Cosmetic Eyelid Surgery in Beverly Hills – Dr. Guy Massry
19Jul/180

Lacrimal Gland Repositioning with Upper Blepharoplasty

Posted by admin

Print Friendly

A dislocated lacrimal gland (tear gland coming forward and visible or palpable under the eyelid) can add to temporal fullness of the eyelid. Eyelid expert, Dr. Guy Massry, explains how to repair a prolapsed lacrimal gland with lacrimal gland repositioning surgery.

What is the lacrimal gland?

The lacrimal glands produce tears and are located in the upper outer corner of the eye (lacrimal fossa).

What is lacrimal gland prolapse?

Lacrimal gland prolapse means there is a bulge or fullness to the outer part of the upper eyelid. Some patients will feel pressure on the globe and, on rare occasion, even experience eye comfort.

Here are examples of what lacrimal gland prolapse looks like.

Prolapsed lacrimal gland - Dr Guy Massry Lacrimal Gland Prolapse - Dr Guy Massry

In 2011, Dr. Massry and his colleagues published a paper that found lacrimal prolapse happens to a moderate degree in about 40% of people as they got older. So, this can be considered a normal part of the aging process. However, it can also occur in people who are younger too.

How is lacrimal gland repositioning surgery performed?

Lacrimal gland repositioning is a procedure in which a dislocated or anteriorly prolapsed tear gland is placed back into its normal position in the socket. The correct position is in the fossa, a hole in the bone of the upper outer orbital rim. The procedure is not technically challenging as long as you are familiar with the anatomy.

To begin, Dr. Massry will identify the prolapsed lacrimal gland. It is easy for Dr. Massry to visualize the gland because it has a pale color with obvious glandular elements that make it look very different than the clinical appearance of surrounding fat. Dr. Massry will use a suture to secure the anterior tip of the lacrimal gland fossa. This procedure returns the gland to its normal anatomic location and corrects the heavy upper lid appearance.

In many cases, Dr. Massry will perform the lacrimal gland repositioning in conjunction with an upper blepharoplasty to provide the most natural and rejuvenating results.

Watch Dr. Massry Perform A Lacrimal Gland Repositioning Surgery

Before and After Lacrimal Gland Repositioning

Below is an excellent example of a patient before and after lacrimal gland repositioning surgery.

Lacrimal gland repositioning - Dr Guy Massry - Beverly Hills

Schedule Your Consultation Today

If you think you have a prolapsed lacrimal gland, please contact our office today. Dr. Massry has extensive experience in repositioning the lacrimal gland and restoring your youthful appearance.

Filed under: Featured No Comments
6Feb/180

Blepharoplasty 101: Aging Eyelids

Posted by admin

Print Friendly

In the second video of his series Blepharoplasty 101, Dr. Guy Massry discusses aging eyelids.

One of the easiest ways to understand the aging process of the eyelids is to compare our faces and eyelids to grapes that turn into raisins. As we age, our skin doesn't just sag, but we also lose volume. This loss of volume is why fillers and fat grafting have become so popular over the past few years.

When performing eyelid surgery for aging eyelids, Dr. Massry believes it is really important to look at photos of patients when they were younger to make sure he can restore not only their appearance but their volume too. So when you are preparing for a consultation with Dr. Massry, please pull out some photos from your memory box when you were younger to share with him.

Traditional blepharoplasty surgery has always been about subtraction (ie. taking tissue out). However, a full eyelid is more attractive than a hollow eyelid. So, Dr. Massry believes a better paradigm is to take out only what is necessary, and, more importantly,  leave what is critical to look and work great!

Schedule a Consultation With Dr. Massry!

If you have aging eyelids and are ready to learn more about blepharoplasty with Dr. Massry, please contact our office to schedule a consultation today! Dr. Massry is here to help and give you the best results possible so you look like your younger self.

Other videos in the Blepharoplasty 101 series:

Managing Patient Expectations

Filed under: Featured No Comments
2Feb/180

Blepharoplasty 101: Meeting Patient Expectations

Posted by admin

Print Friendly

In his series Blepharoplasty 101, Beverly Hills oculoplastic surgeon, Dr. Guy Massry, will discuss everything you need to know before undergoing cosmetic eyelid surgery. In the first video of the series, Dr. Massry discusses the importance of having realistic expectations for your surgery.

Many people, both patients and surgeons, overlook the importance of establishing realistic expectations for blepharoplasty results. Every patient has a different idea in mind for how they want to look after cosmetic eyelid surgery, and it is critical that the patient clearly relays this vision to their surgeon in order to determine if the desired outcome is attainable. One of the most common reasons patients are not happy with their blepharoplasty results is because their expectations were not realistic.

