Cosmetic Eyelid Surgery in Beverly Hills – Dr. Guy Massry
3May/160

How to Fix Hollow Temples

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As we age, we can develop subtle (or not so subtle) hollows around the eyes and temple area. This happens as we lose volume or fat in our faces over time. Hollow or sunken temples, specifically, make he face appear much older. Luckily, there is a quick and instant fix for hollow temples!

To restore volume and soften the appearance of the hollows, expert oculoplastic surgeon Dr. Guy Massry, can inject Restylane (a filler) for immediate results. The picture below shows a patient immediately after filler injection on the right side.  You can compare this to the left side that has not yet been filled with Restylane by Dr. Massry. The right side of her face looks much more youthful (fuller) as a result of the restored volume.

How to Fix Hollow Temples

Dr. Massry performs this non-surgical treatment in his office and it takes less than 15 minutes. The results of this hollow temple treatment last for at least 9 – 12 months. Patients who undergo filler injections for hollow temples love the subtle anti-aging results Dr. Massry provides them with.

How much does a hollow temple treatment cost?

The cost of filler injections for the temples varies from patient to patient and depends on how much filler is needed to provide the best results possible. Dr. Massry will examine your hollow temples during your consultation and determine how much Restylane you need. Once examined, Dr. Massry’s staff can give you the specific cost of your treatment.

Do filler injections for hollow temples hurt?

Prior to the treatment, Dr. Massry will use a local anesthetic to numb the area so that the treatment is painless. Additionally, the filler itself contains lidocaine to further reduce any pain or discomfort.

Are there any other treatments that can be combined with my hollow temple treatment?

If you have lost volume in your temples, it is likely you have lost volume in other areas of your face, like the mid-face or under eyes. In these cases, Dr. Massry can also perform mid-face filler injections or under eye injections to add additional volume to face to create a facial balance and harmony. Dr. Massry treats every patient as an individual and determines which treatments will make him or her look their best.

Schedule your hollow temples treatment today!

If you are unhappy with the appearance of hollow or sunken temples, schedule your consultation with Dr. Massry today! Dr. Massry is world-renowned for his expertise in surgical and non-surgical treatments for the eyelids and surrounding areas. You can rest assured that you will be in the best hands possible with Dr. Massry!

Call us at 310-657-4302 today to schedule your consultation with Dr. Massry! Or click here to fill out our online contact form. 

You may also enjoy reading - How to Rejuvenate Your Eyes Without Surgery

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3May/160

Revisional Eyelid Surgery: Canthoplasty with Horizontal Eyelid Lengthening

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One of the hallmarks of previous blepharoplasty gone bad is a shortened eyelid opening.  Patients complain that their “eyes look smaller.”  Dr. Guy Massry, Oculoplastic expert in Beverly Hills, California has devised a solution for this very complex problem.  He calls this canthoplasty (canthal reconstruction) with horizontal eyelid lengthening or the “CHEL” procedure.  Briefly, Dr. Massry opens the shortened eyelid opening and performs a complicated procedure called “conjunctival flaps” to line the new and lengthened eyelid opening to make the eye look more normal (like it used to be).  The tradeoff is that the part of the lids that are opened will not have lashes (as they were lost from previous surgery).   However, the opening will be returned.  This is a big deal and patients have been so happy with this new and novel technique.  Dr. Massry has spent years perfecting this procedure and has patients fly in from all over the country and the world with this problem.  Below is one patient example:

This young woman had previous lower lid blepharoplasty, which “shortened her eye opening” (see figure below).  After Dr. Massry’s CHEL procedure there is a much more normal appearance.  There has yet to be a consistent way to correct this.  Dr. Massry is very happy and proud of this technique, which has now helped many patients return to a more normal appearance and confident outlook on life.

 

Revisional Eyelid Surgery Beverly Hills

 

Below is same woman from the frontal view.  As you can see the eyes are more natural in appearance and the sad look has been reduced.

 

Mas3a

Contact Dr. Massry Today!

