Cosmetic Eyelid Surgery in Beverly Hills – Dr. Guy Massry
9Aug/180

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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19Jul/180

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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17May/180

Festoons, Festoons, Festoons – What can we do?

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Festoons present a very complicated eyelid/cheek problem to correct. Festoons are the overhanging hammocks of skin at the junction of the eyelid and cheek. In general, surgeons treat festoons as just one entity. However, Dr. Guy Massry has found that there are actually two different kinds of festoons:

  • Dry festoons – overhanging skin
  • Wet festoons - accumulate fluid

In Dr. Massry’s experience, each type of festoon is best corrected with a different surgical technique and the surgery should always be customized to the patient’s needs. Furthermore, Dr. Massry has found when festoons are closer to the nose and the middle part of the eye they do very well with surgery. When they are located more laterally, the skin is thicker and the results might show more scarring.

Before & After Festoon Surgery

Lower bleph, festoon and fillers

This patient had previous surgery and filler injections for to remove her festoons and did not experience good results. Her festoons were a combination of the two types – dry and wet festoons. To give her better results, Dr. Massry first removed all of the filler that was placed by another doctor. Then, during surgery he performed a direct festoon excision by making an incision over her overhanging skin at the eyelid-cheek junction, sutured it together, re-secured and tightened her eyelids and performed a lower blepharoplasty to create a smooth lid-cheek junction.

Another technique that Dr. Massry uses to perfect the results is to post-operatively inject the incision area with wound modulators. This is a medication that biologically inhibits scars from forming.

Finally, once the patient healed from surgery, Dr. Massry injected fillers in the under eye and cheek area to restore volume and create an even smoother transition at the lid-cheek junction for the most natural-looking results. This is not an easy surgery and requires a lot of expertise.

She is very pleased with her results, especially with her rejuvenated appearance.

Watch the Festoon Surgery

Contact Dr. Massry today!

If you have festoons that you want to get rid of, please contact Dr. Massry today at 310-657-4302. His expertise in scarless festoon removal ensures you are in the best hands.

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6Feb/180

Blepharoplasty 101: Aging Eyelids

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In the second video of his series Blepharoplasty 101, Dr. Guy Massry discusses aging eyelids.

One of the easiest ways to understand the aging process of the eyelids is to compare our faces and eyelids to grapes that turn into raisins. As we age, our skin doesn't just sag, but we also lose volume. This loss of volume is why fillers and fat grafting have become so popular over the past few years.

When performing eyelid surgery for aging eyelids, Dr. Massry believes it is really important to look at photos of patients when they were younger to make sure he can restore not only their appearance but their volume too. So when you are preparing for a consultation with Dr. Massry, please pull out some photos from your memory box when you were younger to share with him.

Traditional blepharoplasty surgery has always been about subtraction (ie. taking tissue out). However, a full eyelid is more attractive than a hollow eyelid. So, Dr. Massry believes a better paradigm is to take out only what is necessary, and, more importantly,  leave what is critical to look and work great!

Schedule a Consultation With Dr. Massry!

If you have aging eyelids and are ready to learn more about blepharoplasty with Dr. Massry, please contact our office to schedule a consultation today! Dr. Massry is here to help and give you the best results possible so you look like your younger self.

Other videos in the Blepharoplasty 101 series:

Managing Patient Expectations

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2Feb/180

Blepharoplasty 101: Meeting Patient Expectations

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In his series Blepharoplasty 101, Beverly Hills oculoplastic surgeon, Dr. Guy Massry, will discuss everything you need to know before undergoing cosmetic eyelid surgery. In the first video of the series, Dr. Massry discusses the importance of having realistic expectations for your surgery.

Many people, both patients and surgeons, overlook the importance of establishing realistic expectations for blepharoplasty results. Every patient has a different idea in mind for how they want to look after cosmetic eyelid surgery, and it is critical that the patient clearly relays this vision to their surgeon in order to determine if the desired outcome is attainable. One of the most common reasons patients are not happy with their blepharoplasty results is because their expectations were not realistic.

At Dr. Massry's practice, he estimates that he only performs blepharoplasty on 3 out of every 10 patients who want the procedure. The reason is that he feels he cannot meet the expectations of 70% of patients. This happens for many reasons.

The eyes are the window to the soul; they are important for vision. A mistake in this area is not ok!

During a consultation with a surgeon, make sure that your expectations can be met so that you are happy with the results!

Contact Dr. Massry Today!

If you have been thinking about cosmetic eyelid surgery, please contact our office today! Dr. Massry specializes in blepharoplasty and has a very high satisfaction rate with his patients.

Other videos in the Blepharoplasty 101 series:

Aging Eyelids

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11Jan/180

Eye Bag Surgery: Before & After Lower Blepharoplasty

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One of the most requested cosmetic eyelid procedures is eye bag surgery. As we age, the membrane that holds the fat back weakens and the fat comes forward, creating the appearance of those unwanted eye bags.

