Cosmetic Eyelid Surgery in Beverly Hills – Dr. Guy Massry
22Jun/170

Lower Eyelid Fat Transfer – Does it really make sense?

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Fat transfer to the face has significantly grown in popularity in cosmetic surgery over the past 25 years. The techniques of harvesting, processing and injecting the fat have changed tremendously to yield better results, but, still, most of the information we can give patients regarding results is purely anecdotal and experiential in nature. In other words, there are few evidence-based studies that show us true percentages of success rates and complications. Recently, renowned oculoplastic surgeon, Dr. Guy Massry, reviewed a large series of patients who had eyelid fat grafting and found that the incidence of contour abnormalities (lumps and bumps) long term after surgery approached 8%. Presenting this information does not make Dr. Massry popular among aesthetic surgeons, but it is the first evidence-based information on lower eyelid fat transfer that will soon be published. Dr. Massry has presented this information at recent scientific meetings, including the 2017 Vegas Cosmetic Surgery Conference.

Avoiding Complications With Eyelid Fat Grafting

How do we avoid lumps and bumps from eyelid fat grafting? As stated above, the process of fat grafting involves harvesting the fat (collecting it), processing the fat (preparing it), then injecting the fat (grafting it). At this time, there is no data that shows harvesting fat from one area or another leads to fewer complications; this clearly needs further study. The processing or preparing of the fat can involve simple drainage or straining, spinning the fat (centrifugation), and sometimes putting chemicals on the fat that will hopefully allow it survive better. There are currently studies underway to determine whether or not these methods improve outcomes and decrease complications. Lastly, the injection technique of fat is also under study with different size cannulas; this may or may not make a difference long term.

The bottom line is that fat grafting is not a complication-free procedure. If you read reviews online, you will see that many patients are unhappy with their outcomes. So in that regard, Dr. Massry urges every patient to be responsible and do their homework when choosing a surgeon for this procedure.

Removing Lumps & Bumps From Prior Lower Eyelid Fat Transfer - Case Study

Eyelid fat transfer correction - Dr Guy MassryThis woman had fat grafting to lower lids several years ago with another surgeon. She was left with lumps, bumps and contour abnormalities and was incredibly self-conscious of her appearance. She came to Dr. Massry for correction. Dr. Massry developed a technique where he can remove these unwanted fat deposits from inside the lower lids to avoid any skin incisions and potential scarring. He has found that the fat is different that native eyelid fat and is almost always located in a particular layer of the eyelid. The procedure takes about an hour and a half and can be performed under sedation or general anesthesia. In the before

Dr. Massry developed a technique where he can remove these unwanted fat deposits from inside the lower lids to avoid any skin incisions and potential scarring. He has found that the fat that is transferred is different that native eyelid fat and is almost always located in a particular layer of the eyelid. The procedure takes about an hour and a half and can be performed under sedation or general anesthesia. In the before picture on the left you can see arrows pointing to lumps and bumps, and after surgery, these are gone and the under eye area is smooth.

Choosing The Best Oculoplastic Surgeon For Eyelid Fat Grafting

We would highly recommend you do your homework before choosing a surgeon to perform fat grafting under the eyes. And if you do unfortunately end up with lumps and bumps following fat grafting, it is even more important to find an expert to correct these issues without creating further damage.

If you are considering eyelid fat grafting or need to correct lumps and bumps from a prior surgery, please contact eyelid expert Dr. Massry today - 310.657.4302!

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20Jun/170

Orbital Decompression For Eyelid Paralysis

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As an oculoplastic surgeon, Dr. Guy Massry has unparalleled expertise in orbital and eyelid surgery. He has dedicated his career to advancing and innovating surgical techniques to give patients the best results possible. One of his latest advancements in eyelid paralysis surgery is that he now performs customized orbital decompression (setting the eye back) for patients with eyelid paralysis.

What Is Orbital Decompression?

Orbital decompression is traditionally a procedure to treat bulging eyes for patients with Thyroid Eye Disease or Graves' Disease. However, Dr. Massry realized the benefits of orbital decompression could be applied to help eyelid paralysis patients. When performed by an expert, like Dr. Massry, orbital decompression surgery will successfully set the patient's eye(s) back.