If you have undergone a previous surgery that left you with eyes that are too small, please schedule your consultation with Dr. Massry today – 310.657.4302. Dr. Massry is the only surgeon performing this surgery and help you restore your appearance. We look forward to helping you!

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11Feb/160

Upper Eyelid Hollows After Blepharoplasty – An Expert Solution Using Eyelid Fillers

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Upper eyelid blepharoplasty is a very common procedure to remove upper eyelid bags and improve the appearance of the eyes. Traditional blepharoplasty involves the excision of varying amounts of skin, muscle, and fat. This has been referred to as subtractive surgery. The main aesthetic problem with this approach to blepharoplasty is the potential to hollow the upper lids which leaves a gaunt and potentially unattractive appearance. Contemporary blepharoplasty has focused on fat redistribution and preservation (see surgical video by Dr. Massry which includes these procedures to avoid upper eyelid hollows after surgery).

When the unfortunate circumstance of eyelid hollows occurs following blepharoplasty, a specialist uniquely qualified to correct the problem, like Dr. Massry, is needed. Guy G. Massry, MD is a board certified ophthalmic plastic surgeon who practices in Beverly Hills, California. He is one of the leading experts in his field and one of the most qualified specialists to correct eyelid hollowing.

One method Dr. Massry employs to address this problem is the use of eyelid fillers (Restylane, Belotero, etc.). Dr. Massry uses a blunt cannula to deliver the filler to the hollow areas. This reduces the incidence of bruising and potential other complications related to the treatment. These two videos demonstrate Dr. Massry’s technique for upper and lower eyelid filling:

Filler for Upper Eyelid & Brow

Filler Under the Eyes

Below are a few examples of upper lid filling of hollows after blepharoplasty.

 

Before and after filler for upper eyelid hollows after blepharoplasty

Left: Patient after blepharoplasty that left upper eyelids hollow

Right: Patient after upper eyelid fillers with Dr Massry

 

 

 

 

Filler for upper eyelid hollows after blepharoplasty

Left: Patient prior to filler injections with Dr Massry to address upper eyelid hollows

Right: Patient with Dr Massry immediately after filler injections to the upper eyelids

 

 

 

If you have eyelid hollows after blepharoplasty and are interested in a minimally invasive correction with fillers please contact Dr. Massry at (310) 657-4302 or email us at info@drmassry.com.

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29Jan/160

Aesthetic Approach to Anophthalmia Surgery

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prosthetic eye, ocular prosthesis, aesehtic anophthalmiaAnophthalmia is the absence of an eye. It is a condition that can be congenital (born without an eye) or acquired (loss of an eye from trauma, disease, etc.). Lack of an eye not only leads to an abnormal function of the eyelid and socket, but also to an abnormal appearance.

The traditional approach to anophthalmia surgery is correction of the functional components of the eyelid and surrounding areas and creating the ability to wear a fake eye (ocular prosthesis). But this type of surgery is generally never approached with aesthetics in mind. Guy Massry, MD specializes in correcting the eyelid and socket deficiencies associated with anophthalmia in not only a functional approach, but with aesthetics in mind as well. This dual approach provides his patients with the best possible results and allows the ocular prosthesis to appear as close to normal as possible

It is always Dr. Massry’s goal to make his anophthalmic patients look as natural as possible. He does this by applying the same cosmetic surgery principles he uses for his aesthetic ophthalmic plastic surgery patients.

This young man suffered the loss of his left eye due to trauma in an assault. He now has a prosthetic eye on the left side. In the before picture (picture left), you can see his left brow has fallen down, as have his left upper and lower lids. His right under eye is puffy, while his left under eye is hollow. You will also notice his left iris (colored part of the eye) points down. Overall, the eyes look very unequal and his facial appearance has become abnormal. Dr. Massry performed surgery on this patient with function and aesthetics in mind. Looking at the after surgery picture (picture right), you can see that his brows are much more equal now, as are the openings of his eyes. To further enhance this patient’s aesthetic appearance, Dr. Massry performed fat transfer to the lower left eyelid so the two lower lids look balanced now. Dr. Carole Stople is the ocularist who made the beautiful prosthetic eye. As a team, we were able to make this young man much happier and more confident.

