Cosmetic Eyelid Surgery in Beverly Hills – Dr. Guy Massry

5 DO NOT Rules of Lower Lid Blepharoplasty

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When we read blogs and articles we always read about the things TO DO. We hardly ever read about what NOT TO DO. So today, Dr. Guy Massry wants to share his 5 DO NOT Rules of lower lid blepharoplasty. These 5 do not rules are just as important as any "to do" rules in ensuring a patient gets the best lower blepharoplasty results possible.

What is lower lid blepharoplasty?

When we talk about lower lid blepharoplasty we are talking specifically about the area under the eyes. With age people may develop under eye bags, under eye hollows, or dark circles. With a lower lid blepharoplasty, the goal is to reduce the appearance of eyelid bags, while also filling in any hollows or dark circles. When performed by an experienced oculoplastic surgeon, like Dr. Massry, rather than removing precious eyelid fat, the excess fat is instead transposed to reduce fatty pockets and fill in the hollows. This approach results in smooth, youthful under eye contours.

Dr. Massry's 5 DO NOT Rules of Lower Lid Blepharoplasty

Below are the 5 DO NOT rules that Dr. Massry always follows when he performs lower lid blepharoplasty.

  1. Do not change eye shape
  2. Do not change the angle of the outer corner of the lids (canthus)
  3. Do not cause a droopy (retracted) lower lid
  4. Do not hollow the lower lid
  5. Do not shorten the eye opening

If a surgeon follows these 5 DO NOT rules, the results of a lower lid blepharoplasty will be phenomenal. Following these rules ensures that the results will look natural, which is the most important goal.

Before & After Lower Lid Blepharoplasty

Below are some examples of patients who have had lower lid blepharoplasty with Dr. Massry. You can see in both the male and female patients that the results look very natural. The under eye area is smooth and youthful.

Patient 1

Before and after lower lid blepharoplasty with Dr Massry

Patient 2

Male lower lid blepharoplasty with Dr. Massry

Patient 3

Under eye bag surgery with Dr. Massry

How do you find the best lower lid blepharoplasty surgeon?

There are a lot of plastic and cosmetic surgeons out there today offering lower lid blepharoplasty procedures. While this is a very common and "routine" procedure, it still requires a great deal of expertise to get a beautiful result. The best surgeon to perform a lower lid blepharoplasty is a board-certified Ophthalmic Plastic & Reconstructive surgeon because they are sub-specialized in plastic surgery of the eyes. As an ophthalmic plastic & reconstructive surgeon, Dr. Massry only performs procedures around the eyes and has dedicated his career to perfecting these procedures. With Dr. Massry you can rest assured that your results will be natural looking.

Contact Dr. Massry Today!

We hope you enjoyed learning about the 5 DO NOT Rules of lower lid blepharoplasty. If you are interested in learning more about a lower lid blepharoplasty, please call our office today - 310.657.4302! Dr. Massry would love to meet you and help you decide if lower lid blepharoplasty is right for you.

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7 Tips For The Best Lower Lid Retraction Repair Results

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Lower eyelids that become pulled down after cosmetic lower blepharoplasty is called lower eyelid retraction. More specifically, it is referred to as post-blepharoplasty lower eyelid retraction. This is a devastating complication emotionally, psychologically, and functionally (as it can lead to true eye problems). When one looks in the mirror and no longer sees themselves, it’s overwhelming. It often leads to various degrees of post-traumatic stress disorder (PTSD).

Post-blepharoplasty lower eyelid retraction should be taken very seriously and should only be repaired by an expert in corrective eyelid surgery, like Dr. Guy Massry in Beverly Hills. After performing corrective surgery for this problem for over 20 years, Dr. Massry is a true specialist at repairing this problem. Below Dr. Massry outlines 7 tips for the best lower lid retraction repair results.

How to Get the Best Lower Lid Retraction Repair Results

#1 - The best way to avoid lower lid retraction is to prevent it.

