Four Locations To Serve You:    DeLand, Orange City, New Smyrna Beach & Orlando

Frequently Asked Questions

More than likely, you've got some questions about the many services we offer at Central Florida Eye Specialists and we've compiled a list of our most frequently asked questions to help you.

Botox® | Cataracts | Juvéderm® | Latisse™ | Restylane®


1. How does Botox® work?
Botox® is used to selectively weaken the muscle’s that cause wrinkles. It is most commonly used between the eyebrows, “crow’s-feet” area, and forehead. Botox® is not a filler and does not treat wrinkles that are present at rest (please see our section on fillers—i.e. Restylane®--for more information on fillers).
2. What Areas can be treated with Botox®?
The most commonly treated areas are the “crow’s-feet”, frown lines between the eyebrows, and the forehead. Botox® can also be used by experienced physicians in other areas. After discussing your goals with you, your physician can recommend what is best for you.
3. Who should administer Botox® Cosmetic?
It is important that the physician has experience in both injecting Botox® and cosmetic surgical procedures around the eyes. It is critical to understand facial muscles and how they affect dynamic wrinkles. Many physicians without cosmetic surgical experience mistakenly inject the “wrinkle” instead of the muscles causing the wrinkle, hence getting little or no improvement. Dr. Scruggs is fellowship trained is fellowship trained in Oculoplastic and Reconstructive Surgery and has over 4 years of experience.
4. How soon will I see results from Botox® Cosmetic?
Most patients notice improvement in dynamic facial wrinkles in four to six days.
5. How long does Botox® last?
This can vary from patient to patient. In most patients the effects last about 2 ½ to 4 months.
6. I have heard Botox® needs to be injected soon after being re-constituted, if my doctor uses Botox® that has been reconstituted and sat in the refrigerator for two or three days, will it still work?
This is an extremely important question to ask your physician, as numerous physicians reconstitute Botox® and use it over the course of three or four days. Allergan, the company that manufactures Botox®, recommends in the package insert that it be utilized within four hours of being reconstituted. Although if used after that time, you may still see an affect, the duration of the effect may be significantly shorter. Dr. Cordero does not use Botox® on a patient if it has been reconstituted longer than four hours.
7. Are there risks to Botox® Cosmetic?
Like any medication, there are slight risks. It is important to discuss these risks with your physician prior to being treated with Botox®. Some of the risks include an allergic reaction to any of the ingrediens in Botox®. It should not be injected into areas that are infected. It should also not be used in women who are pregnant or patients with neuromuscular disorders such as Multiple Sclerosis or Myasthenia Gravis.

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1. How is Cataract Surgery Performed?
Cataract surgery today is quite comfortable. First, the procedure will begin with your eye being treated with an anesthetic so that you will feel little if anything during your surgery and minimal if any discomfort.

Your eye surgeon operates while looking through a highly specialized microscope, designed exclusively for this purpose. A very small, beveled incision, less than 1/8 of an inch, is made at the edge of the "clear cornea". The clear cornea is the transparent covering of the front of the eye.

The incision is just large enough to allow a microscopic instrument the size of a pen tip to pass through it. Once the microscopic instrument is actually passed through the tiny incision, ultrasound from the tip of the microscopic instrument will be used to gently break the cataract into pieces small enough to be washed away, drawn through the instrument and removed from the eye.

Through the tiny incision, a microsurgical, ultrasonic, oscillating probe is inserted, which gently fragments the cloudy lens, using high frequency sound waves. Simultaneously, this same instrument suctions out the fragmented pieces. This process is called "phacoemulsification". The posterior capsule, an elastic bag-like membrane that held the lens, is left in place.

The incision is commonly called "self-sealing" because the eye's natural internal pressure holds the incision tightly closed allowing the eye to heal without stitches. The chances of developing astigmatism (distorted vision) after surgery are significantly decreased by eliminating stitches, which tend to pull the eye's surface slightly out of its natural shape.

Once all the minuscule bits of the cataract have been removed, a tiny new clear implant lens is folded, inserted through the small incision, and allowed to open up inside the posterior capsule.

