Oculofacial Plastic Surgery Specialties
At The Iowa Clinic, our oculofacial plastic surgeons have advanced, fellowship-trained expertise in oculofacial plastic and reconstructive surgery. As members of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), Dr. Douglas Casady and Dr. Audrey Ko are among a small group of specialists in Iowa with this level of training.

Cosmetic Procedures
Cosmetic oculofacial plastic surgery focuses on rejuvenating the eyes and surrounding facial structures. Procedures can address drooping eyelids, under-eye bags, and excess skin to restore a refreshed appearance.
Eyelid Surgery
Eyelid conditions can affect vision, eye comfort, and appearance. Our oculofacial plastic surgery specialists diagnose and treat eyelid disorders with advanced medical and surgical care to restore proper eyelid function.


Lacrimal (Tear Duct) Surgery
Tear duct conditions occur when the tear drainage system becomes blocked or narrowed. Our oculofacial specialists diagnose and treat tear duct disorders to relieve excessive tearing and irritation.
Orbital Disease & Surgery
Orbital conditions affect the eye socket and surrounding tissues that support the eye. Our specialists treat orbital disorders, injuries, and structural abnormalities..

Oculofacial Surgery Frequently Asked Questions
Oculofacial plastic surgery is a specialized field focused on the delicate structures around the eyes, including the eylids, tear ducts, orbit (eye socket), and surrounding facial areas. These procedures can be functional — to improve vision or correct medical conditions — or cosmetic, enhancing the appearance of the eyes and face.
Oculofacial plastic surgeons are ophthalmologists with specialized training focused on the structures around the eyes, including the eyelids, tear ducts, and eye socket. They perform procedures to restore both function and appearance, from correcting eyelid position and treating medical conditions to removing growths and reconstructing delicate eye-area structures. Because eyelid position plays a key role in protecting and supporting eye health, this specialized care is essential.
At The Iowa Clinic, our oculofacial plastic surgeons have advanced, fellowship-trained expertise in oculofacial plastic and reconstructive surgery. As members of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), Dr. Douglas Casady and Dr. Audrey Ko are among a small group of specialists in Iowa with this level of training.
Oculofacial plastic surgery can benefit a wide range of patients, including those who:
- Have drooping eyelids that affect vision
- Experience tearing, dryness, or eyelid irritation
- Have eye-related conditions, injuries, or tumors
- Notice signs of aging around the eyes, such as sagging skin or puffiness
- Are looking to improve the appearance of the eyelids and surrounding facial features
Some procedures are performed to restore function and improve quality of life while others focus on enhancing appearance or both.
It depends on the reason for the procedure.
Medical necessary procedures, such as those that improve vision, repair damage, or treat disease -- are often covered by insurance.
Cosmetic procedures, done only to improve appearance, are typically not covered.
Oculofacial Plastic Surgery Providers
Find Oculofacial Plastic Surgery care at an Iowa Clinic location nearest to you.
Plastic Surgery providers are conveniently located at campuses in or near the Des Moines metro area.