The initial examination dictates what should and should not be done in primary lower blepharoplasty. When patients are screened properly, the appropriate procedure can be selected to prevent this problem.

Dr. Massry's Tip: Only see a proven eyelid specialist with experience in lower lid blepharoplasty.

#2 - The chances of lower lid retraction significantly increase when the incision is done through the skin. 

Lower lid retraction almost exclusively occurs when surgery is done through the skin of the lower eyelid. This is known as transcutaneous surgery or open approach surgery. This is not a bad procedure – but it is the wrong procedure in many patients.

Dr. Massry's Tip: See an experienced eyelid specialist who knows how to identify who should not have this transcutaneous surgery.

#3 - Lower lid retraction is more common in patients with prominent eyes.

Lower eyelid retraction is especially prevalent in patients who have prominent eyes and a weak orbicularis muscle (the eyelid closing muscle) who have transcutaneous surgery.

Dr. Massry's Tip: Do not have transcutaneous surgery when these issues exist.

#4 - Lower lid retraction repair requires a graft.

Corrective surgery often requires lengthening the lower eyelid internally with a graft. There are many options from this graft – but tissue from your own body is best and leads to less inflammation.

Dr. Massry's Tip:  Only see a proven eyelid specialist with experience in grafts to repair lower lid retraction. 

#5 - Have realistic expectations for your results.

Your eyes will never be like they did prior to the problem developed, but they can be MUCH better if surgery is done correctly.

Dr. Massry's Tip: Make sure you have a very honest conversation with your surgeon about what sort of results are realistic for you. 

#6 - Eyelid retraction repair is an incredibly complex procedure.

This is complicated and artistic surgery to correct, so be very careful with your choice of who does it.

Dr. Massry's Tip: Only see a proven eyelid specialist with experience with this problem. Ask to see before and after pictures of patients similar to you, as well as find out how many of these procedures the surgeon does every year. 

#7 - Great surgery will make you feel like yourself again.

If surgery is done properly you will look and feel a lot better!!!

Dr. Massry's Tip: Choose a specialist in post-blepharoplasty eyelid retraction so you get the best results possible. 

Finding the Best Lower Lid Retraction Repair Results Surgeon

Dr. Massry has dedicated much of his career to correcting post blepharoplasty lower eyelid retraction. As such, he has published numerous articles and textbook chapters on the subject, as well as has been invited to lecture around the world to teach other physicians his cutting-edge surgical techniques. He is happy to see you if you suffer from this eyelid deficit and want to learn how to get the best lower lid retraction repair results.

Before & After Fixing Lower Lid Retraction After Blepharoplasty

Below you will find a few representative examples of lower lid retraction repair.

Example 1 -  This woman had previous transcutaneous lower blepharoplasty with subsequent lower eyelid retraction (left). After surgical repair with Dr. Massry she was much improved (right).

Lower lid retraction repair

Example 2 - This man had multiple previous attempted repairs for his lower eyelid retraction (left) after a primary transcutaneous surgery. This is his result after Dr. Massry’s repair (right).

Male lower lid retraction repair

Example 3 - This woman travelled from Asia to see Dr. Massry. She was devastated by her post blepharoplasty lower eyelid retraction (left). She was so happy after Dr. Massry’s repair (right).

lower lid retraction repair - dr guy massry - beverly hills

Example 4 - This is a final example of the same. On left is a patient with post blepharoplasty lower eyelid retraction after transcutaneous blepharoplasty. On right after Dr. Massry’s repair

lower lid retraction surgery - revision eyelid - dr guy massry

View more patients in our Lower Lid Retraction Repair photo gallery. 

Contact Dr. Massry Today!

If you experienced post-blepharoplasty lower lid retraction, please contact our office today at 310-657-4302 to schedule a consultation with Dr. Massry.

