Brow lift surgery is a procedure where the eyebrow is lifted to a higher position. Conversely, blepharoplasty surgery is a procedure where excess skin/muscle and fat are removed. Both procedures (brow lift surgery and blepharoplasty surgery) are often performed on a revision (redo) basis to address problems from the first surgery. Revision surgery is significantly more complex than primary (first time) surgery. Revision surgery should only be performed by a surgeon well versed on these kinds of procedures.
Below is a recent example of a combined revision brow lift surgery (on the right) and blepharoplasty surgery performed.. Note the significant improvement in symmetry after surgery
A revision surgery is a procedure whereby a previous surgery is redone. This blog will deal with two revision surgery procedures: 1. Revision blepharoplasty surgery and 2. Revision canthoplasty surgery. In particular I will focus on revision surgery in Newport Beach, Irvine and San Diego, California. The reason for this is because I see many patients from these areas for both revision blepahroplasty and revision canthoplasty surgery.
A blepahroplasty is commonly referred to as an “eyelid lift,” and a canthoplasty surgery as a” lower eyelid tightening.” These are common surgeries performed today. It is critical to have an eyelid specialist – oculoplastic or ophthalmic plastic surgeon – perform these procedures so that they are done right.
There is much more information on revision blepharoplasty surgery and revision canthoplasty surgery available on Dr. Massry’s web site.
Canthoplasty surgery is a procedure whereby the lower lid is secured or tightened during blepharoplasty surgery or as a standalone procedure. A canthoplasty can be a primary or first time surgery, or it can be a redo or a revision canthoplasty surgery. Canthoplasty surgery whether primary or a revision is a complex surgical procedure which should only be performed by an eyelid specialist – an oculoplastic or ophthalmic plastic surgeon. No other surgeon should perform canthoplasty or revision canthoplasty surgery.
Ptosis repair surgery is a procedure whereby the eyelid muscle is tightened to lift its height, open the eye, and improve appearance and vision. Ptosis surgery is a specialized form of eyelid surgery which is generally only performed by eyelid surgeons only. These specialists are called oculoplastic surgeons or ophthalmic plastic surgeons. They are accredited by the American Society of ophthalmic Plastic and Reconstructive Surgery (ASOPRS). Only an ASOPRS trained physician should perform your ptosis repair surgery.
Ptosis repair surgery is different than blepharoplasty surgery (traditional lid lift) in that it does not remove skin/muscle and fat. Rather it lifts the height of the eyelid. This is more complex surgery which is why an eyelid specialist is needed.
Dr. Guy Massry is an ASOPRS trained oculoplastic surgeon who practices in Beverly Hills, California. Eyelid surgery is very common in Beverly Hills as so much cosmetic surgery is performed in this city. For this reason many Beverly Hills surgeons see patients with ptosis. However, only a select few perform ptosis repair surgery.
Dr. Massry has taught ptosis surgery to surgeons for many years. He has also published extensively on the subject – see link for an example of an article on the subject http://drmassry.com/pdf/ptosis%20article.pdf . You can also open this link for examples of ptosis repair surgery procedures (hit before and after photos) http://drmassry.com/#/1-4
Below are examples of patients who had ptosis surgery.
Ptosis repair surgery is a procedure whereby the eyelid elevating muscle is tightened to lift the upper lid and open the eyes. Ptosis repair surgery is a highly specialized form of surgery very different from blepharoplasty surgery (usually cosmetic eyelid surgery). Ptosis repair surgery can be performed to improve field of vision or to improve appearance. It is important to see an eyelid specialist (oculoplastic surgeon) before having ptosis repair surgery as complications from this form of eyelid surgery can be severe and impair vision and comfort.
Also the following publication, written by Dr. Massry, is an excellent resource for learning about ptosis repair surgery in general, especially in the cosmetic patient (open link to view article) http://www.drmassry.com/pdf/ptosis%20article.pdf
You can view before and after results to surgery also at his web site at this link (open before and after gallery) http://www.drmassry.com/#/1-4 .