At Dr. Massry's practice, he estimates that he only performs blepharoplasty on 3 out of every 10 patients who want the procedure. The reason is that he feels he cannot meet the expectations of 70% of patients. This happens for many reasons.

The eyes are the window to the soul; they are important for vision. A mistake in this area is not ok!

During a consultation with a surgeon, make sure that your expectations can be met so that you are happy with the results!

Contact Dr. Massry Today!

If you have been thinking about cosmetic eyelid surgery, please contact our office today! Dr. Massry specializes in blepharoplasty and has a very high satisfaction rate with his patients.

Other videos in the Blepharoplasty 101 series:

Aging Eyelids

Filed under: Featured No Comments
11Jan/180

Eye Bag Surgery: Before & After Lower Blepharoplasty

Posted by admin

Print Friendly

One of the most requested cosmetic eyelid procedures is eye bag surgery. As we age, the membrane that holds the fat back weakens and the fat comes forward, creating the appearance of those unwanted eye bags.

Eye bag surgery, or cosmetic lower lid blepharoplasty, is a very specialized procedure which should ONLY be performed by an experienced eyelid surgeon, like Dr. Massry.  Although it is a commonly performed procedure, complications from an inexperienced surgeon can be devastating. Seeing an oculoplastic surgeon, who is a specialist in eyelid surgery, helps eliminate surgical complications.

Before & After Eye Bag Surgery

Before and after eye bag surgery

See more before & after examples. 

How is Eye Bag Surgery Performed?

When performing lower blepharoplasty, Dr. Massry's goal is to remove the eyelid bag and getting rid of the dark circles under the eyes. Dark under eye circles are also referred to as “periorbital or eyelid hollows.” Rather than removing all of the precious eyelid fat during a lower blepharoplasty, Dr. Massry will instead reposition some of the excess fat to the hollows of the eyes to create a smooth contour and fill in the hollow under eyes. This technique results in a refreshed and youthful appearance.

Contact Dr. Massry Today!

If you have under eye bags that bother you, schedule a consultation with Los Angeles eyelid expert, Dr. Guy Massry - 310.657.4302.

Read more blogs from Dr. Massry:

Eye Bag Surgery - What You Need to Know

Lower Lid Blepharoplasty - Both Art & Science

Natural Lower Blepharoplasty Results

Filed under: Featured No Comments
7Nov/170

Botox vs Fillers – TRUE or FALSE

Posted by admin

Print Friendly

When you first decide to take your beauty routine to the next level, you quickly realize there are a lot of different non-surgical procedures available to help you erase your unwanted wrinkles. Two of the most common non-surgical procedures are Botox and fillers – they are two very different things.

To help educate patients, Beverly Hills oculoplastic surgeon Dr. Guy Massry, has put together a true or false list of the most common questions about Botox vs fillers. How many of these do you already know?

Botox and fillers are the same thing – FALSE

Although both Botox and fillers are used to rejuvenate the face, they achieve this in very different ways. Botox temporarily freezes your muscle activity so that wrinkles are not being created. Fillers add volume to the face to smooth out wrinkles, get rid of dark circles under the eyes, and plump up the lips.

Botox gets rid of wrinkles – TRUE

Botox, or Botulinum toxin, temporarily relaxes your facial muscles that create lines and wrinkles. Botox can be placed on the forehead, in your 11 lines or around your crow’s feet to erase the appearance of your wrinkles. Results last for 3 to 4 months. Furthermore, when performed by an expert injector, like Dr. Massry, Botox can be strategically placed to give you a non-surgical brow lift.

Fillers get rid of wrinkles – TRUE

As we age we lose facial volume. This loss of volume can lead to wrinkles around the mouth, under the eyes or temples. Fillers can restore this lost volume which can smooth out wrinkles.  While this is true, keep in mind that fillers are a better volume restoration procedure (ie fills hollows/folds) than fine wrinkle reducer.

Anyone can perform Botox or Filler injections – FALSE

Since injectable treatments, such as Botox and fillers, are becoming more and more popular, access to them is becoming easier. However, while everyone from nurses to primary care doctors seems to be offering injectable treatments these days, it is vital to see an expert trained injector to make sure you get the best results possible and avoid potential risks.

Are You A Candidate For Botox or Fillers?

We hope you found this information about Botox compared to fillers to be helpful! If you are interested in learning if you are a candidate for either one of these non-surgical treatments, please contact our office to make an appointment with Dr. Massry - 310.657.4302.