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Male Blepharoplasty – Age Appropriate Results Are Key

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As the years go on, more and more men are interested in the idea of plastic surgery to rejuvenate their appearance. In fact, according to a recent report by the American Society of Plastic Surgeons, over 214,000 males in the United States chose to have plastic surgery. The report also highlighted that eyelid surgery is the second most common plastic surgery procedure among men. Dr. Massry explains how to get age appropriate male blepharoplasty results.

Choosing the Best Male Blepharoplasty Surgeon

While blepharoplasty is a very common procedure, it is one that should not be taken lightly. The area around the eyes is very delicate and the structures are very complex. This is why it is of utmost importance to seek out an oculoplastic surgeon to perform your blepharoplasty. An oculoplsatic surgeon, like Dr. Guy Massry, only performs procedures around the eyes and orbit.

Furthermore, when it comes to the male eyes, you want to make sure your surgeon has extensive experience with male patients. There are many intricacies when rejuvenating male eyes, compared to female eyes, that require the knowledge and expertise of an oculoplastic surgeon.

Achieving Age Appropriate Blepharoplasty Results for Men

Dr. Massry’s top priority is to always provide his male blepharoplasty patients with natural, age-appropriate results. During a consultation with a male patient, Dr. Massry evaluates the eyes and listens to the expectations of the patient. To ensure the surgery results are age appropriate and natural looking, Dr. Massry customizes the surgery to the exact needs of the patients. This customization is how he ensures the results are age appropriate.

Before & After Male Blepharoplasty

Below is an example of a patient with a lot of aging around the eyelids. After a customized blepharoplasty that included upper and lower blepharoplasty with Dr. Massry, the patient looks refreshed and age appropriate.

Male blepharoplasty - Dr Guy Massry

The after pictures were taken 3 months post-surgery.

Contact Dr. Massry Today!

If you are interested in refreshing the appearance of your eyes with a male blepharoplasty, contact Dr. Massry’s office today.

Read More of Dr. Massry’s Blogs

Lower Blepharoplasty: Why Cut From The Inside Of The Lower Lid

Blepharoplasty 101: Meeting Patient Expectations

The Direct Excision of Eyelid Festoons

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Eyelid or Orbital Trauma – Repairing the Medial Canthus

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Trauma to the face can, unfortunately, end in injury to the eyelids or the orbit – the bone around the eye socket. The range of injury to the eyelids and orbit ranges greatly depending on the traumatic event. But in most cases, after the trauma, patients will experiences symptoms such as blurry or double vision, black and blue bruises around the eye, swelling of the cheek and forehead, facial numbness, and more. One of the specific injuries this blog will discuss is malposition of the medial canthus.

How is an eyelid or orbital trauma treated?

If you have sustained an injury to the eyelid or orbit, you should see an oculoplastic surgeon immediately to be evaluated. As an orbital expert, Dr. Guy Massry has helped repair many traumas over his career.

There are many ways in which someone can experience eyelid or orbital trauma, including car accident, assault, sports injury, and work accidents, to name a few. Because each cause of trauma and injury is unique, the treatment plan will also be unique. Once Dr. Massry evaluates a patient’s injury, he is then able to determine the best course of treatment. In most cases, a trauma patient will require more than one surgery to get the best results possible.

Medial Canthal Malposition After Trauma

The medial canthus is the corner of the eye where the upper and lower lids meet. It is structurally very complicated as it is the connection point of the upper and lower lid and the nasal bridge.

When the medial canthal is injured or disturbed there are few options to correct and they can be complicated.

Medial Canthal Repair

Relocation of the medial canthus involves moving the soft tissue (skin and muscle), eliminating any webs, which often occur after trauma, and creating a new connection of the medial canthus to the bone of the inner eye. Doing this properly and creating natural looking results is a big challenge.

Dr. Massry has worked on various procedures for this kind of complex repair.

Medial Canthal Repair – Case Study

medial canthus correction

This young man came to Dr. Massry after he was assaulted with severe facial trauma including fractures and lacerations. After evaluation, Dr. Massry determined he would need to perform numerous surgeries to get him to looking and feeling his best.

