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Beverly Hills Facial Plastic Surgery

Tear duct surgery may be needed when there is a blockage in the tear system. Although it is a delicate operation, it is mostly painless with quick and easy recovery. Commonly the surgery treats a blocked tear duct and is only performed when other options have been unable to resolve the issue.

What are the symptoms of a blocked tear duct?

  • Continually watery and irritated eye.
  • Excessive tearing.
  • A red tint to the white of the eye.
  • Chronic eye infections, such as pink eye (conjunctivitis).
  • Swelling at the inside corner of the eye with pain.
  • Blurred vision from excessively watery eyes.
  • Mucus buildup on the surface of the eye or on lids.

If your eye is tearing up constantly for days or if you experience a continual infection of that eye, you should come in for an exam. Some tear duct blockages can be caused by tumors, and early detection is vital.

Best Tear Duct Surgery Los Angeles

What can cause the need for tear duct surgery?

When a tear duct requires surgery, the causes behind it may also need to be addressed so that it doesn’t reoccur. Some possible causes are:

  • It was something you were born with. In cases like this, the surgery could fully resolve the issue.
  • Age. As we get older, the puncta (tear drainage) can narrow and becomes more easily clogged.
  • Inflammation or infection of the tear duct system.
  • Disruptive trauma near the drainage system.
  • Tumors near the drainage system can push against the narrow passageways and cause a blockage.
  • Chemo and radiation side effects can sometimes cause a blockage.

What is the tear duct surgery procedure?

Treating a blocked tear duct with surgery successfully has a long medical name but is a simple procedure: dacryocystorhinostomy. It opens the passageway for tears to drain once again. There are two general options:

External dacryocystorhinostomy

In this procedure, Dr. Ardesh will make a tiny incision on the side of your nose closest to the tear sac is located. He will then create a new passageway from the sac to your nasal cavity and install a stent to ensure the new route remains open. The stent will be removed in 3 to 6 months after full healing has occurred. When the stitches are closed and heal, any tiny scar that remains should be nearly invisible.


This is a procedure performed from within the nose structure with extremely tiny instruments. It opens a channel from your nasal chamber to your duct system. This procedure requires no outer incision but for some cases has less of a success rate as the external option.

To learn more about your rejuvenation options with Dr. Ardesh, please schedule an appointment.


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Practice Policy Update Regarding COVID-19 View Update Virtual Consultation


Coronavirus (Covid-19) Update

Updated March 26, 2020

After serious consideration and in line with the recommendations of our State and Centers for Disease Control (CDC), we are closing the practice until April 7th.

Your health and well-being is our primary concern and we want to do our part to make sure that you are protected.

Effective immediately the following will occur:

  • We are instituting Telemedicine Visits (Virtual) for new consultations, post-surgical Visits, and return patients.
  • Please call or text (424)242-8608 or email staff@drardesh.com to schedule an appointment.
  • Virtual visits will be performed through video conference call using HIPPA compliant website
  • Non-urgent or elective procedures, surgeries, non-urgent in-office visits will be suspended until April 19, 2020
  • Urgent or medically necessary surgeries, in-office visits, and post-surgical follow-ups will continue on a per case basis.
  • Many surgeries and procedures have been rescheduled to a future date
  • No patient will ever have any financial recourse for rescheduling their procedures.

We are constantly updating our services and staffing according to the local and national recommendations and will always place your health and well-being as our top priority.

We continue to exercise all the latest recommendations that are handed down by the CDC. These include:

  • Staff have been fully informed and trained to understand the disease process and its modes of transmission.
  • All staff, vendors and ancillary personnel are being asked to refrain from coming to this office if they have any signs or symptoms of a cold or an upper respiratory tract infection.
  • We are asking our patients about any pertinent travel history.
  • Hand-washing continues to be the most important mode of prevention. Although it is a part of what we constantly do, now we are doing so with heightened vigilance and attention.
  • We have instituted a “no handshakes no hug” policy for now.
  • Any exit and entrance from our office are followed by a protocol of strict sanitization.
  • We are constantly sanitizing all surfaces. We have now vamped that up and our routine, multiple times a day, wiping down all surfaces, desks, door handles, keyboards and restroom facilities.

Although Covid-19 is a serious issue, we strongly believe that it will pass and hopefully make our infrastructure and our ability to deal with pandemics in this Country even better than it currently is. We are monitoring this situation on a real-time basis and will not sit back until we know that we have done everything possible to avoid unnecessary exposure.

Here are some links that might be useful:

Please do not hesitate to contact us. We are always here to answer your questions

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