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8Oct/150

Upper Blepharoplasty Surgery Animation

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Your eyes are one of, if not, the most expressive features on your face. So are you expressing youth, energy, and excitement, or fatigue, sadness, and aging with your eyes?

If your eyes are making you look older than you feel, then you may be a candidate for blepharoplasty, more commonly known as an eyelid lift.

So what causes your eyes to lose their youthful glow? Factors can include:
• Aging process
• Heredity
• Skin type
• Environmental factors (such as sun damage)
Any one or combination of these factors can cause the eyelids to sag and droop, or create bags and a heavy, puffy appearance, all of which can leave you looking sad, tired, or older than you truly are.

An upper blepharoplasty procedure can reduce the appearance of droopy or saggy upper eyelids.

The skin on your upper eyelids is among the thinnest anywhere on the body. A layer of muscle is located just beneath the eyelid skin and is separated from fatty tissue by a thin tissue membrane called the orbital septum. Muscle layers and the orbital septum weaken and sag with age. And fat deposits shift in response to weakened muscle, causing puffiness and drooping. Additionally, the collagen and elastin that provide support to the skin break down over time. This causes the skin to lose elasticity and become lax. Furthermore, eyebrows may droop with age, causing the upper eyelids to sag.

So what is an upper blepharoplasty?

During the procedure, Dr. Massry typically removes or redistributes fat deposits, as well as removes excess skin and muscle to improve the contour and shape of the upper eyes. Upper blepharoplasty is most commonly performed under local anesthesia with sedation at a Beverly Hills outpatient surgery center. Dr. Massry will make an incision in the fold of the upper eyelid and carefully remove the excess skin. In some cases, a small strip of muscle will also be removed. To reach the fat deposits, a small incision is made in the orbital septum so that Dr. Massry can reposition or remove the fat. While older blepharoplasty techniques exclusively removed excess fat, today, Dr. Massry repositions the fat to replenish volume in the proper areas of the upper eyelid, resulting in more natural outcomes. Finally, the incisions are closed with sutures and a lubricating ointment and bandage are applied.

What is the recovery like after blepharoplasty?

Patients may experience some mild pain, bruising and swelling after the procedure. Dr. Massry recommends applying cold compresses and taking some pain medication to keep you as comfortable as possible. You will need to avoid strenuous activity, such as exercise and heavy lifting, for a few weeks to allow your body to heal properly.

Upper eyelid surgery can provide beautiful anti-aging results that are long lasting. If you are interested in learning more about upper blepharoplasty with Dr. Massry, call our office to schedule a consultation – 310.657.4302!

 

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8Jun/150

Minimally Invasive Options for the Brow and Upper Lid

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Successful aesthetic rejuvenation of the eyelids and periorbital soft tissues requires a detailed knowledge of not only the relevant anatomy and normal aging changes, but also the advanced surgical techniques to comprehensively address the presenting deficits in order to attain natural results. Over the past few decades, a paradigm shift has occurred, in which it has become clear that facial aging is a more complex, three-dimensional process, affecting all tissue planes (skin, muscle, fat, and bone). As a result, it has become more common to see surgical and nonsurgical treatments combined for optimal results.

 

This article focuses on minimally invasive options to rejuvenate the brow and upper lid complex, with a review of the relevant anatomy and contemporary concepts in upper facial aging. Below is a summary of the key points of the article:

 

 

  • Aging if the brow and upper eyelid occurs in all tissue planes and involves cutaneous changes, volume loss, and tissue descent.
  • Volume restoration and neuromodulation have become an integral part of eyebrow/eyelid aesthetic rejuvenation.
  • Surgical lifting techniques alone, without addressing volume loss, are insufficient to address aging of the brow/upper eyelid complex.
  • Preservation and restoration of skin quality can have dramatic rejuvenating effects to the brow and upper eyelid.

 

The increase in injectable treatments has been driven by reduction in procedural risk, recovery, and cost. As such, for surgeons to stay current and provide a complete array of treatment options to patients, it is incumbent to become familiar and comfortable with the varied nonsurgical interventions.