The surgery typically takes 20-30 minutes, and is performed on an outpatient basis. This means that you will have the surgery and then go home, usually around 30 minutes afterwards. Most of the time only local anesthesia is used, so you will be awake for the entire process. After the surgery, you are taken to the recovery room and then released. You will need someone to drive you home.
2. Are Lasers Used to Remove Cataracts?
No — Lasers are not part of a cataract operation. Cataracts are removed using ultrasonic sound waves, not laser light. However, lasers are used for the removal of "capsular haze", which is a thin film of scar tissue that occasionally forms on the posterior capsule behind the new implant lens. This haze is harmless and painless, and it occurs in a small percentage of cataract surgery. Patients sometimes think their cataract has "grown back", but it hasn't. Once a cataract has been removed, it will not reoccur.

A special YAG laser is used to remove capsular haze by the following — An opening is made in the scar tissue with the laser, allowing vision to be restored. With modern intraocular lens implant designs, and materials, the incidence of posterior capsule clouding has fallen to approximately one percent.
3. Is Cataract Surgery Painful?
It is perfectly normal to be a bit apprehensive before any unfamiliar experience. All this information about cataracts and surgery may seem odd or a little frightening to you. That's okay because we are here to walk you through it and make everything as simple and smooth as possible.

Our patients most often report that their surgery was remarkably pleasant, and that pain was not even a consideration. Some have even told us that they haven't felt that relaxed in years!

At Central Florida Eye Specialists and Laser Center, we promise to be attentive to your needs and well-being and will do everything possible to make sure you are completely comfortable throughout the entire procedure. You will be given a relaxant to enhance calmness and will neither see nor feel any part of your eye surgery. After you are released, we will call you that evening to see that you are doing well. The same afternoon or next morning, you will visit with your physician for evaluation and to address any concerns you might have. We are always here for you.
4. Can Both Eyes Be Done Together?
No. Cataract surgery is best performed on one eye at a time, to enable you to use one eye while the other is healing. They are typically scheduled two weeks apart.
5. How Long Do Lens Implants Last?
Assuming your eye is normal and healthy, the intraocular lens implant should last your entire lifetime. Lens implants are not known to "wear out."
6. What are the Risks of Cataract Surgery?
Cataract surgery is one of the most successful of ALL surgeries, but as with any surgery, there are some risks involved. The only way to avoid all risk is to do nothing. Complications are possible during or after cataract surgery even with the most excellent care. Those complications most commonly seen are associated with unusual eye anatomy (very long or very short eyes), certain inherited eye diseases, and prior trauma. Such complications include bleeding, infection, glaucoma, corneal clouding, swelling of the center of the retina, retinal detachment, decreased vision, or in exceptionally rare cases, loss of the eye itself. While it is impossible to predict in which patients these complications will occur, the risk of these complications is very small.

There are times when a cataract can be removed successfully but vision is not improved — because of other conditions or diseases of the eye. One such disease is macular degeneration, where the central part of the retina — the area that is critical for "fine" seeing — is damaged. Occasionally, macular degeneration cannot be diagnosed prior to the cataract removal because the presence of the cataract itself may prevent seeing the macula in sufficient detail. It is sometimes only after the cataract is removed that macular degeneration is diagnosed.

In addition, other pre-existing conditions of the eye can limit vision after cataract surgery, such as diabetic retinopathy or glaucoma.  All such pre-existing conditions limit the eye's ability to regain normal vision, even if the cataract surgery itself is a huge success.

All that said, remember that cataract surgery has a high success rate, higher than any other surgical procedure. It is most likely that your vision will be remarkably better and that your quality of life improved.
7. What Is the Cataract Recovery Time?
Not so long ago, cataract surgery involved making an incision large enough to remove the clouded lens in one piece. Patients often stayed at the hospital overnight or for several days. With the aid of new technologies, now cataract surgery can be performed through a very small incision and usually occurs on an outpatient basis, with a significantly shorter recovery time.

The afternoon of your surgery or the day following, you will have an office appointment to ensure that you are healing properly. Your vision could be blurred from ointments associated with eye surgery or you might see quite clearly. Every patient is an individual and heals somewhat differently.