Setting the eye back allows the eyelids to work better in a bio-mechanic fashion. In other words, the eyelid does not have to go over such a great slope or arc of the eye so it is easier for them to close. Typically, patients say their eyes close better and they blink better and it is less difficult to function on a daily basis.

In cases of eyelid paralysis, the eyelid muscles are already weak and operating on them further damages them to a greater extent. Orbital decompression is a great alternative to further surgery on eyelids that have already been damaged by previous surgeries. Although the risks to orbital decompression can be significant, they do not exist in the cases of eyelid paralysis. In these cases, the decompression does not involve entering the sinuses and thus the risk of double vision and vision loss is significantly decreased.

Orbital Decompression For Eyelid Paralysis Case Study

The woman below had numerous eyelid surgeries in the past with other surgeons. These numerous surgeries, unfortunately, disfigured her appearance and limited her life. Upon finding Dr. Massry, he recommended using his novel approach to orbital decompression for eyelid paralysis.  Along with his colleague, Dr. Raymond Douglas, who specializes in orbital decompression for thyroid eye disease patients, they proceed with orbital decompression for her. She is a fantastic example of how great the results of orbital decompression can be for eyelid paralysis patients!

Orbital decompression for eyelid paralysis - Dr Guy Massry

Read Her Review Of Her Experience with Dr. Massry

"Simply the best! I cannot say enough positive things about my surgical experience with Dr Massry and his staff! I live in Nebraska. I was born with a seventh nerve facial paralysis and very poor eyelid closure. I have struggled with corneal exposure all my life and have had at least 11 procedures including gold weights and tarsorrhaphies to deal with keratitis and breakdown. I have daily discomfort. I tell others most of the time it's like skinning your knee when you fall off your bike but it's my eyeball.

I decided it was time to look outside of NE for a surgeon who could think outside the box and that is exactly what I found in Dr Massry. After a Skype consult and then flying to CA to meet in person, he explained that he wanted to try an Orbital Decompression for the problem. He would recess my eye back and down in the socket a few millimeters. I happen to be a scrub nurse in ophthalmology so this really sounded wild considering I don't have Graves disease. But after listening to his reasoning it was clear I needed to try something else because I had exhausted anything else that could be done with my eyelids.

I had the surgery in July 2016 and life has been great for me since then :) I used to use non-preserved artificial tears every 15 min, ointment or goggles at night, humidifier, etc. Now I am much more comfortable, use tears far less, hardly any times of having to be treated for horrible keratitis, and actually, have days that "I don't think about my eye." It sounds crazy but that is huge for me!

And the bonus was how much of a self-esteem boost I have from a change in my appearance cosmetically! I had someone ask me weekly, if not daily, if I had a stroke or if I had a glass eye. It really bothered me but now that rarely happens. All of those involved in my treatment and care from Dr. Massry's wonderful staff to the care I received at their outpatient surgery center were first class. The pic of myself and Dr. Massry was taken July 2016 the day prior to surgery and the other pic was taken Nov 2016 on my 40th birthday with my wonderful husband. Big difference! This is long and personal but I wanted to give details so if you feel like your situation is hopeless, it is not. Contact Dr. Massry!" -Ginger

Schedule A Consultation With Dr. Massry

If you or a loved one is suffering from eyelid paralysis, contact Dr. Massry's office today to find out if you are a candidate for Orbital Decompression. This innovative surgery technique may be able to greatly improve not only your eyelid aesthetics and function but also your overall quality of life. Call us at 310-675-4302 to learn more.

We also offer Skype consultations for our out of town patients to make it as easy as possible to meet with Dr. Massry.

You may also enjoy reading Dr, Massry's blog entitled Eyelid Paralysis - A Minimally Invasive Procedure to Improve Function & Aesthetics.

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19Jun/170

Eyelid Paralysis – A Minimally Invasive Procedure to Improve Function & Aesthetics

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Eyelid paralysis can occur on its own or in conjunction with generalized facial paralysis. It can be congenital (you are born with it) or acquired due to trauma, infection, tumors, or other causes. It’s a devastating disease as it causes functional problems and facial disfigurement. Eyelid surgery expert, Dr. Guy Massry, has been working on innovative treatment techniques for eyelid paralysis for many years.

