Cosmetic Eyelid Surgery in Beverly Hills – Dr. Guy Massry

Top 5 Reasons People Want Eyelid Surgery

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top-5-reasons-people-want-eyelid-surgery-dr-massryBlepharoplasty, or cosmetic eyelid surgery, is a fantastic treatment option to rejuvenate your eyes, and therefore your overall facial appearance. Although blepharoplasty is a common cosmetic procedure, it should only be performed by a board-certified oculoplastic surgeon who specializes in treatments around the eyes. The structures around the eyes are very delicate and complex and require the skills of an experienced oculoplastic surgeon, like Dr. Guy Massry, to avoid complications.

At Dr. Massry’s oculoplastic practice in Beverly Hills, the top 5 most common reasons people want eyelid surgery include:

  1. “I want to look well-rested.”
  2. “I want to look younger."
  3. “I want to feel refreshed.”
  4. “I want to remove my under eye bags.”
  5. “I want a boost in my self-confidence.”

Blepharoplasty is the perfect surgery to address and improve these concerns! With age, the upper eyelids begin to droop and sag, creating that hooded, tired appearance. Additionally, the under eye area can develop fat pockets and bags that make you appear exhausted or older than you really are. Whether you have just one or both of these concerns, Dr. Massry knows that the appearance of tired eyes can lead to a decrease in self-confidence. Luckily, a customized blepharoplasty with Dr. Massry will restore a refreshed and youthful eyelid appearance so you can regain your confidence!

Why Choose Dr. Massry For Your Blepharoplasty?

As a world-renowned oculoplastic surgeon, Dr. Massry has dedicated his career to specializing in cosmetic and reconstructive eyelid procedures. He has an unparalleled knowledge of the underlying orbital anatomy and a keen eye for eyelid aesthetics. When you have surgery with Dr. Massry, you can rest assured that you are in the best hands possible.

When Dr. Massry performs blepharoplasty procedures, he takes a very customized approach. He knows that every patient is unique (both in their orbital anatomy and aesthetic goals) and tailors the surgical techniques and outcomes to meet the needs of the patient. During your consultation with Dr. Massry, you can explain your eyelid concerns and discuss your goals for your surgical results. Once Dr. Massry has all of this information and has examined your eyelids, he will give you his recommendations for the best and most natural blepharoplasty results.

Schedule Your Eyelid Surgery Consultation Today!

Regardless of your reasons for wanting cosmetic eyelid surgery, Dr. Massry is here to help! Please call us today to schedule your consultation with expert eyelid surgeon Dr. Massry – 310.657.4302!

For our out of town patient, Dr. Massry offers Skype consultations so you can meet him from the comfort of your own home. Call us to find out more!

Other Blepharoplasty Blogs You May Enjoy:

Lower Lid Blepharoplasty - Maximizing Results

Dr. Massry's Dos and Dont's After Eyelid Surgery

Cosmetic Eyelid Surgery FAQs

Top 10 Questions Patients Ask Before Eyelid Surgery

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How To Look Stunning At This Year’s Holiday Parties

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It is already that time of the year again – holiday party season! So dust off your sparkly holiday dress, pull out your ugly Christmas sweater, and glam up your beauty routine. To help you look your best, Dr. Guy Massry, a Beverly Hills oculoplastic surgeon, recommends Botox and/or filler treatments to refresh your facial appearance.

Botox is a fantastic non-surgical treatment that erases wrinkles on your forehead, 11-lines, and crow’s feet. The treatment temporarily prevents the wrinkles from forming and therefore your skin appears softer and smoother. When performing Botox injections, Dr. Massry’s goal is not to “freeze” your face, but to soften it while still allowing for muscle movements that display your expressions. Additionally, Dr. Massry can strategically place the Botox injections to give you a “Botox Browlift.” Botox takes 7 – 14 days to take full effect, so make sure you book your treatment at least a week and a half before your holiday party!

Facial fillers are a fantastic way to instantly restore volume to the face. A voluminous face with contours is a mark of youth and beauty. Unfortunately, as we age, we lose our youthful volume. When Dr. Massry examines his patients, he determines which areas of the face have lost volume and uses fillers such as Juvederm, Belotero, and Restylane to restore volume. The most common areas that Dr. Massry treats with fillers include, the mid-face, under eye area, and temples.