Over the following weeks, visual clarity progressively improves, and after one month, the eye is typically healed and ready for refracting for new glasses, if needed. Follow-up visits are usually scheduled for the next day, one week, and then one month after surgery. During this time you will be using eye drops to help the eye to heal and to prevent infection.
8. Will Cataract Surgery Impact on My Activities?
Your sight will usually improve within a few days, although complete healing may take several months. It is a good idea to have some help at home if you can, especially if you find it difficult to put your eye drops in.

For the first four days following cataract surgery, we ask you to avoid any and all heavy lifting or bending over that bring your head below the level of your heart. After that, and for the month following surgery, you can resume most of your normal activities, but minimize lifting, bending, and straining. Carrying reasonably lightweight objects, such as a purse or a small bag of groceries, is usually fine.

You will also be asked to avoid getting water in the operated eye for one to two weeks. Avoid swimming. Water that is normally safe for showering and drinking has bacteria in it, and this can possibly cause an infection where the incision was made in your eye. Just adjust your routine to wash your hair leaning backwards rather than forwards or have someone else wash it for you.

You don't need to stay indoors, but try to avoid being out in the wind, as something might blow in your eye. You'll need to keep your hands out of your eyes as well. Your surgeon may give you an eye-shield to wear at bedtime to inhibit possible rubbing or pressing on the eye in your sleep. Avoid eye make-up for six weeks. As for returning to work or driving, this varies from one patient to another and the kind of work involved. Discuss your situation with your doctor who is here to address all of your concerns.
9. Will I See Better After Cataract Surgery?
Well over 95% of cataract surgeries improve a patient's vision. If having a cataract is the only cause of your decreased vision, removing it will improve clarity. If you have an additional problem (such as macular degeneration, prior uveitis, retinal detachment, diabetic retinopathy, or glaucoma), a determination will be made by your ophthalmologist as to which issue needs to be addressed, and when. Cataract surgery can be successfully carried out even in the setting of most of these other eye conditions.
10. Will I Need Glasses After Cataract Surgery?
Depending on your eyes and refraction, and the type of lens implant that is chosen, you may or may not have to wear glasses for reading or distance.
Once a cataract has been removed, light can once again pass undistorted through the cornea and the newly implanted artificial lens, to the retina in the back of the eye. However, you may still be required to wear glasses to see more clearly because the incoming light needs to be focused directly on the retina. If you eye cannot do so on its own, eyeglasses will be needed to provide that focus.

In addition, the implanted artificial lens cannot change shape for close vision the way a natural, youthful lens does. A natural lens accommodates, or changes shape, to bring objects into focus at distance, or close up. The intraocular lens implant provides clearest vision at a single focal distance, with the great majority implanted to correct for distance vision. This means that an eye focused for distance will have sharpest vision for activities such as driving, but, if you do not qualify for an accommodating lens implant, you would still require bifocal lenses or reading glasses in order to see clearly at close range.
11. How Do I Prepare for Surgery?
A comprehensive eye examination is the first step. During your examination for cataract surgery, you will be evaluated for any special medical risks. Your eyes will be measured with the most up-to-date technology, including the IOL Master, to determine the proper power of the intraocular lens that will be inserted during surgery. Be sure to inform your eye surgeon of all medications you are presently taking, and ask if you should continue your usual dosages. When your cataract surgery date is set, you will be given a simple list of preoperative instructions.

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1. What is JUVÉDERM®?
Juvéderm® is the only HA filller with FDA approval to last up to one year.* Ask your physician how you can get long-lasting results with Juvéderm®. Juvéderm® injectable gel is a “next-generation” smooth consistency gel dermal filler that helps to instantly restore your skin's volume and smooth away facial wrinkles and folds like your “smile lines” or “parentheses” (nasolabial folds—the creases that run from the bottom of your nose to the corners of your mouth). Juvéderm® comes in two formulations—Juvéderm® Ultra and Juvéderm® Ultra Plus.