In the most recent surgery, Dr. Massry realigned his medial canthus - or inner corner where the eyelids meet. The medial canthus needed to be translocated (moved) down. The patient also requested that his web be reduced for symmetry to the opposite side (see the arrow pointing to the web in the picture above).

While the changes are subtle, these results mean the world to him!!! After experiencing violence and trauma, psychological improvements are very important!

Contact Dr. Massry Today!

If you or someone you know has suffered a traumatic injury to the eyelid or orbit, please contact our office today – 310.657.4302. As the most trusted oculoplastic surgeon for the most complex cases, you can rest assured you are in the best hands with Dr. Massry.


Fun Facts About Eyelid Fillers

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Eyelid filler injections are becoming more and more common among men and women. Today, Dr. Guy Massry thought he would share 3 fun facts about eyelid filler with everyone!

Eyelid Filler Fun Fact #1

Did you know early fillers were made from the comb (red appendage) on the top of the head of turkeys and chickens?! Don't worry, this is no longer where filler comes from!

Fun Facts About Eyelid Fillers - 1

Today there are several different type of eyelid fillers. The most commonly used eyelid fillers are Hyaluronic Acid gel fillers, such as Restylane.

Eyelid Filler Fun Fact #2

Did you know eyelid fillers work by tissue expansion. The easiest way to understand how fillers work is to think of a sponge - when the sponge gets wet it expands. Just like a sponge, fillers draw in fluid and then expand.

Fun Facts About Eyelid Fillers - 2

Eyelid Filler Fun Fact #3

Fillers can be administered either with a needle or a blunt cannula. Dr. Massry only uses a blunt cannula for his eyelid filler injections because not only do patients experience less bruising, but it is significantly safer than using a needle for the injections. When Dr. Massry uses the blunt cannula for underey filler injections, he enters through the cheek to inject the lower lid as this causes less  trauma and bruising to the delicate lower lid skin.

Eyelid Filler Safety

No eyelid filler blog is complete without reminding patients to take precautions when you are considering eyelid fuller. As always, Dr. Guy Massry in Beverly Hills urges patients to find an injector who has a lot of experience with fillers around the eyes to ensure they have safe and effective results. Furthermore, Dr. Massry recommends only using gel fillers like Restylane (Hyaluronic Acid Gels) as they are reversible, which adds another layer of safety to the treatment.

Watch Under Eye Filler Treatment

Below is a video of Dr. Massry performing a filler treatment under eye hollows.

Contact Dr. Massry for your Eyelid Filler Appointment

Eyelid filling is an art – make sure you see an artist like Dr. Massry! If you are interested in booking your eyelid filler treatment, please contact our office at 310.657.4302.

We hope you enjoyed reading these fun facts about eyelid fillers. Here are some more blogs you may find interesting:

Botox vs Filler - True or False?

How To Rejuvenate Your Eyes Without Surgery

Blepharoplasty & Botox - A Powerful Combination


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How To: Perform Lower Lid Blepharoplasty With Fat Transpositioning

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Lower lid blepharoplasty is an intricate procedure which can be fraught with complications. The first, second and third rules that Dr. Guy Massry lives by for this procedure are, “Do it well!” It takes years to master this!

Dr. Massry loves performing this surgery on his patients and has dedicated much of his career to its study.  One variant in lower lid blepharoplasty is transposing the puffy fat to the adjacent hollow “dark circles" below. Traditionally, fat was also considered a bad thing and was simply removed. Now that we know fat is so precious when we transpose it under the eye, it creates a smooth, youthful appearance.

Before and After Lower Lid Blepharoplasty With Fat Transpositioning

Lower eyelid blepharoplasty - Dr Guy Massry

This patient had fantastic results after her lower lid blepharoplasty with fat transposition with Dr. Massry.

Illustration of How to Perform Lower Lid Blepharoplasty with Fat Transpositioning

Lower lid with fat transposition - Dr Guy Massry

This illustration is the cover to Dr. Massry's new video series on surgery available through Quality Medical Publishers. It does a nice job of showing how the procedure is performed.

