Cosmetic Eyelid Surgery in Beverly Hills – Dr. Guy Massry

Lower Lid Blepharoplasty: Both Art & Science

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What is lower eyelid blepharoplasty?

Lower eyelid blepharoplasty is a common facial aesthetic procedure to rejuvenate the under eye area. Most commonly, it addresses under eye bags, sagging skin and fat pockets.  Unfortunately, since this is such a delicate area, many lower lid blepharoplasty patients are left with unwanted complications and an unnatural look.  Issues such as a droopy lower lid (lower lid retraction), a change in the shape of the eye, and a rounded eye (canthal rounding) can be devastating and a lifelong issue.

Lower Blepharoplasty Beverly Hills CAHow can you avoid lower eyelid blepharoplasty complications?

When undergoing this type of plastic surgery, it is very imporant to see an expert with specialized training and experience with cosmetic blepharoplasty.  Simply stated, there is no other option.

I am Guy Massry, MD and I am an ophthalmic plastic surgeon or oculoplastic surgeon.  What does this mean?  It means I only focus on eyelid surgery.  I have a special interest in lower lid surgery and have done much research in the area.

To help my patients achieve the most natural results, I customize every surgery I do to meet the specific needs of each individual patient. This approach ensures that the techniques I use are best suited for the patient and provides the best possible results.

Watch Dr. Massry Explain His Approach to Lower Eyelid Blepharoplasty

See more examples of patients before and after blepharoplasty. 

Contact Dr. Massry Today!

If your under eye area bothers you and you are considering lower lid blepharoplasty, please contact my office today - 310.657.4302! During a consultation, I will explain the best approach to surgery to give you the best outcome possible. For patients who do not live locally, I also offer Skype consultations.

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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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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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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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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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Eyelid Retraction, Scleral Show, and Canthal Rounding After Lower Blepharoplasty: What To Do Next!!

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Lower eyelid retraction (lower lids pulled down) after blepharoplasty is known to occur in 6-20% of transcutaneous lower blepharoplasty procedures.  This does not mean this is a bad surgery, it does mean it is a risky surgery.  Lower lid retraction is typically associated with scleral show (white showing between lower lid and colored part of the eye) and canthal rounding (rounded outer corner of eye with loss of almond shape).  Dr. Guy Massry of Beverly Hills California is an eyelid surgery specialist (oculoplastic surgeon) with vast experience and expertise in the correction of this problem.  He recently published on novel information which shows what patient is at high risk of this problem.  Dr. Massry had lectured extensively of various ways to manage lower eyelid retraction depending of physical finding present. 

What To Do When You Have Lower Eyelid Retraction After Blepharoplasty

So what should a patient do if this happens to them? Below are the 8 most important things a patient needs to do if they are experiencing lower eyelid retraction as a result of blepharoplasty.

  1. Only see an eyelid surgical specialist (oculoplastic surgeon).
  2. Only see an oculoplastic surgeon with a proven record of success with revisional eyelid surgery.
  3. Check if the surgeon has published on correction of lower eyelid retraction.
  4. Check if the surgeon has lectured on lower eyelid retraction.
  5. Talk to patients the surgeon has operated on.
  6. Get a referral from a trusted doctor who knows about the problem.
  7. Do not make a decision based on advertising or paid ads.
  8. Make a sound decision as there a few chances to fix the problem.

Dr. Massry has made the correction of lower lid retraction a major part of his practice for almost 20 years.  Below is a typical result of such a correction (Before surgery left – After surgery right).  Note improvement in lower eyelid retraction (lid pull down), scleral show (white between lower lid and colored part of the eye.

Lower Eyelid Retraction After Blepharoplasty - Revision Surgery - Guy Massry - Beverly Hills

Contact Dr. Massry Today!

If you have lower eyelid retraction after blepharoplasty, contact Dr. Massry's office today to schedule a consultation. Patients from around the world come to Dr. Massry to correct this problem because he is one of the world's leading experts in the field. Trust your eyes to an expert, and call us today - 310.657.4302!

Read Dr Massry's article entitled Commentary on: Lower Eyelid Retraction Surgery Without Internal Spacer Graft 

Eyelid Retraction After Bleph - Massry

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Guest Blog – Makeup Tips for Women over 50

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Kimberly Bosso - Makeup artistWe are excited to share a great blog on makeup tips for women over 50  from celebrity makeup artist Kimberly Bosso!

As we age, our makeup look has to evolve with us. Our faces change in both subtle and drastic ways depending on lifestyle and genetics, and makeup should be designed around this, along with undertone, face, and eye shape.

CEO of Bosso Makeup Beverly Hills, Kimberley Bosso’s philosophy for mature skin is Less is More! Working with a roster of celebrities throughout the years Kimberley says there’s nothing worse than to see an aging woman still sticking with her makeup routine and color choices from when she was 20.

Ladies over 50 look best with neutral shades and earthy tones for the eye area. ie; eyeshadow, eyeliner pencil, and for the cheek and lips, some color is necessary to give notorious dull complexions due to lack of hydration and collagen some youthful “pop”.


But keep in mind, no matter how lovely your makeup application is, if you don’t have the skin down, it’s still going to look a mess. Make sure you first pamper skin with a hydrating moisturizer. A popular choice is the 24-hour miracle cream Embryolisse which can be found at This luxurious moisturizer is fantastic for all skin types and is a secret staple in all pro makeup artists kits. It plumps and hydrates the thin skin around the eyes which tends to be the place where aging first appears. It also has a built-in primer and can even remove makeup! A 3 in 1! How can you not love that?

Makeup over 50 - Kimberly Bosso

Foundation & Concealer

The foundation choice that Kimberly suggests is a cream or dewey liquid-based foundation. For extra hydration and luminosity, try adding 1 -2 drops of Argan oil into your foundation and the result will give the celebs walking the red carpet a run for their money! Try also using a cream oil based concealer so it absorbs into the skin easily instead of creating a caked on under eye look that all women who first sit in Kimberly’s chair complain about. Kimberly says to stay away from drying water-based concealers that will only sit in fine lines and age you more. The key to keeping on creamy based concealer to conceal darkness is to powder under the eye really well with a cashmere-like HD powder which is thin and won’t dry this area out. Stay away from thick talc powders that will only create lots of texture with an aged appearance.


Tips for makeup over 50 - Kimberly Bosso

Cream cheek color is natural and beautiful. A little goes a long way and will give an effect of a healthy glow from within the skin. A soft peach or pink are good choices.

Lashes & Brows

Lashes and brows are undoubtedly the most important part. The reason? Think of when we were 15... We had more lashes and eyebrow hair so you want to mimic this in a mature face. These are two top ways to make a woman look “together” most naturally. A nice pair of strip lashes will amaze and delight the most discriminating woman. Try a pair that are human hair and small like "747 small” from Bosso’s lash series. Brows become sparse and leave empty patches with age, so filling in with a good brow pencil and brow powder is a must! Kimberley has 4 shades in her brow line and the medium brunette is dual so it’s great for ladies with gray hair!


The lips are where you can be a little bolder and take some risks. Think of a gorgeous orange or red, or depending on the occasion, even a hot pink is nice if the rest of the face is done accordingly.


And lastly, don’t forget to add a super thin black liner to the top eye line and a gold gel liner to the water line to give the eyes a youthful and natural awake look.

Where to find Bosso Makeup?

All product suggestions listed here can be found at

Kimberley Bosso also has a makeup school in Beverly Hills and a 2nd location in Tampa Bay Florida and gives private and group lessons on makeup application for women of all ages. She also certifies aspiring artists in her intensive makeup course(s) that women travel from around the world to train under her expertise.

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How to Get Better Results to Upper Eyelid Blepharoplasty and Brow Lift Surgery: The Brow Fat Pad Suspension Suture

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outer brow lift and blepharoplastyTo enhance results of an upper eyelid blepharoplasty (cosmetic eyelid surgery) surgeons should focus not only on the upper eyelids, as has been traditionally done, but also on the eyebrows above.  Today we focus more on the brows than in the past because modern thought recognizes that the brows and eyelids act as one aesthetic unit. Thinking of the two areas in isolation is not only outdated but also detrimental to patients.  This does not always mean patients need a brow lift, but focusing on improving brow projection and transition (continuity) with the upper eyelids during upper blepharoplasty is critical.

Guy Massry, MD , a world-renowned blepharoplasty specialist (see CV), has performed benchmark research in this area, and with the invaluable help of his colleagues has published a scientific report on a procedure which he calls “The Brow Fat Pad Suspension Suture.”  This unique surgical adjustment to upper blepharoplasty (see video below) allows for a fuller brow, and smoother transition to the upper eyelid – both critical components of youthful and natural appearing brow/upper eyelid complexes.

Don’t trust your blepharoplasty surgery to any surgeon who is not a true specialist and who does not contribute to the continually evolving growth of this specialized surgical field.

Watch 3D Animation of Upper Eyelid Blepharoplasty

Contact Dr. Massry Today!

If you are interested in learning more about cosmetic eyelid surgery with a brow fat pad suspension suture, please contact Dr. Massry's office today - 310.657.2203.

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Enhancing Blepharoplasty Outcomes

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Blepharoplasty (cosmetic eyelid surgery) is one of the most common cosmetic facial surgical procedures performed worldwide. However, it is also a procedure that can lead to complications which can alter a patient’s life and appearance.  These problems are best avoided when surgery is performed by an eyelid specialist (an oculoplastic surgeon).

eyelid_4Finding An Eyelid Expert

Guy Massry, MD, is located in Beverly Hills, California and has been performing (watch a complete upper and lower lid surgery video), teaching (see CV), and innovating blepharoplasty surgery for 20 years.  He is respected nationally and internationally in his field and has made countless patients happy with his novel, yet consistent and reliable approaches to surgery.  He has published numerous scientific papers and textbooks in the field with a focus on simplifying the understanding of surgery and enhancing results.  In one of his most recent peer-reviewed publications Dr. Massry has collected data from expert from throughout the United States to update Blepharoplasty surgeons on what the most current trends in the field are. The article is titled Current Trends in Upper and Lower Eyelid Blepharoplasty Among American Society of Ophthalmic Plastic and Reconstructive Surgery Members. This huge undertaking was time-consuming but provides a benchmark for all blepharoplasty surgeons to compare and contrast their styles and to keep up to date on this constantly evolving field.

When you want to have blepharoplasty surgery, only go to the best, and to a surgeon who leads the present and future direction of the field. To ensure your surgeon is an eyelid expert, here are a few things you can ask during your consultation:

  • Are you a board-certified ophthalmic plastic & reconstructive surgeon?
  • How many years have you been in practice?
  • How often do you perform blepharoplasty?
  • What do you do if there is a complication during my surgery?
  • Can you show me before & after pictures of patients similar to me?
  • How do you stay educated in the latest surgical techniques?
  • What is a realistic outcome for me based on my concerns and goals?

By asking questions like this, you will be able to get a better feeling for your surgeon's level of expertise and surgical philosophies.

3D Animation Of Upper Blepharoplasty Surgical Technique

3D Animation Of Lower Blepharoplasty Surgical Technique

Contact Dr. Massry Today!

If you are interested in learning more about cosmetic eyelid surgery with Dr. Guy Massry, please contact his office today - 310.657.4302.

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Revision Lower Eyelid Surgery: Fixing Retracted or Pulled Down Lower Eyelids

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Lower eyelid retraction, or pulled down lower lids with a change in the shape and appearance of the lower eyelids, is a dreaded complication of lower eyelid blepharoplasty.  It occurs for a variety of reasons and is difficult to correct.  Little research has been put into lower eyelid retraction after blepharoplasty (ie. revision lower eyelid surgery), which is one of the reasons correcting the problem has been so challenging.  Recently, Guy Massry, MD, of Beverly Hills, California, a respected expert and frequent lecturer on post blepharoplasty lower eyelid retraction performed a scientific study to evaluate the current state of this condition. The study abstract can be viewed here.

From this work, Dr. Massry made modern and novel suggestions on why it happens, which allow better treatment options with surgery or fillers. You can watch his novel approach to fillers here:

Eyelid Fillers Explained

Non-Surgical Treatment for Retracted Eyelid

Lower eyelid retraction after blepharoplasty is a very complicated problem that only a very experienced eyelid surgeon such as Dr. Massry should evaluate and treat.  Please be careful with this problem and seek only the advice of specialist with years of experience.

Contact Dr. Massry Today!

If you have been left with unsatisfactory results from a primary blepharoplasty, please call Dr. Massry today so he can help restore your eyelid appearance and function - 310.657.4302.

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