*Juvéderm® is indicated for injection into the mid to deep dermis for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds).
2. What does JUVÉDERM® do?
Juvéderm® injectable gel temporarily adds volume to facial tissue and restores a smoother appearance to the face.
3. What is JUVÉDERM® indicated for?
Juvéderm® Ultra and Juvéderm® Ultra Plus injectable gels are indicated for injection into the mid to deep dermis (below the outer layer of skin) for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds (the creases running from the bottom of your nose to the corners of your mouth, aka smile lines or parentheses).
4. Why does JUVÉDERM® come in two formulations?
Juvéderm® injectable gel is available in two formulations to allow your healthcare professional to tailor treatment to your unique needs. Juvéderm® Ultra provides versatility in contouring and volumizing facial wrinkles and folds. Juvéderm® Ultra Plus is a more robust formulation for volumizing and correcting deeper folds and wrinkles.
5. What makes JUVÉDERM® different from other dermal fillers?
JUVÉDERM® is the ONLY hyaluronic acid (HA) filler FDA approved to last up to 1 year.* Our unique manufacturing process provides a high concentration of cross-linked hyaluronic acid for long-lasting results. It also works to create a smooth consistency gel that flows easily into the skin and provides a smooth, natural look and feel. All other hyaluronic acid dermal fillers currently on the market are made of granular consistency gels. And, Juvéderm® is the first hyaluronic acid dermal filler that has demonstrated its safety and effectiveness in persons of color.

*Juvéderm® is indicated for injection into the mid to deep dermis for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds).
6. How is JUVÉDERM® injectable gel different from BOTOX® Cosmetic?
Juvéderm® injectable gel is a “next-generation” hyaluronic acid dermal filler that provides volume and is used to treat wrinkles and folds resulting from a loss of volume beneath the surface of the skin such as perioral lines and nasolabial folds (lines around your mouth and nose). Juvéderm® restores your skin's volume for a smooth, natural look and feel. BOTOX® Cosmetic is not a filler. BOTOX® Cosmetic relaxes muscle activity and is used to treat moderate to severe lines caused by the dominant frown muscles between the eyebrows (the glabellar area). This allows the two vertical lines between the brows, often referred to as the “11,” to temporarily diminish for a smoother appearance. For important safety information about BOTOX® Cosmetic, see below.
7. What is hyaluronic acid?
Hyaluronic acid is a naturally occurring substance found in all mammals that helps to hydrate and add volume to your skin. In addition to its use as an aesthetic treatment, hyaluronic acid has also been used for more than 20 years for injection into arthritic joints to aid movement as well as for eye surgeries and wound repair.
8. What is cross-linked hyaluronic acid?
“Uncross-linked” hyaluronic acid in its natural form is in a liquid state. “Cross-linking” is the process through which hyaluronic acid is made into a gel product that can be injected into the skin for long-lasting results.
9. How is JUVÉDERM® injectable gel used in treatment?
Your healthcare provider eases Juvéderm® injectable gel into the skin using a fine needle to temporarily fill in and augment the treatment area and smooth moderate to severe facial wrinkles and folds such as “smile lines” or “parentheses” (nasolabial folds) and “marionette lines” (oral commissures). Juvéderm® temporarily adds volume to the skin and may give the appearance of a smoother surface.
10. What will treatment with JUVÉDERM® injectable gel accomplish?
Juvéderm® injectable gel will help to smooth moderate to severe facial wrinkles and folds. Most patients need one treatment to achieve optimal wrinkle smoothing. And one treatment could smooth your lines and wrinkles for up to 1 year. Ask your doctor what you should expect from your initial treatment and when they would recommend rescheduling another appointment.
11. Is treatment with JUVÉDERM® injectable gel painful?
Injections may cause some discomfort during and after the injection. The smooth consistency gel of Juvéderm® allows your doctor to administer it easily and smoothly. And, Juvéderm® is injected directly into the skin using a fine needle to reduce injection discomfort. Your doctor may choose to numb (anesthetize) the treatment area to further minimize discomfort.
12. How long does treatment usually take?
The injection process takes only about 15 minutes. You'll also need to allow time to consult with your doctor prior to treatment.
13. What kind of doctor can provide treatment with JUVÉDERM® injectable gel?
Any authorized healthcare professional can administer Juvéderm® injectable gel, but dermatologists, plastic surgeons, ophthalmologists, otolaryngologists (ear, nose, and throat doctors), or physicians specializing in cosmetic procedures are generally more experienced.
14. Does the correction last forever?
No. Correction is temporary; therefore, touch-up injections as well as repeat injections are usually needed to maintain optimal corrections.
15. How long do results last?
JUVÉDERM® is the ONLY hyaluronic acid (HA) filler FDA approved to last up to 1 year.* Talk to your healthcare professional about Juvéderm® today—so you can start seeing results!