Read more of Dr. Massry's blogs

How to Rejuvenate Your Eyes Without Surgery

The Magic of Lower Eyelid Filling with Restylane

Blepharoplasty & Botox - A Powerful Combination

Filed under: Featured No Comments
2Nov/170

The Best Cosmetic Eyelid Surgery Results

Posted by admin

Print Friendly

Cosmetic eyelid surgery is not a "one size fits all" procedure. Our eyes are the most defining characteristics of our face and deserve to be treated with personalized and customized care. Dr. Guy Massry believes the best cosmetic eyelid surgery results are those that are tailored to the specific needs of the patient.

Below you can see a patient before (left) and after (right) customized cosmetic eyelid surgery. Best cosmetic eyelid surgery

So how did Dr. Massry achieve the best cosmetic eyelid surgery results for this patient? He performed a customized outer brow lift with upper and lower blepharoplasty.

What is an Outer Brow Lift?

The outer brow lift is a very important component of natural looking eyelid rejuvenation results, but many patients have never heard of an outer brow lift. Most patients come to Dr. Massry for an upper blepharoplasty thinking that all that needs to be done is to correct the appearance of sagging upper eyelids. However, what they don’t realize is that the position of the outer brows often affects the upper lid fullness. So when the outer brow falls, which is a normal change due to aging, the upper lids become heavier. If the outer brow is not lifted during surgery, the root of the upper lid sagging is not addressed.

Please keep in mind that not everyone needs the outer brow lift. This is why it is so important to find an expert oculoplastic surgeon to evaluate your needs and determine the best course of surgery for YOU.

Rejuvenating the Lower Lid

A lower lid blepharoplasty gets rid of under eye bags and can be performed a variety of ways. As a seasoned expert in lower eyelid rejuvenation, Dr. Massry generally prefers to perform the surgery through an incision on the inside of the eyelid because it significantly reduces the risk of changing the shape of the eye and there is no visible scar. Furthermore, when necessary, Dr. Massry will perform fat repositioning to smooth out the hollows under the eyes. But again, each patient is unique and Dr. Massry utilizes other lower blepharoplasty techniques when necessary to provide each patient with the best results.

Contact Dr. Massry Today!

If you are interested in learning more about the best cosmetic eyelid surgery for you, please schedule a consultation with Beverly Hills oculoplastic surgeon Dr. Guy Massry. He is happy to evaluate your anti-aging needs and refresh your appearance. Please call us at 310.657.4302 to schedule your consultation.

Read more blogs by Dr. Massry 

Lower Blepharoplasty: Why Cut From the Inside of the Lower Lid

The Brow and Upper Eyelid: An Aesthetic Unit

Filed under: Featured No Comments
26Oct/170

Lower Blepharoplasty: Why Cut From The Inside Of The Lower Lid

Posted by admin

Print Friendly

Lower blepharoplasty (cosmetic eyelid surgery) can be performed through an eyelid skin incision or from inside the lower lid.  There is no doubt surgery from inside the lid is harder and more technically demanding.  However, it is far safer, more cosmetically appealing and leads to significantly less potential complications.  The dreaded result of surgery through the skin is a pulled down (or retracted) lower eyelid.  This is VERY hard to fix, even in the best of hands.  Here are the important points to keep in mind when deciding to undergo a lower blepharoplasty.

  1. Only an experienced eyelid surgeon (oculoplastic surgeon) should perform this procedure.
  2. Surgery through the skin has an overall 6-20% chance of pulling down the lower lid and changing the shape of your eye (this is based on published data).
  3. Excess skin can be removed after inside eyelid surgery at the time of the procedure (called a pinch procedure).  This technique tends not to change the eyelid shape.
  4. An eyelid tightening procedure can be added as needed (called a canthal suspension).
  5. Canthal suspension is A VERY specialized procedure which really needs surgical expertise.
  6. Lower blepharoplasty addresses “eyelid bags” (skin and excess fat).
  7. Dark circle correction often also requires a laser or non-laser peel, fillers or other interventions.
  8. Do not go into this surgery without doing your research. You must feel confident with your surgeon and this only comes from doing your research ahead of time and understanding the procedure yourself.

Before & After Lower Blepharoplasty

Lower blepharoplasty, upepr blepharoplasty, brow lift

This patient underwent lower blepharoplasty with Dr. Massry in which he made the incision inside of the lower lid. Dr. Massry also performed an upper blepharoplasty and brow lift to give this patient natural looking results.