 

minimally invasive options for brow and upper lid

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17Feb/150

The Art of Lower Blepharoplasty: It Requires a Specialist with Experience and Expertise

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Lower blepharoplasty surgery is one of the commonest facial cosmetic procedures performed today. All plastic surgeons perform this procedure – but only eyelid surgery experts or ophthalmic plastic surgeons such as Guy G. Massry, MD  are true artists with this form of surgery. Lower blepharoplasty surgery has evolved over the years from a surgery which primarily excised tissue (skin, muscle and fat) to one that also preserves tissue, especially precious eyelid fat to prevent the dreaded hollow look after surgery, as evidenced here and here. Preservation of fat has become the standard in surgery to allow the best short and long term results to surgery.
Below is an example of a patient of Dr. Massry who underwent fat preservation lower blepharoplasty. As can be seen the result is very natural.

 

Lower Blepharoplasty Beverly Hills CA

Left above and below before surgery
Right above and below after surgery

 

Dr. Massry practices in Beverly Hills, California. He limits his practice to first time and revision (redo) blepharoplasty surgery. Dr. massry has particular expertise in lower lid blepharoplasty surgery and would be happy to see patients interested in cosmetic blepharoplasty evaluation. Dr. Massry can be reached at his office (310) 657-4302 or through his website listed above.

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12Feb/150

Upper Eyelid Hollows or Sunken Eyelids after Blepharoplasty Surgery – Eyelid Fillers Can Be The Answer

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Hello, I am Guy Massry, MD – an oculoplastic (ophthalmic plastic surgery specialist) in Beverly Hills, California. Over the years I have had extensive experience in performing secondary surgery (revision surgery or “redo” surgery) on patients unhappy with their initial blepharoplasty (cosmetic eyelid surgery). This has been a very taxing experience as I have seen so many unhappy and emotionally damaged patients who are in the depths of what is a form or variant of post-traumatic stress disorder (PTSD). The inciting event was surgery which “altered” the patient’s natural appearance. This does not mean there is anything wrong with the patient. It means the outcome of surgery negatively affected the patient’s confidence, well-being, and most importantly, their perception of themselves. The most common statement I hear from such patients is “when I look in the mirror I see someone else.” It is essential for all of us to understand this statement. Everyone would be bothered by “losing” a part of themselves – especially their appearance or how others see them. As I practice in Beverly Hills, a city where eyelid surgery is so commonplace, I tend to see a high volume of these issues.

With experience I have realized that while surgery can help in many of these cases, in some situations surgery is limited, and there are other, “better” options for certain patients. One such situation is upper eyelid hollows after poor outcome upper eyelid blepharoplasty. Hollows are depressions form over-excision of skin, muscle or fat. It leaves patients with a deep upper lid and often times skin on bone which is a very aged, or what we call “skeletonized” look. The primary goal of surgery is to recreate youth – this situation does the opposite. It surgically ages people.

I have developed some simple in-office techniques to address the issue of a hollowed or sunken upper lid after upper blepharoplasty surgery. The technique involves the placement of a specific filler to fill and expand the depleted tissue planes so that youth can be re-created. Physician injectors tend to take fillers lightly as they are not a “surgical procedure.” However, complications from fillers also occur and it is critical that you seek an eyelid filler expert when you get treatment, especially with revisions of poor outcome surgery. It is very important the physician injector know the biochemical makeup of the various fillers (all are different and all act differently) so that appropriate selection of filler material for each individual patient is performed.

Please don’t give up if you suffer from hollow upper lids after blepharoplasty surgery. I am happy to see you in consultation and discuss the various options of treatment. Do not get stuck on a permanent solution surgically. If surgery is not indicated or cannot meet your expectations – more surgery can, and often will, make things worse. Please contact my office, Guy G. Massry, MD, at 310-863-3488 or through my website if you would like information or a consultation upper eyelid hollows or sunken upper eyelids after blepharoplasty.

Below is an example of how the situation can be remedied with filler.

 

Blepharoplasty  remedied with filler - before & after.