*Juvéderm® is indicated for injection into the mid to deep dermis for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds).
16. What are the possible side effects of JUVÉDERM® injectable gel?
Most side effects are mild or moderate in nature, and their duration is short lasting (7 days or less). The most common side effects include, but are not limited to, temporary injections site reactions such as redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration. As with all skin injection procedures there is a risk of infection.
17. Can people with different skin tones/colors be treated with JUVÉDERM®?
Yes. In fact, Juvéderm® injectable gel is the first FDA-approved hyaluronic acid dermal filler that has proven its safety and effectiveness in persons of color. Studies with Juvéderm® showed no increased risk of hyperpigmentation or hypertrophic scarring in patients of color.

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1. What is LATISSE™ (bimatoprost ophthalmic solution) 0.03%?
LATISSE™ solution is a prescription treatment for hypotrichosis used to grow eyelashes, making them longer, thicker and darker.
2. What is hypotrichosis of the eyelashes?
Hypotrichosis is another name for having inadequate or not enough eyelashes.
3. How does LATISSE™ work?
LATISSE™ is believed to affect the growth (anagen) phase of the eyelash hair cycle in two ways: first, it increases the length of this phase; and second, it increases the number of hairs in this growth phase. The exact way it works is unknown.
4. How do I apply LATISSE™?
LATISSE™ solution is a once-a-day treatment you apply yourself each evening to the base of the upper eyelashes. See the full instructions as instructed by your doctor.
5. How soon will I see results?
LATISSE™ users may see results starting at 8 weeks with full results at 12 to 16 weeks. The growth is gradual overnight, over time.
6. Is LATISSE™ a replacement for mascara?
No, LATISSE™ does not work in place of mascara. LATISSE™ is a solution treatment for inadequate or not enough lashes and requires a prescription from a doctor. However, mascara can be used on your eyelashes in addition to LATISSE™.
7. Is LATISSE™ (bimatoprost ophthalmic solution) 0.03% different from nonprescription products that indicate eyelash growth?
LATISSE™ solution is the first and only prescription treatment approved by the FDA for inadequate or not having enough eyelashes, growing them longer, fuller and darker.
8. What if I forget to apply one night? Or a few nights?
If you miss an application or a few, don't try to catch up. Just apply the LATISSE™ treatment the next evening and stay on schedule.
9. What happens if I stop using LATISSE™?
If you stop using LATISSE™, your eyelashes are expected to return to their previous appearance over several weeks to months.
10. Can I get a prescription for LATISSE™ from any doctor?
First, ask your doctor if LATISSE™ is right for you. Although any doctor can prescribe LATISSE™, some may be more familiar with this product than others.  When making an appointment, be sure to tell the receptionist that you want to find out more about LATISSE™.
11. What are the possible side effects of LATISSE™?
The most common side effects after using LATISSE™ solution are an itching sensation in the eyes and/or eye redness. This was reported in approximately 4% of patients. LATISSE™ solution may cause other less common side effects which typically occur on the skin close to where LATISSE™ is applied, or in the eyes. These include skin darkening, eye irritation, dryness of the eyes, and redness of the eyelids.
12. What should I do if I get LATISSE™ in my eye?
LATISSE™ solution is an ophthalmic drug product. If any gets into the eye, it is not expected to cause harm. The eye should not be rinsed.
13. Who should NOT use LATISSE™?
Do not use LATISSE™ solution if you are allergic to one of its ingredients.
14. What are the ingredients in LATISSE™?
Active ingredient: bimatoprost
Inactive ingredients: benzalkonium chloride; sodium chloride; sodium phosphate, dibasic; citric acid; and purified water. Sodium hydroxide and/or hydrochloric acid may be added to adjust pH. The pH during its shelf life ranges from 6.8 — 7.8.
15. What is skin hyperpigmentation?