  • Mid-Face – When the mid-face (cheeks) loses volume, the skin begins to droop and sag and the face appears older. Using an injectable filler, such as Restylane Lyft, Dr. Massry is able to lift and augment cheek volume to restore a more youthful appearance.
  • Under Eyes – The stress of the holidays often times reveals itself in the form of unwanted dark circles under the eyes. If you are beginning to notice you look more tired than usual or if your under eye area has been bothering you for a while, now is the perfect time to try Restylane, Restylane Silk or Belotero under the eyes! The treatment will make your dark circle disappear instantly and you will look like you are the most well-rested person in the room.
  • Temples – Many people don’t realize it, but a common area that we lose volume is in the temples. Hollow temples create an unflattering shadow effect that darkens the face and eyes. Filling in hollow temples with Juvederm provides stunning results!

Dr. Massry recommends you schedule all filler treatments 7 to 10 days before your holiday party so if you experience any bruising or swelling, it has enough time to dissipate.

Schedule Your Pre-Holiday Party Treatments Today!

If you want to look your best this holiday season, schedule your non-surgical beauty-boosting treatments with Dr. Massry today - 310.657.4302!

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The Lessons I Have Learned With Endoscopic Brow Lifting

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Endoscopic brow lifting is my preferred method of aesthetic brow reshaping. I use the word reshaping because the primary lesson I have learned from 20 years of brow lifting is that the procedure should focus on brow shape and contour more than height. This is the single most important caveat of brow lifting and will allow better results and happier patients.


Over the last 4 years I have primarily utilized a temporal endoscopic plane approach (between the superficial and deep temporalis fascia) with or without the use of the endoscope to reshape the brow contour. My focus has been a temporal lift only. In my experience, in most cases, lifting the medial brow is an error which changes normal eyelid and periorbital, and ultimately, facial proportions. Most who need medial brow elevation also have bunching of glabellar tissue, and I have found benefit most from a central pretrichial approach (with tissue excision) combined with the temporal lift described below.

The procedure proceeds with standard temporal approach sub-superficial temporal fascia access to the canthus. This plane is made continuous with the central subperiosteal space by dividing the conjoint tendon. Dissection continues to the arcus marginalis periosteum at the superior orbital rim. The periosteum is released from the supraorbital neurovascular bundle laterally to the canthus. It is critical to release the lateral orbital thickening. The temporal brow is fixated with 2 sutures (2-0 PDS) from superficial to deep fascia. The lift is superior and nasal to avoid brow splaying and provide the best temporal elevation. No cautery is used for bleeding (vascular tourniquet is created with dilute anesthetic and added pure saline as needed – bleeding is controlled with mechanical pressure from volume of injection). Only staples close the wound and no scalp is excised. These are critical steps to avoid alopecia. Post-op regional supraorbital and lacrimal nerve blocks are given as is local anesthetic infiltration of staple sites – all to control pain. Preoperative Emend (substance P receptor antagonist) is a reliable way to control post-op nausea (I highly recommend this – look it up). Post-op pain control is with your narcotic of choice prn.

I have recently reviewed 162 such cases with the following findings.

94% of patients stated a high satisfaction with the brow lift.

The remaining patients were satisfied except for 2 who desired a revision for more temporal lift. Keep, in mind – all patients knew the procedure performed this way would not address glabellar or forehead rhytids. This was not their expectation. Most received post-op neuromodulation for this purpose. This avoids the numerous issues with selective myotomy/myectomy (another topic of discussion).

More than temporary motor nerve injury (first week or so) occurred in 2 patients (1.2%), which is slightly less than the reported 1.5% previously reported. Both these patients had previous coronal lifts (ie both revisions).

Sensory issues beyond 4 weeks (numbness, tingling, itching, etc) occurred in 3.8% of patients – far less than the previously reported 7%-8%. To achieve this, it is critical to stay subperiosteal when making the temporal sub-superficial temporal fascia plane continuous with the central subperiosteal plane (when dividing conjoint tendon). This protects the distal segment of the deep (lateral) branch of the supraorbital nerve. Also as the periosteal release is lateral to the supraorbital nerve egress, the proximal superficial (medial) branch of the nerve is less prone to damage.

We have paid more attention to motor injury than to sensory injury because morbidity is worse. However, always remember that sensory injury is more common.

It has been reported that post-op pain is present in up to 75% of traditional endolift surgery patients. In this technique, with injections described, I have noted its presence in approximately 30% of cases.

Alopecia at the incision site is a tough parameter to judge. Approximately 10% have made mention of it – close inspection most likely shows it is more common. However, at 1 year after surgery it is rarely suggested by patients.

