In this video Dr Massry performs Hyaluronic acid gel filler injections to the patient's lower eyelid to address under eye hollows. He first administers a nerve block for the patient's comfort. Next, he uses a cannula to perform the filler injections. He starts with deep injects followed by more superficial injections to give the patient optimal results. He massages the filler to contour the results.
Hollow and sunken under eyes are a very common complaint among both men and women. This hollow appearance is due from a loss of volume as we age. Using fillers under the eyes can help restore a youthful appearance. Read more about under eye fillers.
To find out if fillers for hollow under eyes are right for you, call our office and schedule a consultation with Dr Massry - 310.657.4302!
Revisional eyelid surgery is one of the most difficult areas of oculoplastic surgery, as it is hard to meet patient expectations. Revision surgery becomes more difficult than primary surgery because you are operating on scarred planes that have been distorted completely in anatomy; it's not like first time surgery.
Before undergoing revisional eyelid surgery, first and foremost, there has to be an understanding between the physician and the patient about realistic expectations for revision surgery. The primary reason patients are unhappy with revisions is that they have an expectation that they will be exactly as they were before the primary surgery that caused the problem, and unfortunately that is not always possible. So what patients need to expect is a 50% improvement, and anything above that is a gift. Now, when Dr. Massry says a 50% improvement, he is undershooting expectations. The reason he sets the expectations at a 50% improvement is because he truly will not know how the final results will turn out until he is in surgery. Once he is in surgery he will see how bad the anatomy is distorted, how the blood vessels and blood supply have been effected, maybe they have had 1 surgery before, maybe they have had 10 surgeries before, all of these things play a factor in what kind of results can be achieved with revisional surgery.