Cosmetic Eyelid Surgery in Beverly Hills – Dr. Guy Massry
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.

15Apr/110

History Lession 101 #4 – What is Arnica

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Arnica is one of the most popular homeopathic remedies in the United States today for the treatment of pain, inflammation and bruising.  Arnica Montana, commonly called leopard's bane, is a perennial herb (bright yellow flower) that grows in Central Europe.  The flower is dried and processed, and turned into homeopathic tinctures, creams, pellets, gels, oils and sprays.

Arnica and its extracts have been widely used as a treatment for acne, boils, bruises, rashes, sprains, pains, and other wounds. Overall, there does not appear to be sufficient evidence to definitively support the use of Arnica as an anti-inflammatory or analgesic agent, or to prevent bruising; however differences in dosing and preparation in clinical studies makes generalizations difficult.

In cosmetic surgery we offer Arnica to patients to help with bruising after surgery.  While I cannot say for sure that it helps, I can say I have not seen any problems with its use.

Arnica and other plants are potentially potent medicinal agents.  Never assume because it’s not a prescription that it can’t be helpful or harmful.  Always be careful with the use of any medications including those that are homeopathic

13Apr/110

History Lesson 101 #3 – BOTOX®: How Ophthalmology Paved the Way /For Its Use

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Botulinum toxin is a nerve/muscle weakening agent used for cosmetic reasons to treat facial wrinkles.  It was first used in medicine to treat crossed eyes in children based on the pioneering work of an ophthalmologist, Dr. Allan Scott.  In the late 80’s Allergan bought the distribution rights to the toxin and in 1989 (in the United States) the FDA approved the use of BOTOX® (onabotulinumtoxinA) for the treatment of crossed eyes and spasms in the eye muscles – BOTOX WAS BORN.

With further research doctors noted that Botox temporarily treated excessive sweating and helped in the care of contractures (muscle spasms) in patients with cerebral palsy.

In the 1990’s, Dr. Jean Carruthers, also an ophthalmologist, noted that Botox made her patients look wrinkle free.  She, and her husband (a dermatologist) later documented that Botox was able to temporarily reduce frown lines.

In December 2000, BOTOX® was approved by the FDA for the treatment of the abnormal head position and neck pain that happens with cervical dystonia (CD) in people 16 years and older.

In April 2002 the same formulation of Botox neurotoxin was approved by the FDA under the name BOTOX® Cosmetic (onabotulinumtoxinA) for the temporary treatment of frown lines in patients 18 to 65 years of age, and two years later for excessive underarm sweating, in people 18 years and older when medicines used on the skin (topical) do not work well enough.

In March 2010, BOTOX® was granted approval by the FDA for the treatment of increased muscle stiffness in the elbow, wrist and finger muscles in people 18 years and older with upper limb spasticity

Today the use of BOTOX® for facial dynamic wrinkles is a booming industry and one of the mainstays in minimally invasive cosmetic facial enhancements.

OPHTHALMOLOGISTS (eye physicians) were instrumental players in the development of the therapeutic use of BOTOX®

This makes sense as so much Botox is given in areas around the eyes.

Please make sure any practitioner giving you Botox is very familiar with the intricate anatomy of the eyes and surrounding areas

You can contact my office for a consultation regarding the use of and treatment with Botox at (310) 453-8474 or through my web site at drmassry.com

12Apr/110

History Lesson 101 #2 – Ophthalmic Plastic Surgery

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Ophthalmic plastic surgery (oculoplastic surgery) is specialized form of plastic surgery that deals with cosmetic surgery of the forehead/eyebrows, upper and lower eyelids and midface (cheeks); and reconstructive surgery of the same areas in addition to the tear ducts and orbits.

It is a subspecialty of ophthalmology.  As such physicians credentialed in this area are board certified in ophthalmology and have also undegone separate specialty fellowship training in ophthalmic plastic surgery.

The society that accredits opthalmic plastic surgeons is the called "The American Society of Ophthalmic Plastic and Reconstructive Surgery" or simply ASOPRS.  In was founded in 1969 to assure specific surgical and medical training in this very delicate area of the face.  This is a very competetive filed and there are less than 50 training spots available in the United States.  The society has over 500 national aninternational memebers.

The eyes are the window to the soul.  It is important to have an experienced and trained surgeon perform your eyelid surgery.  Dr. Massry (Beverly Hills Ophthalmic Plastic Surgery) is available for consultation at (310) 453-8474 or at his web site drmassry.com

10Apr/110

History 101 Lesson #1 – Blepharoplasty

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The word blepahroplasty means to remove excess tissue (skin, muscle or fat) from the eyelid.  It can be performed for cosmetic reasons, or to improve field of vision (peripheral vision)  We often use the term to describe plastic surgery of the eyelid.

Blepharoplasty is derived from the Greek words blepharon, meaning eyelid, and plastos, meaning formed.  It is one of the oldest described treatments of the aging face.

Excess skin of the upper lids did not appear in the literature until Beers, a Viennese ophthalmic pioneer described it in 1792.

In 1818, a German ophthalmologist, Von Graefe, was the first to term blepharoplastik  (blepharoplasty) for removal of excess skin of the upper lid for the treatment of eyelid cancer.  The term has remained ever since.

Today blepharoplasty is one of the most common cosmetic surgeries performed in the world.

We must always thank and remember those who paved the way for what we know and do today.