This is a common, usually harmless condition in which areas of skin become darker than the surrounding skin color. This occurs when there is an increase in the melanin, the brown pigment that produces normal skin color, in the skin. Skin hyperpigmentation is a possible side effect of LATISSE™, but may be reversible after discontinuation of the product.
16. What is elevated intraocular pressure (IOP)?
This is a condition where the pressure inside the eye is higher than normal. LATISSE™ may decrease IOP. So talk to your doctor if you are using IOP-lowering medications. Concurrent administration of LATISSE™ and certain IOP-lowering medications in ocular hypertensive patients should be closely monitored for changes in intraocular pressure.
17. What should I do if I experience eye redness?
Eye redness may occur immediately after use, but should usually last only for a short period of time. Eye redness alone is not an allergic reaction or inflammation, and doesn't mean that your eyes are being harmed. Please use the LATISSE™ applicators as instructed to help to minimize the occurrence of eye redness.
18. Could LATISSE™ cause the color of my eyes to change?
Increased brown iris pigmentation has occurred when similar medications were instilled directly into the eye to treat elevated intraocular pressure/glaucoma. Although iris pigmentation was not reported in clinical studies with LATISSE™, patients should be advised about the potential for increased brown iris pigmentation which is likely to be permanent.
19. What should I use to apply LATISSE™?
You should always only use the FDA-approved sterile applicators to apply LATISSE™ solution directly to the base of your upper eyelashes. The applicators have been specially designed and manufactured to meet FDA standards, and ensure that the correct dose of LATISSE™ is applied.
20. Why do the directions say to only apply LATISSE™ solution to the base of the upper eyelashes?
A clinical trial of LATISSE™ was conducted on patients who applied the product to the base of their upper lashes only. Applied nightly, the transfer of LATISSE™ solution from the upper to lower eyelid may occur naturally because the eyelids are closed and the eyelashes touch each other. Over application may increase the chance of experiencing side effects. To ensure safety and maximize effectiveness, please follow the directions provided.
21. What should I do if I experience eye itching?
Eye itching may occur immediately after use, but should usually last only for a short period of time (one to two weeks during initial use). Eye itching alone is not an allergic reaction, and doesn’t mean that your eyes are being harmed. Consult your doctor if the itching persists or you notice other symptoms as well.

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1. What areas can be treated with fillers such as Restylane® and Captique®?
The most common areas are the lips, and the deep folds between the bottom of the nose and the outer corner of the mouth (naso-labial folds). Other areas are the depressions below the eye (naso-jugal folds) and the wrinkle from the side of the mouth to the chin (marionette lines). It can also be used to enhance and augment the lips. Dr. Scruggs can discuss what will work best for you after he assesses your concerns and goals of treatment.
2. What exactly is Restylane®?
Restylane® is an injectable gel. It is made up of Non-Animal Stabilized Hyaluronic Acid (NASHA). It is biodegradable and fully biocompatible with human hyaluronic acid. Hence it is not necessary to skin test patients prior to use. Restylane is free from animal proteins and thus the risk of transmission of animal based disease is limited. Since it is made from bacteria, it does contain trace amounts of gram-positive bacterial proteins and should not be used by patients with allergies to such proteins. Captique® is also an NASHA with slightly different properties.
3. Is allergy testing required prior to injecting Restylane® or Captique®?
4. Are there any side affects?
You may experience mild swelling or redness that generally resolves within a few days. Some patients experience a mild itchy feeling that goes away in one or two days.
5. How long does Restylane® and Captique® last?
This can vary from patient to patient. In most patients the effects last about 2 ½ to 4 months.

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