ducts, and surrounding facial structures. She utilizes advanced, minimally invasive techniques to enhance both function and appearance, helping patients achieve natural, long-lasting results.
We understand that every patient is unique, and there is no one-size-fits-all approach to oculoplastic surgery. From the moment you schedule your consultation, Dr. Topilow and our dedicated team will guide you through the process, ensuring your treatment plan is tailored to your specific medical and aesthetic needs.
For patients living in San Diego County, Eye Care of San Diego and our affiliated practice, Pendleton Eye Center, provide 4 clinics with convenient locations covering downtdown San Diego to La Jolla and Oceanside.
Request an Appointment today and take the first step toward rejuvenated, healthy eyes with expert care.
Dr. Topilow sees patients at four San Diego area locations:
