Training and board certification
| Stage | Detail |
|---|---|
| College | Miami University, Oxford, Ohio, bachelor's degree in chemistry (1985-1989) |
| Medical school | Medical College of Virginia (1989-1993) |
| Internship | General surgery, Mayo Clinic, Rochester, MN (1993-1994) |
| Residency | Otolaryngology, Mayo Clinic (1994-1998) |
| Fellowship | Facial plastic surgery, University of Cincinnati (1998-1999) |
- Board certification as listed: "American Board of Otolaryngology, 1999" and "American Board Facial Plastic and Reconstructive Surgery, 2002." The bio page names the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology–Head and Neck Surgery.
- Member of the American Academy of Facial Plastic and Reconstructive Surgery, the American Academy of Otolaryngology, Alpha Omega Alpha Medical Society, the Pennsylvania Medical Society and the Dauphin County Medical Society.
- Active surgical staff at Holy Spirit Hospital and Capital Surgery and Laser Center.
- Research from his Mayo Clinic training includes papers on dermatofibrosarcoma protuberans of the head and neck and on skin resurfacing wound healing.
Eyelid surgery work
- Blepharoplasty. The eyelid page describes removing excess skin and fat from the eyelids to correct drooping lids and under-eye bags (source).
- The page states that aging stretches eyelid skin and weakens muscles, and in some cases drooping lids can impair peripheral vision.
- Depending on whether upper lids, lower lids or both are treated, surgery takes place in the in-office procedure room or in the operating room within the building.
- Dr. Gayner adjusts technique for men and women; the page describes eyelid surgery for men as restoring defined contours.
- For dark circles, fine lines and sagging brows, the page points to BOTOX Cosmetic, dermal fillers and laser skin rejuvenation.
Gallery: the eyelid surgery gallery holds 9 cases of upper, lower and combined blepharoplasty (source). One case describes a bilateral upper and lower blepharoplasty with fat removal and a right-sided lower skin pinch over a malar bag (case 213). The site has no separate brow lift, ptosis or canthoplasty page.
Other procedures
The face menu lists facelift (including a quick recovery facelift), rhinoplasty, otoplasty, fat transfer, facial liposuction and procedures for men. Nonsurgical services include BOTOX, the RHA Collection and Sculptra fillers, and skin tightening (source).
Insurance and cost
- The practice posts "ballpark" price ranges as estimates only; actual prices depend on anatomy, operating time, technique and anesthesia.
- Upper eyelid surgery: $4,800 to $6,000.
- Lower eyelid surgery: $6,900 to $8,000.
- A $150.00 consultation fee is collected at scheduling and applied to any procedure the patient goes ahead with.
- The site makes no statement on insurance or Medicare coverage for eyelid surgery.
Recovery
- Some swelling and bruising after surgery is normal, and patients have minimal, if any, pain (source).
- The page states that after recovery, vision may be improved.