Eye bag surgery, or cosmetic lower lid blepharoplasty, is a very specialized procedure which should ONLY be performed by an experienced eyelid surgeon, like Dr. Massry.  Although it is a commonly performed procedure, complications from an inexperienced surgeon can be devastating. Seeing an oculoplastic surgeon, who is a specialist in eyelid surgery, helps eliminate surgical complications.

Before & After Eye Bag Surgery

Before and after eye bag surgery

See more before & after examples. 

How is Eye Bag Surgery Performed?

When performing lower blepharoplasty, Dr. Massry's goal is to remove the eyelid bag and getting rid of the dark circles under the eyes. Dark under eye circles are also referred to as “periorbital or eyelid hollows.” Rather than removing all of the precious eyelid fat during a lower blepharoplasty, Dr. Massry will instead reposition some of the excess fat to the hollows of the eyes to create a smooth contour and fill in the hollow under eyes. This technique results in a refreshed and youthful appearance.

Contact Dr. Massry Today!

If you have under eye bags that bother you, schedule a consultation with Los Angeles eyelid expert, Dr. Guy Massry - 310.657.4302.

Read more blogs from Dr. Massry:

Eye Bag Surgery - What You Need to Know

Lower Lid Blepharoplasty - Both Art & Science

Natural Lower Blepharoplasty Results

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4Jan/180

Cosmetic Eyelid Surgery: Rejuvenate Your Eyes in 2018

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With the start of another new year, many people begin to set goals for themseveles. At the top of everyone's New Year Resolutions lists is looking and feeling your best. Whether your goal is to work out more, eat healthier, or try a new anti-aging treatment, all of these result in you feeling better! For those who are thinking about cosmetic eyelid surgery to rejuvenate their appearance in 2018, Dr. Guy Massry has you covered.

Cosmetic eyelid surgery is the most popular procedure that Dr. Massry performs at his Beverly Hills office. When treating patients, Dr. Massry takes a very customized approach to give his patients the best results possible.

We all age, but our eyes age differently. It is important to find an oculoplstic surgeon who specializes in eyelid rejuvenation to make sure your results are beautiful and natural. Some people may need an upper blepharoplasty, others need a lower blepharoplasty, and some might need both!

During a consultation with Dr. Massry, he will first ask you to tell him what bothers you about the appearance of your eyes and what your goals are for surgery. Then he will examine you and give you his surgical recommendations. With cosmetic eyelift surgery, Dr. Massry strives to provide his patients with results that are rejuvenating and very natural.

Before & After Cosmetic Eyelid Surgery

Best brow lift and upper blepharoplasty results - Dr Guy Massry

Male brow lift with upper and lower blepharoplasty - Dr Guy Massry - Beverly Hills

Cosmetic Eyelid Surgery - Upper and lower blepharoplasty with outer brow lift - Dr Guy Massry

See more patients in our cosmetic eyelid surgery photo gallery.

Contact Dr. Massry Today!

If you are interested in learning more about cosmetic eyelid surgery, please call us to schedule a consultation with Dr. Massry - 310.657.4302. We look forward to meeting you!

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16Nov/170

How to Fix Bad Results From Cosmetic Eyelid Surgery

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When performed well, the results of cosmetic eyelid surgery are natural-looking and rejuvenating. But what do you do if you get a poor outcome? Dr. Guy Massry is an expert in revision eyelid surgery and explains how to fix bad results from cosmetic eyelid surgery.

One of the most common problems Dr. Massry deals with after an unsuccessful lower eyelid blepharoplasty is lower eyelid retraction or pulled down lower lids. Correcting lower eyelid retraction is often a complicated and frustrating problem to address and requires the skills of an expert like Dr. Massry to ensure you get the best outcome possible.

How Does Dr. Massry Fix Lower Lid Retraction?

Dr. Massry uses various specialized techniques to correct this deficit, including the following:

  • Midface-lift
  • Raising and suspending the outer corner of the lower eyelid
  • Outer brow lift

Dr. Massry performs the outer brow lift to avoid bunching of skin at the outer corner of the eyelid which can happen from the midface lift. This advanced technique gives a smooth final result. Combining these techniques is the best way on how to fix bad results from cosmetic eyelid surgery.

Before & After Lower Eyelid Retraction Repair

This patient below is in the early healing period from the procedures mentioned above (to her left side). Her results will only continue to get better with time and all incisions will fade.

Side view - lower eyelid retraction repair - revision eyelid surgery - Dr Massry

Contact Dr. Massry Today!

If you are experiencing lower eyelid retraction as a result of a previous blepharoplasty with another surgeon, please contact us today to schedule your consultation with Dr. Massry. He is the leading expert in complicated revision eyelid surgery and will provide you with the best results possible.

