SMILE
What is SMILE?
SMILE (Small Incision Lenticule Extraction) is a minimally invasive laser vision correction procedure that effectively treats nearsightedness and astigmatism. It is the only form of LALEX (Laser-Assisted Lenticule Extraction) available in the United States, and is the newest form of laser vision correction available.
MVC is the only location in the Des Moines area offering the SMILE procedure. At MVC, Dr. Dickson performs SMILE using the ZEISS VisuMax femtosecond laser, which creates a thin, disc-shaped piece of corneal tissue, known as a lenticule, beneath the surface of the eye. Removing this lenticule reshapes the cornea to correct vision. Unlike LASIK, SMILE does not involve creating a flap or removing corneal tissue through ablation, making it a streamlined, single-step procedure. This advanced technique offers precision, safety, and stability while providing an excellent option for patients to fix their vision. As one of the most advanced forms of laser vision correction available today, SMILE is exclusively performed at select premier eye surgery centers across the country, and MVC is proud to offer this innovative solution to patients seeking lasting visual freedom.
- Safe & Effective
- Minimally Invasive
Why Choose MVC for SMILE?
- Exclusive to MVC:. We’re the first and only practice bringing SMILE eye surgery to Des Moines.
- Vision Correction Specialists: LASIK, SMILE, or advanced lenses—modern vision correction is our exclusive focus.
- All 7 Modern Vision Options: Unlike places that offer only LASIK, we offer all 7 modern laser vision correction options—so you get the procedure that’s right for your eyes.
- In-Depth Eye Exams: Our EyeAnalysis provides the region’s most detailed eye health evaluation—front to back, top to bottom.
- Expert-Certified Team: Our surgeons include fellows certified by the World College of Refractive Surgery and Visual Sciences.
- Exceptional Patient Experience: Relax in our welcoming spa-like clinic—enjoy no wait times and personalized care from start to finish.
- Award-Winning Excellence: Built on Kugler Vision’s patient-first standards—a decade-long Best of LASIK practice winner.
Your Clear Vision Starts Here
Take the first step—see if you're a candidate now.
Meet Your MVC SMILE Surgeon
Dr. Drew Dickson is the only World College of Refractive Surgery and Visual Sciences certified vision correction specialist in the state of Iowa. He specializes in LASIK, SMILE, and lens-based procedures, delivering trusted results through precision, experience, and patient-first care.
Our SMILE Eye Surgery Locations
Who is a candidate for SMILE?
SMILE is a great vision correction option for those with nearsightedness and astigmatism who want to reduce or eliminate their need for glasses or contacts. You may be a good candidate if you:
- Are at least 18 years old
- Have a stable prescription (unchanged for at least a year)
- Have healthy eyes, especially with sufficient corneal thickness
- Are nearsighted (-1.00 to -10.00 diopters) with up to 3.00 diopters of astigmatism
- Experience dry eyes or have thin corneas, making LASIK less ideal
- Live an active lifestyle and want a flap-free laser vision correction option
- Struggle with contact lens intolerance, including irritation or discomfort when wearing contacts
SMILE may not be right for you if you are farsighted, pregnant, nursing, or have certain eye conditions. The best way to find out if SMILE is a good fit is through a consultation at MVC, where our surgeon will assess your vision and eye health to determine the best treatment for you.
Benefits of SMILE
- Minimally Invasive – SMILE uses an 80% smaller incision than LASIK, preserving more of the eye’s natural structure and reducing disruption to the corneal surface.
- Reduced Dry Eye – By sparing more corneal nerves, SMILE helps maintain the eye’s natural moisture balance, leading to less short-term dryness compared to LASIK.
- Quick and Comfortable Procedure – The entire procedure takes 10 minutes or less, is bladeless, and causes little to no discomfort.
- Fast Recovery – Most patients can resume normal activities, including exercise, wearing makeup, and driving, the very next day.
- Long-Term Vision Correction – SMILE provides permanent vision correction, and if needed in the future, LASIK or RLE (Refractive Lens Exchange) can still be performed on a post-SMILE eye.
- High Patient Satisfaction – Studies show SMILE patients report a high level of satisfaction with their results.
- Freedom from Glasses and Contacts – SMILE offers clear, corrected vision without the daily hassle of glasses or contact lenses.
ZEISS VisuMax Technology
The ZEISS VisuMax femtosecond laser is a state-of-the-art system that sets a new standard in refractive surgery. Known for its precision, speed, and gentle approach, this advanced laser technology is designed to perform highly accurate corneal procedures with minimal disruption to surrounding tissue. Unlike traditional laser systems, the VisuMax creates exceptionally smooth and precise incisions, enhancing both safety and patient comfort. Its engineering allows for a more delicate treatment experience, reducing pressure sensations commonly associated with other laser technologies.
As the first and only laser in the United States capable of performing SMILE surgery, the VisuMax represents a breakthrough in vision correction. Its ability to sculpt and remove a tiny lenticule of corneal tissue provides a seamless and efficient approach to reshaping the cornea. This technology is widely used in leading eye centers around the world and has been FDA-approved in the United States since 2016. At MVC, this cutting-edge laser technology allows our surgeon to offer patients a more precise, comfortable, and effective vision correction experience.