Find A Lower Blepharoplasty Expert

We know how overwhelming it can be to choose a surgeon to perform your lower blepharoplasty. Today, it seems like there are more cosmetic and plastic surgeons than ever before, so it is very important to make sure the surgeon you choose is qualified and very experienced with eyelid surgery. Oculoplastic surgeons are eyelid experts who undergo specialized training in eyelid plastic and reconstructive surgery. Make sure the surgeon you choose for your lower lid blepharoplasty is an oculoplastic surgeon so you get the best results possible. In addition, make sure you ask the surgeon how many lower bleph procedures they perform per year, what surgical techniques they use, do they write peer-reviewed articles or textbook chapters, etc. Also, ask to see before and after pictures of patients who are similar to you so you can get a good idea of how the surgeon's results look.

Contact Dr. Massry Today!

If you are interested in lower blepharoplasty, please contact our office today to schedule a consultation with Dr. Guy Massry - 310.657.2203.

Read More of Dr. Massry's Blogs

Lower Lid Blepharoplasty: Both an Art & a Science

Lower Eyelid Fat Transfer - Does it Really Make Sense?

Filed under: Featured No Comments
23Oct/170

Lower Lid Blepharoplasty: The Difference Between Fat Grafting And Fat Repositioning

Posted by admin

Print Friendly

Lower blepharoplasty is a great facial rejuvenation procedure.  Modern surgery can be performed from inside the eyelid or from the skin.  There are pros and cons to each approach.  Today Dr. Massry is going to talk about the differences of filling the lower lid hollows with fat.  There are 2 ways to do this.

  1. Fat transfer or grafting (two names for the same procedure)
  2. Fat repositioning

What is Fat Grafting?

Fat grafting is when fat is harvested from another part of the body (ie. abdomen) via a liposuction technique and then injected into the eyelid hollows.  While this is widely used amongst aesthetic facial surgeons there is a reasonable risk of lid irregularities, such as lumps and bumps.

Eyelid fat grafting repair - Dr Guy Massry

In the picture on the left, you can see that the patient experienced lumps and bumps after fat grafting with another surgeon.  Luckily, she found Dr. Massry and he performed his cutting-edge procedure to remove the lumps and bumps through an incision inside the lower eyelid so he did not have to make any skin incisions.

What is Fat Repositioning?

Fat repositioning is when local eyelid fat (if present) is shifted (repositioned) to the adjacent eyelid hollow.  The risk of irregularities is exponentially lower in this technique.

Under eye bag rejuvenation surgery - Dr Guy Massry

This patient underwent lower lid blepharoplasty with fat repositioning with Dr. Massry. Her results were very natural looking and she is very happy!

 

Male lower lid fat respositioning

This is an example of a male patient underwent upper and lower blepharoplasty with fat repositioning with very natural and masculine looking results. 

Be Smart About Lower Lid Blepharoplasty

Please beware of these issues with fat grafting when having your surgery done. Dr. Massry strongly urges patients to educate themselves about the procedures and to find an eyelid specialist to perform their surgery to mitigate the risks. Once the surgery is performed poorly, it is very difficult to reverse lumps and bumps from fat grafting.

Contact Dr. Massry Today!

If you are interested in learning more about fat grafting vs. fat repositioning, please contact our office today to schedule your consultation with Dr. Massry - 310.657.4302.

Read More of Dr. Massry's Blogs

Lower Eyelid Fat Grafting: Understand What You Are Doing

Fat Grafting Repair

Lower Eyelid Fat Transfer - Does it Really Make Sense?

Filed under: Featured No Comments
18Oct/170

The Brow and Upper Eyelid: An Aesthetic Unit

Posted by admin

Print Friendly

Did you know that the brow and upper eyelid should both be evaluated when considering blepharoplasty? Many patients come in for upper blepharoplasty (cosmetic eyelid surgery) thinking that it will address their upper eyelid bags. However, what most don’t know is that the position of the outer brows often affects the upper lid fullness.  When the outer brow falls, which is a normal change of aging, the upper lids become heavier.

While cosmetic eyelid surgery is a very common procedure these days, it is still very important to find an eyelid specialist who knows that the brow and upper eyelid should really be approached as one aesthetic unit in order to get the best results. Dr. Guy Massry is an oculoplastic surgeon who is internationally recognized for his unparalleled eyelid rejuvenation results. Below he has put together some keep points for patients to keep in mind before having upper blepharoplasty:

  1. Always ask about the brow. If the brow has drooped, blepharoplasty alone will make things worse (more corded appearance to the upper lids).
  2. This does not mean you need an outer brow lift – but surgery of the upper lids needs to be altered to accommodate the depressed outer brow.
  3. Don’t fear brow lifts.  If done endoscopically and by an experienced surgeon, it's less traumatic than the lid surgery.
  4. Outer brow lifts, also called temporal brow lifts, DO NOT MAKE YOU LOOK SURPRISED.
  5. An outer brow lift is done for support only.
  6. They limit the length of the upper lid incision so that it only includes the eyelid and the incision is hidden.
  7. An outer brow lift provides a natural arch to the brow (which was present in youth and will increase the beauty of the lid itself).
  8. Talk to a specialist about this – ONLY an experienced surgeon should perform an outer brow lift with upper blepharoplasty.