Read more blogs from Dr. Massry:

Revisional Lower Lid Surgery: Lower Eyelid Retraction - Don't Settle For Less Than The Best

Eyelid Retraction, Scleral Show, and Canthal Rounding After Lower Blepharoplasty: What to do next!

Revisional Blepharoplasty - Lower Eyelid Retraction

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7Nov/170

Botox vs Fillers – TRUE or FALSE

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When you first decide to take your beauty routine to the next level, you quickly realize there are a lot of different non-surgical procedures available to help you erase your unwanted wrinkles. Two of the most common non-surgical procedures are Botox and fillers – they are two very different things.

To help educate patients, Beverly Hills oculoplastic surgeon Dr. Guy Massry, has put together a true or false list of the most common questions about Botox vs fillers. How many of these do you already know?

Botox and fillers are the same thing – FALSE

Although both Botox and fillers are used to rejuvenate the face, they achieve this in very different ways. Botox temporarily freezes your muscle activity so that wrinkles are not being created. Fillers add volume to the face to smooth out wrinkles, get rid of dark circles under the eyes, and plump up the lips.

Botox gets rid of wrinkles – TRUE

Botox, or Botulinum toxin, temporarily relaxes your facial muscles that create lines and wrinkles. Botox can be placed on the forehead, in your 11 lines or around your crow’s feet to erase the appearance of your wrinkles. Results last for 3 to 4 months. Furthermore, when performed by an expert injector, like Dr. Massry, Botox can be strategically placed to give you a non-surgical brow lift.

Fillers get rid of wrinkles – TRUE

As we age we lose facial volume. This loss of volume can lead to wrinkles around the mouth, under the eyes or temples. Fillers can restore this lost volume which can smooth out wrinkles.  While this is true, keep in mind that fillers are a better volume restoration procedure (ie fills hollows/folds) than fine wrinkle reducer.

Anyone can perform Botox or Filler injections – FALSE

Since injectable treatments, such as Botox and fillers, are becoming more and more popular, access to them is becoming easier. However, while everyone from nurses to primary care doctors seems to be offering injectable treatments these days, it is vital to see an expert trained injector to make sure you get the best results possible and avoid potential risks.

Are You A Candidate For Botox or Fillers?

We hope you found this information about Botox compared to fillers to be helpful! If you are interested in learning if you are a candidate for either one of these non-surgical treatments, please contact our office to make an appointment with Dr. Massry - 310.657.4302.

Read more of Dr. Massry's blogs

How to Rejuvenate Your Eyes Without Surgery

The Magic of Lower Eyelid Filling with Restylane

Blepharoplasty & Botox - A Powerful Combination

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2Nov/170

The Best Cosmetic Eyelid Surgery Results

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Cosmetic eyelid surgery is not a "one size fits all" procedure. Our eyes are the most defining characteristics of our face and deserve to be treated with personalized and customized care. Dr. Guy Massry believes the best cosmetic eyelid surgery results are those that are tailored to the specific needs of the patient.

Below you can see a patient before (left) and after (right) customized cosmetic eyelid surgery. Best cosmetic eyelid surgery

So how did Dr. Massry achieve the best cosmetic eyelid surgery results for this patient? He performed a customized outer brow lift with upper and lower blepharoplasty.

What is an Outer Brow Lift?

The outer brow lift is a very important component of natural looking eyelid rejuvenation results, but many patients have never heard of an outer brow lift. Most patients come to Dr. Massry for an upper blepharoplasty thinking that all that needs to be done is to correct the appearance of sagging upper eyelids. However, what they don’t realize is that the position of the outer brows often affects the upper lid fullness. So when the outer brow falls, which is a normal change due to aging, the upper lids become heavier. If the outer brow is not lifted during surgery, the root of the upper lid sagging is not addressed.

Please keep in mind that not everyone needs the outer brow lift. This is why it is so important to find an expert oculoplastic surgeon to evaluate your needs and determine the best course of surgery for YOU.

Rejuvenating the Lower Lid

A lower lid blepharoplasty gets rid of under eye bags and can be performed a variety of ways. As a seasoned expert in lower eyelid rejuvenation, Dr. Massry generally prefers to perform the surgery through an incision on the inside of the eyelid because it significantly reduces the risk of changing the shape of the eye and there is no visible scar. Furthermore, when necessary, Dr. Massry will perform fat repositioning to smooth out the hollows under the eyes. But again, each patient is unique and Dr. Massry utilizes other lower blepharoplasty techniques when necessary to provide each patient with the best results.

Contact Dr. Massry Today!

If you are interested in learning more about the best cosmetic eyelid surgery for you, please schedule a consultation with Beverly Hills oculoplastic surgeon Dr. Guy Massry. He is happy to evaluate your anti-aging needs and refresh your appearance. Please call us at 310.657.4302 to schedule your consultation.

Read more blogs by Dr. Massry 

Lower Blepharoplasty: Why Cut From the Inside of the Lower Lid

The Brow and Upper Eyelid: An Aesthetic Unit

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