Cosmetic Eyelid Surgery in Beverly Hills – Dr. Guy Massry
29Apr/150

How To Fix Under Eye Hollows with Filler

Posted by Chris Sullivan

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!

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23Apr/150

Beverly Hills Eyelid Surgeon Talks About Publications and Lecturing Around the World

Posted by Chris Sullivan

World renowned author and lecturer, Dr. Guy Massry, a board-certified oculoplastic surgeon discusses some of his textbooks and international lectures. After years of publishing peer-reviewed articles, Dr. Massry saw the need for a textbook that provided quick references and high yield snapshots of more than 200 cosmetic procedures; essentially a compilation of "here's how I do it" advice on the most commonly performed eyelid procedures. And with that "Pearls and Pitfalls in Cosmetic Oculoplastic Surgery" was born. The First Edition came out in 2009 and was tremendously successful, so Dr. Massry and his colleagues created a Second Edition that was published in early 2015. "I really enjoy this part of the practice because I get to make change and help things evolve," said Dr. Massry.

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Another one of Dr. Massry's successful textbook is "Masters Techniques in Blepharoplasty and Periorbital Rejuvenation." The book takes a comprehensive and multi-specialty approach to blepharoplasty and eyelid reconstruction. As an editor of the book, Dr. Massry had to not only write his own chapters, but also edit all of the other chapters written by his colleagues so that the information flowed well from one chapter to the next.

"I truly enjoy writing and I feel like I am making a difference. Being a physician is a responsibility and trust that people put in you. I need to stay up to date with how medicine changes, and I do this by teaching on it, lecturing on it and writing on it," said Dr. Massry.

Lecturing is sharing your experience with others. Dr. Massry has traveled around the world giving hundreds of lectures and has been blessed to have received awards for this. "You meet people from around the world and learn so much from this academic. Its a unique experience and a privilege to be surrounded by world leaders in the field," explained Dr. Massry.

To learn more about Dr. Massry visit him here.

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15Apr/150

What are eyelid fillers and when should they be used?

Posted by Chris Sullivan

 

Eenowned Beverly Hills oculoplastic surgeon, Dr. Guy Massry, discusses the benefits of using fillers for the eyelids. First, it is important to understand It is very difficult to lift the lower lids higher because gravity is acting against you. Fillers, specifically gel fillers such as Restylane, Belotero and Perlane, can be used to address these eyelid issues. Dr. Massry primarily uses Restylane because its biochemical makeup is best for treating issues around the eyes.

As a Beverly Hills eyelid filler expert, Dr. Massry can do things with fillers and lower eyelids that are pulled down that cannot be achieved with surgery. It's not a permanent fix, but often times after 2 or 3 rounds of filler injections, the tissue has been stretched enough that surgery is easier to perform.

To help patients understand how fillers work, Dr. Massry wants you to think about a dry sponge vs a wet sponge. When a sponge becomes wet, it expands in 3 dimensions, which fills hollows, effaces or gets rid of depressions, and it will lift because of the 3 dimensional expansion. This is exactly what fillers will do to the face. Because fillers lift and fill the eyelids we can address so many problems that surgery can't fix.

But there are some things to be cautious with when seeking out fillers. There are so many types of fillers on the market, with new types of fillers being regularly introduced, that a lot of practitioners are always using the newest filler on the market and not necessarily the best filler for the issue at hand. Yes all fillers are designed to correct lines and folds, but each filler has a biochemical make-up that is specific to treating a certain type of issue. It is crucial to go to a physician who is well-educated and keeping up with the evolution of fillers to make sure you are being treated properly and get the best results possible.

For more information about fillers for the eyelids please call us at 310.657.4302 to schedule a consultation with Dr. Massry!
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9Apr/150

Revision Eyelid Surgery | Fixing Results From Prior Eyelid Surgery

Posted by Chris Sullivan

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.

Everything is done to make the patient as close to where they were before surgery as possible, within the realm of what the reality is. It really requires an in-person evaluation with Dr. Massry for him to give you an idea of what results revisional eyelid surgery can give you. If on his examination of a patient he finds that the tissue planes are not overly scarred, there is a good blood supply and tissues move around nicely, he can get them very close to where they were before the initial surgery. On the other hand, if a patient has already had 7 or 8 surgeries, the tissue isn't quite the same and surgery becomes more difficult.
Dr. Massry believes the key is the evaluation - coming into the office. The ability to give a patient realistic expectations requires that personal interaction so that Dr. Massry can appropriately examine the patient, feel the tissue, etc.
There are often times that revision surgery is not the answer. Revisions can have the domino effect - there have been a number of surgeries performed, and the problem really can't be improved much with surgery at this point. At this point fillers may be the best option then because if you keep operating things can keep getting worse, like the dominos falling.
The most common reasons for revision eyelid surgery include:
(1) Retraction - lower eyelid is pulled down so the lower lid is lower and the shape of the eye has changed.
(2) The outer corner of the eye (lateral canthus) has been cut during primary surgery so the eye looks different and feels different.
(3) Can't close the eyes (too much tissue was removed from the upper lid).
Often times Dr. Massry will first recommend fillers to fix eye issues to delay surgery and help things improve and then move to surgery. If patients can do something without surgery again, that is a nice way to show them there is a nice improvement, things can get better and delay surgery as long as possible.
Dr. Guy Massry is a board certified oculoplastic surgeon in Beverly Hills, CA and is internationally renowned for his expertise in revision eyelid surgery. If you are unhappy with the results from a prior cosmetic eyelid surgery, call us at 310-657-4302 to schedule your consultation with revision eyelid surgery expert, Dr. Guy Massry!
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