Minimally Invasive Eyelid Paralysis Surgery

Eyelid paralysis surgery - MassryOne of the procedures he uses to help patients with eyelid paralysis is the MIOS technique (Minimally Invasive Orbicularis-Sparing) to lift the lower lid and improve eyelid closure. He published a paper on this technique in 2014. You can read the full article here. The procedure allows reconstructing the eyelids without incising or damaging the muscles of the eyelid that have already been weakened by the primary disease process. It is scarless and there is generally no evidence of surgery.

The procedure allows reconstructing the eyelids without incising or damaging the muscles of the eyelid that have already been weakened by the primary disease process. It is a scarless procedure and there is generally no evidence of surgery.

This young woman was born with congenital eyelid paralysis. Her and her family have been devastated by this. Dr. Massry’s colleague, Dr. Babak Azizzadeh, who is a facial nerve expert, performed the reconstruction and smile reanimation surgery for her. She may have staged smile reanimation procedures in order to get her to the final outcome. In addition to the facial paralysis surgery performed by Dr. Azizzadeh, Dr. Massry performed his minimally invasive and scarless MIOS surgery to improve the function and aesthetics of her eyelid. Today her eye is healthy with great function.

"These kinds of surgeries are exceedingly rewarding as you bring back function and aesthetics to someone's life and allow them to get back into society without feeling embarrassed. As you can see in the picture, the patient and her mother are very happy with the outcome!" -Dr. Massry

Learn More About Eyelid Paralysis Surgery

If you or a loved one has eyelid paralysis, contact Dr. Massry today to learn more about your treatment options. Dr. Massry has dedicated his career to making all eyelid procedures as minimally invasive as possible so that patients get the best results. Call us at 310.657.4302 to schedule your consultation with Dr. Massry.

You may also enjoy reading Dr. Massry's blog entitled MIOS - A Life Changing Procedures For Patients With Eyelid Paralysis.

 

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1Jun/170

What’s Going On At The 2017 Vegas Cosmetic Surgery Conference?

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Dr Guy Massry - Oculoplastic Surgery - Vegas Lecture 2015It’s already time again for the Vegas Cosmetic Surgery & Aesthetic Dermatology Conference. The 2017 conference marks the 13th year this conference has been held.

The Vegas Cosmetic Surgery Conference was the first of its kind to truly offer a multi-specialty forum in the aesthetic field. The goal of the Conference is to create a greater understanding and foster innovation between the four “core” aesthetic specialties – facial plastic surgery, plastic surgery, oculoplastic surgery, and dermatology. Presenters are selected to discuss the science, practice, and teaching of advanced aesthetic surgery techniques.

Dr. Guy Massry, a world-renowned Beverly Hills oculoplastic surgeon, has been on the Conference Advisory Council for the past five years. For this year’s conference, he was in charge of organizing the oculoplastic section of the conference. Additionally, he will be presenting five different lectures over the course of the Conference and moderating one of the blepharoplasty sections of the meeting.

At the Conference, Dr. Massry will be presenting the following five lectures:

  1. 15 Principles For Enhanced Success in Endoscopic Brow Lift
  2. Simplifying Lateral Canthal Suspension: Anatomy, Terminology & Technique
  3. How to Approach Post-Blepharoplasty Lower Eyelid Retraction
  4. Improving Periorbital Aesthetics with Volume Replacement – Hyaluronic Acid
  5. 10 Truths on Lower Blepharoplasty: A 17-Year Experience

“The Vegas conference is truly one of a kind. It brings together the best aesthetic surgeons in the world so we can all learn from each other and innovative our perspective fields. This innovation allows us to provide our patients with even better care and results,” Dr. Guy Massry.

Learn More About the 2017 Vegas Cosmetic Surgery Conference

To learn more about the Conference, you can download the 2017 Program. Additionally, you can visit the Vegas Cosmetic Surgery website to view the Conference sponsors, the entire advisory board, and more!

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