Blepharoplasty remedied with filler.

 

A: Initial patient presentation to me after poor outcome upper blepharoplasty surgery
B: Immediately after filling left upper lid with filler in the office
C: Immediately after filling right upper lid with filler in the office
D: A month after filling procedure. A very natural result

 

13Mar/130

The Origin of Blepharoplasty Surgery – Dr. Guy Massry, MD – Beverly Hills Blepharoplasty Specialist

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The word blepharoplasty is derived from the Greek words Blepharon, meaning eyelid, and plastos, meaning formed.  Blepharoplasty surgery is one of the oldest described treatments of the aging face.  The goal of surgery is to remove excess tissue which causes and overhang of skin leading to cosmetic (poor appearance) or functional (reduced field of vision) consequences. The first recorded blepharoplasty surgery was by a Spanish surgeon, Albucasis, a pioneer in the creation of surgical instrumentation, including the use of cautery (to control bleeding) in 1000 A.D.

Modern blepharoplasty techniques have certainly come a long way.  Current upper lid blepharoplasty procedures focus on the excision of variable amounts of skin, muscle, and fat.  An increased interest in lower lid blepharoplasty surgery has also evolved.  Lower blepharoplasty surgery primarily focuses on preventing lower eyelid droop (ectropion, retraction) and hollowing (volume depletion).  These complications are inherent to the more traditional excisional (tissue removal) surgery.  Modern lower blepharoplasty focuses on tissue preservation (fat repositioning) or augmentation (fat transfer)

Fat preservation and repositioning in lower lid blepharoplasty continues to develop. Dr. Guy Massry (Beverly Hills Ophthalmic Plastic Surgery), a blepharoplasty surgery specialist  has made many advancements in the lower blepharaoplasty procedure.  Most recently Dr. Massry has published on and presented results of combined fat repositioning and lid lifting (The Lift and Fill Blepharoplasty) http://www.ncbi.nlm.nih.gov/pubmed/22460677 , http://www.prweb.com/releases/liftandfill/lower-blepharoplasty/prweb9449357.htm  and comparing fat repositioning techniques http://archfaci.jamanetwork.com/onlineFirst.aspx (open PDF to article Transconjunctival Lower Blepharoplasty With Fat Repositioning: A Retrospective Comparison of Transposing Fat to the Subperiosteal vs Supraperiosteal Planes by Donald B. Yoo, MD; Grace Lee Peng, MD; Guy G. Massry, MD).  If you are considering blepharoplasty surgery you can visit Der. Massry online http://drmassry.com/#/home/  for more information.

24Jan/130

Avoiding Blepharoplasty Complications

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Poor results to blepharoplasty surgery are not uncommon and are devastating to patients.  Avoiding these complications starts with seeing the most qualified doctor assess your concerns with your eyelids. Dr. Guy Massry is an ophthalmic plastic surgeon.  This is a specialist is cosmetic eyelid (blepharoplasty) surgery. Dr. Massry is a member (fellow) of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS  http://www.asoprs.org ).  He has also edited three well-respected textbooks on the subject of cosmetic eyelid surgery (blepharoplasty) and correcting problems related to this http://www.springer.com/medicine/ophthalmology/book/978-1-4614-0066-0 , http://www.springer.com/medicine/ophthalmology/book/978-0-387-25389-3 , http://www.pr.com/press-release/459510 , and is on the editorial board of the society journal – Ophthalmic Plastic and Reconstructive Surgery – OPRS http://www.pr.com/press-release/450162 .  As Dr. Massry practices in Beverly Hills, California http://drmassry.com/blog/new-beverly-hills-office where a large amount of upper and lower blepharoplasty is performed – He tends to see many such issues.

Common problems seen after upper and lower blepharoplasty are lower eyelid retraction (pulled down), lower eyelid ectropion (turned out), inability to close the eyes, dryness, irritation, infection, poor cosmetic outcome, and the list goes on.  As stated these problems negatively impact patients often times to the point where quality of life is reduced.  Information about Dr. Massry and his scope of practice can be attained by reviewing his website http://drmassry.com .