Before & After Outer Brow Lift with Upper Blepharoplasty

Below are three examples of patients who underwent upper blepharoplasty with an outer browlift for support.

Patient 1

Upper and lower blepharoplasty with outer brow lift.

Upper and lower blepharoplasty with browlift.001

Patient 2

Outer brow lift with upper and lower blepharoplasty with Dr. Massry.

Outer brow lift upper and lower blepharoplasty - Dr Guy Massry

Book Your Consultation Today!

If you are interested in learning if you are a candidate for upper blepharoplasty with an outer brow lift, please call our office today to schedule a consultation with Dr. Massry - 310-657-4302.

Dr. Massry customizes every surgery he performs to the needs of his patients so that the results are as beautiful as possible. This means that during your consultation with Dr. Massry not only will he evaluate your needs, but he will also listen to your anti-aging goals so he can exceed your expectations. We look forward to meeting you!

Filed under: Featured No Comments
12Oct/170

Lower Eyelid Fat Grafting: Understand What You Are Doing

Posted by admin

Print Friendly

Lower eyelid fat grafting (or fat transfer) has gained widespread popularity amongst plastic surgeons over the last few decades. It can be a great option for replacing lost volume in the face and is a potentially permanent option, as compared to fillers.  This is all well and good.  However, it is important to really think this procedure through prior to proceeding with it, especially when fat grating the lower lids.  Why? Because some bad complications can occur.

Here are important facts to consider about fat grafting:

  1. Grafted fat has an unpredictable survival. A 50% survival is what is quoted. This has never been proven scientifically. It is only an opinion!!!
  2. Fat is typically taken from the inner thighs, abdomen, or other areas where fat can deposit in the body. This type of fat is different than facial fat. This fat can grow as we gain weight. There have been many patients whose faces have become large over time after having fat grafted to the face.
  3. The body may attack the transferred fat (to remove it). Even though it is our own tissue, it is placed in a different location, so the body considers it foreign. When this happens, lumps, bumps and contour irregularities can occur (what Dr Massry calls "LBCs").
  4. The eyelid skin is very thin and cannot hide even minor irregularities (LBCs). These can be disfiguring to the facial appearance.
  5. Dr. Massry is soon to publish data that in a large series of patient studies this problem (#4 above) can occur in as high as 8% of patients who have fat grafting to the lower lids.
  6. Dr. Massry has treated many patients with fat grafting related LBCs to the lower lids. THIS IS VERY HARD TO CORRECT.
  7. Make sure to educate yourself about lower eyelid fat grafting before proceeding with this procedure.
  8. Most importantly, make sure that only an eyelid specialist does this procedure for you.

Case Studies - Fat Grafting Repair

Patient 1 - LUMPS & BUMPS

This patient had lower eyelid fat grafting a couple of years ago from another surgeon. In her pictures below, you can see she has lumps and bumps from the fat transfer. This appearance made her very self-conscious. To improve her appearance, Dr. Massry performed his cutting-edge procedure to remove the lumps and bumps through an incision inside the lower eyelid so he did not have to make any skin incisions.

Eyelid fat grafting repair - Dr Guy Massry

Patient 2 - CONTOUR IRREGULARITIES 

This patient was very unhappy with the results of under eye fat grafting from another surgeon. She came to Dr. Massry to remove the contour irregularities from the fat grafting to her lower eyelids. As opposed to the first patient, this patient had primarily lower eyelid prominence from fat grafting. This is another way fat grafting complications can present. In addition to the revision lower lid surgery, he also performed an outer brow lift and upper and lower blepharoplasty to rejuvenate her overall appearance.

Revision fat grafting surgery - Dr Guy Massry

See more patients before and after revision surgery with Dr. Massry.

Consult With A Fat Grafting Repair Expert

If you have experienced complications from a previous fat grafting surgery, please do not hesitate to contact Dr. Guy Massry to learn more about how he can help you. Dr. Guy Massry is an oculoplastic surgeon who specializes in complex revision fat grafting procedures. To schedule a consultation with him, please call our office at 310.657.4302. For patients who live out of town, we offer initial Skype consultations so you can have your first appointment with Dr. Massry from the comfort of your own home!

Filed under: Featured No Comments