Contact Dr. Guy Massry Today!


If you are considering lower lid blepharoplasty, please call our office today - 310.657.4302. Dr. Massry specializes in lower lid surgery and provides his patients with the most natural looking results!

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Dana’s Revision Eyelid Surgery – Dr. Massry Changed My Life

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Lower eyelid retraction and canthal web - Dr Massry

"Dr. Guy Massry changed my life! I know it sounds dramatic but there is no other statement that would begin to describe what Dr. Massry did for me.  If you are reading this review you may be going through the same type of nightmare I experienced, at the hands of another doctor who absolutely botched your surgery or you may be researching doctors for your first surgery.  Either way, I am here to tell you, there is no one better and no one I would trust more than Dr. Massry in Beverly Hills.

I am a former model and was with the biggest agency in the world. I wanted to find a doctor who would not make me look different, just rested and refreshed. I searched for over a year.  The doctor I decided to go with, from NYC, was supposed to be "the Best in the Business." He was the most expensive doctor I interviewed. I thought logic would dictate, "you can't charge those kinds of prices and have great hype surrounding you if you are not the BEST"!!  I could not have been more wrong.  I had a HORRIBLE outcome!!!!  HORRIBLE!!!!  And here is the worst thing......this "great NYC doctor" blamed my old filler for his botched result.  His response to my panic was to tell me to go to a dermatologist and get filler to fix the problem.

I was devastated and felt so alone.  I looked so much worse than before the surgery.  I didn't look like me, anymore.  My lower lids were sagging and drooping. Under my eyes was so hollow and sunken.  I could not close my eyes at night and had to use a mask to hold them shut.  Even then I would wake up with painfully dry eyes.  I went through bottle after bottle of eye drops to fight the dryness.  I would see my reflection and my heart would sink.  I looked hollow and tired and my eyes looked deformed.  They were not "my eyes".  The emotional and psychological damage was as bad, if not worse, than the physical change.  I was incredibly self-conscious and would try not to make eye contact with people.  I would always try to smile, hoping my cheeks would push my lower lids up.  So, I would walk around smiling for no reason!!  I just kept my head down and hoped that people wouldn't look at me and see my droopy eyes.  That doctor in NYC and the horrible outcome stole my self-confidence.  It changed my personality.  My depression and hopelessness were constant. Always with me like a dark cloud.  It was the last thing I thought about at night and the first thing in the morning.  I felt so lost.  I had no idea what to do or who to talk to.  I was stuck in my fear of even considering another doctor because of my horrible experience in NYC.  Even after the NYC doctor saw the horrible outcome and told me to go get fillers, I never heard another word from him or his office. No follow up.  Nothing.  No concern.  Nothing!!! I felt so abandoned by him.  How would I trust another Dr?

I finally reached such a sad and desperate place, I called a friend of mine in LA and told him the story.  My friend in LA is literally the trainer to the stars!!  Superstars!!  He knows everyone!!  An hour after we talked he called me back with one name.  Dr. Guy Massry.  He said Dr. Massry is THE DOCTOR!!!  He has a stellar reputation and takes on the most difficult cases.  Cases other doctors won't even attempt. You can trust this doctor.  I called Dr. Massry and from the very first conversation, he put me at ease.  He understood my depression, lack of trust and not "seeing ME" when I looked in the mirror.  He understood my fear of another surgery and an even worse outcome.  After all, I trusted the NYC doctor and look what happened.  Dr Massry was so kind and gentle and explained that this type of revision is what he does.  He has performed hundreds of these procedures and he would not put me through the physical or emotional experience if he didn't feel he could help me.  He was a ray of light in what had become a dark and depressed world.  We talked many times over the course few months.  I had many questions, all of which were answered with patience and understanding and reassurance when I needed it.