Endoscopic Brow lift surgery is a procedure whereby the eyebrows are raised to a higher level. The brow lift will often enhance blepharoplasty (eyelid) surgery outcomes. There are many ways to raise the eyebrows, one of which is with endoscopic brow lift surgery. Dr. Guy Massry is an oculoplastic surgeon practicing in Beverly Hills, California. In Beverly Hills there is a high demand for endoscopic brow lift surgery as patients are very aware of the technology. Consequently, many cosmetic surgeons in Beverly Hills have experience with endoscopic brow lift surgery. The endoscopic brow lift, as opposed to other brow lift surgery techniques, is less invasive and generally has a lower complication rate. The complications of most cosmetic brow lift surgery techniques include scarring, forehead numbness, itching and pain, and hair loss. In endoscopic brow lift surgery these problems are significantly minimized.
To view before and after results of Dr. Massry’s endoscopic brow lift surgery please view this link from his web site http://drmassry.com/#/1-2.
Ptosis surgery is a procedure in which the elevating muscle of the eyelid is tightened to lift the droopy lid to a higher position. This is like raising the shades which cover a window. It is different than blepharoplasty surgery in which redundant skin/muscle and/or fat are excised from the eyelid. Ptosis surgery opens the eye and blepharoplasty surgery lightens the load on the eyelid. Both ptosis surgery and blepharoplasty surgery can enhance appearance and improve field of vision. The main issue which arises is when a patient sees a surgeon for droopy lids, and the ptosis component of the heavy lids is missed as the surgeon does not see beyond the eyelid bags. Blepharoplasty surgery (for eyelid bags) is an easier procedure than ptosis surgery which is generally only performed by a specialist in eyelid surgery (view link http://drmassry.com/blog/?p=116).
Below are examples of ptosis surgery performed by Dr. Massry
Blepharoplasty surgery involves removing redundant skin/muscle and fat from the eyelids. Blepharoplasty surgery can be performed for cosmetic reasons or to improve vision. Blapharoplasty surgery in men or “Male Blepharoplasty” is becoming more and more common. The surgery is the same as that performed in women, but more conservative in nature. The reason for this is that in male blepharoplasty surgery the goal is to reduce eyelid bags, but not too aggressively which tends to feminize appearance.
Not all plastic surgeons have experience with male blepharoplasty surgery. It is important to seek out an eyelid specialist only, and who has who has performed a significant number of male blepharoplasty surgeries.
Cosmetic Surgeons in Beverly Hills see a tremendous number of patients who want blepharoplasty surgery. This is because there is such a large amount of blepharoplasty surgery occurring in Beverly Hills, and because so many cosmetic surgeons in Beverly Hills perform blepharoplasty surgery. One of the main complaints patients have with their eyelids for which they seek out blepharoplasty surgery, is ”lower lid (eyelid) bags.”
Lower lid (eyelid) bags can result from redundant skin/muscle or fat. They are often associated with depressions beneath the bags (we call these hollows). There are a variety of ways to address the lower lid (eyelid) bags – one such way is surgically.
Surgery typically involves removing some fat and preserving the rest for use to fill in hollows. This fat preservation is called fat repositioning. This involves translocating eyelid fat which is prominent to areas where it is deficient (depressions, grooves and hollow areas). This is an incisional surgical technique which I perform from the inside of the lid to prevent external scars. I have found this procedure to be reliable, reproducible and to consistently yield excellent results.
The other fat filling procedure is called fat grafting. In this instance fat is taken from a different area of the body (ex. abdomen) and injected (grafted) into the depressed areas around the lower lids. In experienced hands this also yields excellent results.
Blepharoplasty surgery (eyelid surgery) is a surgical procedure whereby skin/muscle and fat are removed from the upper or lower eyelids to improve appearance, or sometimes, in the case of upper blepharoplasty surgery, improve vision. Beverly Hills is a city in which a tremendous amount of blepharoplasty surgery is performed because the patient population in Beverly Hills desires it, and because there are so many cosmetic blepharoplasty surgery physicians in Beverly Hills
It is important to select the most experienced, best trained and most qualified surgeon to perform you blepharoplasty surgery. There are a select group of surgeons called “oculoplastic surgeons,” or “ophthalmic plastic surgeons” which specialize only in blepharoplasty surgery. There are a number of such specialists in Beverly Hills. They can be identified by going to the ASOPRS (American Society of Ophthalmic Plastic and Reconstructive Surgery) web site http://www.asoprs.org/home.cfm.
ASOPRS is the organization which credentials these specialists. It is very important to be in the hands of an eyelid trained specialist for your blepharoplasty surgery. So use this valuable resource in selecting your surgeon.