Bring that recommendation to us. IPL, radiofrequency, and other procedures can be useful, but similar symptoms may have different causes. A consultation helps us check for what could have been missed, including eyelid conditions such as Demodex blepharitis.
Our goal is the least intensive care that fits the findings, without unnecessary treatment or cost. If a procedure is right for you, we will explain why.

Dry eye can involve the tear film, meibomian glands, eyelid inflammation, and the ocular surface. Demodex blepharitis can also affect the lash line and may call for a different approach. We review systemic conditions, medications, diet, and daily habits so the plan fits your eyes and your life.
We discuss your symptoms, health history, medications, nutrition, screen use, and what you have already tried.
We assess tears, glands, the ocular surface, and the lash bases for signs such as collarettes associated with Demodex blepharitis.
We explain what appears to be driving your symptoms and start with the least intensive appropriate care before considering procedures.
We explain the purpose, alternatives, and expected costs of each step. Office therapies are recommended when the findings support them.
Tear support, home lid care, environmental changes, and a review of diet or medications with your broader healthcare team when relevant.
In-office cleaning or debridement may help address buildup along the eyelid margins when it is contributing to symptoms.
When the lash findings suggest Demodex blepharitis, we discuss treatment directed at that condition rather than assuming every symptom needs a dry eye procedure.
These in-office therapies may be considered for selected patients with meibomian gland dysfunction or related inflammation after an evaluation.
For certain damaged ocular surfaces, an amniotic membrane may help support healing as part of a broader plan.
Scleral lenses may offer vision correction and a fluid reservoir for some patients with severe surface or corneal needs.
Dry eye often needs ongoing attention. After an initial evaluation and treatment, patients who benefit from regular in-office care can choose a maintenance schedule that fits their findings. We review your response and adjust the treatment at each visit.
A scheduled radiofrequency or IPL treatment every three months, with lid hygiene at visits and doctor-performed lid debridement twice a year when appropriate.
More frequent scheduled treatments and lid hygiene, with doctor-performed lid debridement every three months when appropriate.
Monthly scheduled treatments and lid hygiene, with doctor-performed lid debridement every three months when appropriate.
All three programs include priority treatment appointments, product benefits, and an annual voucher. Radiofrequency treatment is included; adding IPL can carry an additional fee in the Mild and Advanced programs. Your doctor will recommend a program only if it fits your needs and explain its services, costs, and three-month minimum before you enroll.
Ask about dry eye maintenanceYou will leave with an explanation of the likely contributors, the most appropriate starting step, and a follow-up strategy. If an office therapy is recommended, we explain why and discuss the cost before proceeding.
Request an appointmentPlease tell us what was recommended and bring any records you have. We usually begin with a dry eye consultation to confirm the cause and whether that treatment fits your eyes. Some patients need a simpler or different first step; others may benefit from the suggested therapy.
It is inflammation of the eyelid margins associated with Demodex mites. A common clue is debris called collarettes around the lash bases. It can coexist with dry eye, so checking the lids can change the treatment plan.
Reflex tearing can happen when the surface is irritated. A dry eye evaluation helps determine whether tear quality, tear quantity, eyelid health, or another issue is involved.
These plans are for patients who need repeated treatments after an initial deep cleaning and treatment. Enrollment is available within 30 days of that first session, when your doctor recommends ongoing care. The programs have a three-month minimum commitment.
No. We assess your symptoms and findings at each visit. The recommended therapy may change, and IPL may have an added fee in the Mild or Advanced program. We review your specific plan and costs before enrollment.
Some medical assessments may be billed separately through insurance. Before you enroll, we will explain which visits are part of your program and what costs may be your responsibility.
No. We recommend care based on the examination and your goals, starting with the least intensive appropriate option.
Bring the names of products you have tried and tell us how often you use them. We can look for other contributors, including eyelid and tear-film changes, before recommending the next step.