Dr. Massry performed my surgery and I can't begin to describe the transformation.  Dr. Massry's skill, talent and the elegance of his work are just beyond anything I could have imagined.  Dr. Massry and Dr. Patel were there for me at all hours, checking on me, in contact with me regularly and if there was anything I needed it was taken care of immediately!!!  I never felt alone.  I pulled a stitch and Dr. Massry came in on a Sunday morning to repair the damage.  Who does that????  DR MASSRY!!!!!!!

I have many friends who are close to my age and considering surgery but I am the first to "go under the knife".  I only wish someone had gone before me and passed this knowledge along, so I could have avoided this horror.  I am telling all of my friends, and anyone who is considering surgery, GO TO DR. MASSRY!!!!!  DO NOT let anyone touch your eyes who is not an ocular plastic surgeon!  And even then, I am telling everyone, JUST GO TO DR. MASSRY!!!!  He even works with other surgeons who do lower face and noses and he will do your eyes!!!

I have learned that a botched surgery, changing the shape of your eyes can be devastating and change your looks, dramatically!  You don't look like "you," anymore.  Operating on your eyes is a specialty and, as I have learned, its not just about taking out extra skin.  It's about repositioning fat and muscle and its complex.  Please learn from my mistake.  You don't want to go through what I have gone through.  I don't know what I would have done without Dr. Massry.  I literally thank God for getting me to Dr. Massry, every time I see my reflection.  Dr. Massry changed my life.  He gave me back my confidence. He gave me back a sense of peace.  He gave me back, ME.  Thank you!  Thank you!  Thank you!!"

-Dana, New York

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The Massry Method – Fixing Pulled Down Lower Lids and Rounded Eyes and Canthal Webs

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Dr. Guy Massry is internationally recognized for his exceptional ability to revise poor results from previous eyelid surgery. Far too often, eyelid surgery results in lower lid retraction, which occurs when the lower lids get pulled down after surgery, and canthal webs. These results are disfiguring and can be functionally disabling. This issue is very hard to fix and Dr. Massry has found that for many patients it requires a different “surgical recipe,” depending on examination, to make the eyes appear normal again.

How do you fix pulled down lower lids and rounded eyes?

Below is a great example of how Dr. Massry is able to revise this problem for patients after having surgery by another doctor. In the before pictures on the left, you can see her rounded eyes, with white showing below the iris (lower lid retraction), and the rounded outer corner of the eye (canthal web). The pictures on the right are after revision surgery with Dr. Massry to restore a regular, almond-shaped eye shape and to normalize the lower eyelid height.

Lower eyelid retraction and canthal web - Dr Massry

In this case, Dr. Massry addressed two issues:

1. The retracted or pulled down lower lids, which gives the patient a wide-eyed appearance. (Note: Her almond-shaped eyes are back after surgery.)

Lower eyelid retraction - Dr Massry

2. Even more difficult to correct is the web on the outer corner of the eye (lateral canthus). Dr Massry has published on this – here is a link to his paper.

Canthal web - Dr Massry

This patient is incredibly happy with the results of her lower eyelid retraction surgery with Dr. Massry.

As an expert in this procedure, Dr. Massry has written several publications on his technique. Here are two of them:

Cicatricial Canthal Webs - Dr Guy Massry New Insights Into Physical Findings Associated with Postblepharoplasty Lower Eyelid Retraction - Dr Massry

 Are you unhappy with the results of your eyelid surgery?

If you experienced lower lid retraction or canthal webs following eyelid surgery, please contact Dr. Massry today. This is a very complex problem and should only be addressed by an expert, like Dr. Massry.

Learn more about Revisional Eyelid Surgery.

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Hollow Upper Eyelids – The Best Way to Fix Them

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As some people age, their upper eyelids begin to lose volume and create a sunken-in appearance. Below is an example of a patient with hollow upper eyelids.
Upper Eyelid Hollow - Before Surgery - Dr Guy Massry

When a patient has hollow upper eyelids, it makes the patient look older and tired. While this area can be treated with filler, in some cases surgical intervention is the best long-term option. However, as always with the eyes, it is very important to find a board-certified oculoplastic surgeon, like Dr. Guy Massry, who has extensive experience with this type of procedure.