How does SMILE eye surgery work?
SMILE eye surgery works by using a femtosecond laser to reshape the cornea and correct refractive errors like nearsightedness and astigmatism. The procedure begins with the ZEISS VisuMax femtosecond laser creating a thin, lens-shaped layer of tissue, called a lenticule, just beneath the surface of the cornea. This precise laser process takes only about 10 seconds per eye and does not disturb the outer corneal surface. Once the lenticule is formed, the laser also creates a small incision, typically 4 millimeters or less, through which the surgeon carefully removes the lenticule. Extracting this tiny piece of tissue alters the shape of the cornea, improving how light is focused onto the retina and resulting in clearer vision. Because SMILE does not require a corneal flap, the procedure is minimally invasive, reducing the risk of dry eye. The small incision heals naturally within a few days without the need for stitches, allowing patients to return to normal activities quickly. MVC utilizes this advanced laser technology to provide a precise, effective, and comfortable vision correction experience for our patients.
our reviews
Our Patients Love What We Do
Hear from real patients whose lives have been transformed by clearer vision and compassionate, expert care at MVC.
I had SMILE performed today, and couldn’t be happier. Dr. Dickson walked me through everything, and even called me later to check in. Incredible experience!
Cody N.
SMILE Patient
Dr. Dickson and his team got me in quickly for LASIK, made the process easy, and I’m seeing 20/15 now. Absolutely amazing!
Matthew M.
LASIK Patient
I had EVO ICL surgery and I am so happy I did it. The team made me feel so comfortable, and now I can see better than I ever could with glasses. Life-changing!
Jessica Z.
EVO ICL Patient
SMILE Eye Surgery: What to Expect
SMILE eye surgery is a quick, outpatient procedure that takes only a few minutes per eye. Before the surgery, anesthetic eye drops will be applied to numb the eyes, and a mild sedative may be offered to help you relax. A small device will gently keep your eyes open, so there’s no need to worry about blinking. After the procedure, you’ll need a friend or family member to drive you home, as your vision may be blurry for a few hours. Most patients notice improvements in their vision the same day, with stabilization over the next few days.
Recovery after SMILE is typically smooth and fast. Since there is no corneal flap, patients experience less discomfort and a shorter period of temporary dryness compared to LASIK. While vision may fluctuate initially, many people can return to work, drive, and resume daily activities as soon as the next day. Prescription eye drops will be provided to reduce inflammation and prevent infection, and it’s important to follow all post-operative instructions to ensure proper healing. Follow-up appointments will be scheduled to monitor progress and confirm that vision is improving as expected. Within one week, most patients can wear makeup, exercise, and even swim. SMILE eye surgery at MVC offers a convenient, effective way to achieve long-term visual freedom with minimal downtime.
What is the difference between SMILE and LASIK Surgery?
SMILE and LASIK are both laser vision correction procedures, but they use different techniques to reshape the cornea. The biggest difference is that LASIK involves creating a corneal flap, while SMILE is a flapless procedure. During LASIK, a femtosecond laser creates a thin flap in the cornea, which is lifted so an excimer laser can reshape the underlying tissue. The flap is then placed back in position, where it heals naturally. SMILE, on the other hand, uses a femtosecond laser to create a small, lens-shaped piece of tissue, called a lenticule, within the cornea. This lenticule is removed through a tiny incision, allowing the cornea to reshape without the need for a flap.
Because SMILE does not require a corneal flap, it results in a smaller incision—up to 80% smaller than the flap created in LASIK. This means the cornea remains more biomechanically stable, and there is a shorter period of temporary dry eye symptoms after surgery. SMILE is also a single-laser procedure, making it streamlined and efficient. While LASIK can treat a wider range of prescriptions, including farsightedness, SMILE is specifically FDA-approved for nearsightedness and astigmatism. Both procedures offer excellent vision correction, and the best option depends on individual eye health, prescription, and lifestyle. The MVC team conducts a thorough evaluation on each patient to determine whether SMILE, LASIK, or another vision correction surgery is the right choice for achieving clear, long-lasting vision.
FAQ's About SMILE
How much does SMILE eye surgery cost?
Does insurance cover SMILE?
Most insurance plans do not cover SMILE because it is considered an elective vision correction procedure rather than a medically necessary treatment. However, some employer-sponsored health savings accounts (HSAs) or flexible spending accounts (FSAs) can be used to help with the cost. MVC provides guidance on financing and payment options to ensure patients can access this advanced, minimally invasive procedure. Checking with your insurance provider and exploring available financial resources can help make SMILE a more affordable option.
Can SMILE treat astigmatism?
What are the risks of SMILE?
How fast will my vision recover?
Is the procedure painless?
Can I have both eyes treated on the same day?
How is SMILE different from PRK?
Does SMILE help reduce dry eye compared to LASIK?
Is SMILE a good option for people who aren’t candidates for LASIK?
Start Your Journey to Visual Freedom
At Modern Vision Centers, your path to clearer, sharper vision begins with a personalized approach designed to meet your unique eyes and lifestyle.
STEP 1
Initial Exam
STEP 2
Custom Procedure
Your vision correction procedure is tailored to your eye’s anatomy, using cutting-edge technology for precision and optimal results.
STEP 3