Surgery for Hollow Upper Eyelids


To restore a youthful appearance for patients with hollow upper eyelids, Dr. Massry will perform an upper blepharoplasty with fat repositioning.

The nasal fat pad of the upper eyelid is dense, continuous and relatively rich with stem cells. These qualities make the nasal fat pad a good option for transposing from areas of excess fat to areas of deficit.

To perform upper eyelid fat repositioning, Dr. Massry begins with the regular upper blepharoplasty skin incision. Then he locates and divides the nasal and central orbicularis muscles and orbital septum so that he can access the nasal and central fat compartments. He releases the nasal fat from all of the connective tissue attachments so it is a freely mobile fat flap. The fat is then transposed over the areas of volume deficit, creating a smooth medial upper brow to upper lid transition.

Watch Upper Eyelid Fat Repositioning Surgery

As you can see from the video, this procedure fixes hollow upper eyelids and creates eyes that appear full, contoured and smooth.

Please note this patient also had a brow lift with upper blepharoplasty in addition to the fat repositioning. 

Contact Dr. Massry today!

If you are unhappy with the appearance of hollow upper eyelids, please contact our office to schedule a consultation with Dr. Massry today - 310.657.4302.

Read Dr. Massry's article on this topic - Effacing the orbitoglabellar groove with transposed upper eyelid fat.

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Lacrimal Gland Repositioning with Upper Blepharoplasty

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A dislocated lacrimal gland (tear gland coming forward and visible or palpable under the eyelid) can add to temporal fullness of the eyelid. Eyelid expert, Dr. Guy Massry, explains how to repair a prolapsed lacrimal gland with lacrimal gland repositioning surgery.

What is the lacrimal gland?

The lacrimal glands produce tears and are located in the upper outer corner of the eye (lacrimal fossa).

What is lacrimal gland prolapse?

Lacrimal gland prolapse means there is a bulge or fullness to the outer part of the upper eyelid. Some patients will feel pressure on the globe and, on rare occasion, even experience eye comfort.

Here are examples of what lacrimal gland prolapse looks like.

Prolapsed lacrimal gland - Dr Guy Massry Lacrimal Gland Prolapse - Dr Guy Massry

In 2011, Dr. Massry and his colleagues published a paper that found lacrimal prolapse happens to a moderate degree in about 40% of people as they got older. So, this can be considered a normal part of the aging process. However, it can also occur in people who are younger too.

How is lacrimal gland repositioning surgery performed?

Lacrimal gland repositioning is a procedure in which a dislocated or anteriorly prolapsed tear gland is placed back into its normal position in the socket. The correct position is in the fossa, a hole in the bone of the upper outer orbital rim. The procedure is not technically challenging as long as you are familiar with the anatomy.

To begin, Dr. Massry will identify the prolapsed lacrimal gland. It is easy for Dr. Massry to visualize the gland because it has a pale color with obvious glandular elements that make it look very different than the clinical appearance of surrounding fat. Dr. Massry will use a suture to secure the anterior tip of the lacrimal gland fossa. This procedure returns the gland to its normal anatomic location and corrects the heavy upper lid appearance.

In many cases, Dr. Massry will perform the lacrimal gland repositioning in conjunction with an upper blepharoplasty to provide the most natural and rejuvenating results.

Watch Dr. Massry Perform A Lacrimal Gland Repositioning Surgery

Before and After Lacrimal Gland Repositioning

Below is an excellent example of a patient before and after lacrimal gland repositioning surgery.

Lacrimal gland repositioning - Dr Guy Massry - Beverly Hills

Schedule Your Consultation Today

If you think you have a prolapsed lacrimal gland, please contact our office today. Dr. Massry has extensive experience in repositioning the lacrimal gland and restoring your youthful appearance.

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