It is important to share such knowledge as we continue to evolve our surgical procedures. I welcome other’s experiences so we can grow and learn together and deliver the best of care.

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Lower Lid Blepharoplasty – Maximizing Results

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Cosmetic eyelid surgery (blepharoplasty) is a specialized surgery which can significantly enhance your appearance. However, it is important to understand that blepharoplasty, when performed by an inexperienced surgeon, can potentially lead to poor results with short term or permanent disability.

How can you avoid blepharoplasty complications?

Avoiding surgical complications requires the expertise of an eyelid specialist and expert, known as an oculoplastic surgeon.  Dr. Guy Massry, MD is a Beverly Hills oculoplastic surgeon who performs cosmetic blepharoplasty routinely.  He has over 20 years of experience with this surgery - having performed thousands of procedures. Oculoplastic surgeons, like Dr. Massry, are the most qualified surgeons to perform any sort of cosmetic eyelid surgery because they have dedicated their medical practice solely to procedures around the eyes. This precise practice means they perform more blepharoplasty surgeries than a general plastic surgeon, who is performing cosmetic procedure on the entire body. This focus not only helps them avoid surgical complications, but in the unfortunate chance that a complication does arise during a blepharoplasty procedure, they have the keen knowledge on how to minimize the risks.

Minimizing Lower Blepharoplasty Complications

Lower blepharoplasty is actually far more complex than upper eyelid surgery.  The problem is that unless a surgeon is performing lower blepharoplasty procedures in high volume there is no way to develop the skills needed to attain consistent and predictable results with the surgery.  For this reason you must understand that lower blepharoplasty is not simply a plastic surgical procedure – but rather an ophthalmic (eye related) plastic surgical procedure – BIG DIFFERENCE.

Dr. Massry performs many revision lower blepharoplasty procedures yearly.  To avoid a revision surgery, it is imperative you see an expert like Dr. Massry the first time around!

Patient 1: Primary lower lid blepharoplasty with fat repositioning with Dr. Massry.

Female Lower Blepharoplasty with fat repositioning - Dr Guy Massry - Beverly Hills

Female Lower Blepharoplasty with fat repositioning - Dr Guy Massry - Beverly Hills-side view

Patient 2: This woman was very unhappy with pulled down (retracted) lower lids from previous surgery by another doctor. After revisional surgery with Dr. Massry her appearance is significantly improved. 


Non-Surgical Corrections For Unsatisfactory Results

In some cases, additional surgery is not the answer for patients who had poor results following a primary lower lid blepharoplasty. If surgery is not a patient's best option, Dr. Massry will recommend using dermal fillers to help improve the appearance. Below is a video of Dr. Massry performing filler injections on a patient who had surgery with another doctor that left him with drooping lower eyelids. The filler lifts the lower lids that are being pulled down and makes the eyes look less "buggy."

Contact Dr. Massry Today!

Whether you are thinking of having cosmetic eyelid surgery or you have already had surgery and are unhappy with the results, call us today to schedule your consultation with eyelid surgery specialist Dr. Massry - 310.657.4302!

More Information on Lower Eyelid Surgery

Custom Blepharoplasty - You Owe It To Yourself!

Natural Lower Blepharoplasty Results

Customized Lower Blepharoplasty

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Long Term Results To Lower Blepharoplasty – What You Need To Know

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Recently our fellow and I reviewed my long term data on results to lower lid blepharoplasty. I could not find such an extensive review of data with this case number in the literature. The surgical series is over a 10 year period and includes 640 cases. Important to consider is that I only perform transconjunctival surgery so the information only applies to this approach. Appropriate surgical adjuncts were included when clinically deemed necessary. These additional procedures included: canthal suspension, skin excision, fat transposition (repositioning), oseocutaneous ligament release, fat grafting and orbicularis plication (suspension).

Below are the results identified from the data collected:

  1. 640 cases total
  2. Women – 505 cases; Men – 135 cases
  3. Average age - 56 years
  4. Average F/U - 14 months
  5. Transconjunctival blepharoplasty only - 60 cases (9%)
  6. Transconjunctival blepharoplasty with fat repositioning - 580 cases (91%)
  7. Chemosis - more than mild at more than two weeks post-op 41 case (6.4%)
  8. Trichiasis - 9 cases (1.4%) - all needed intervention
  9. Revise fat re-excision - 9 cases (1.4%)
  10. Hollows - 30 cases (4.6%) - most lateral lid/cheek junction – 25 of the 30 cases (83%) were pre-warned this may occur, but refused interventions to prevent.
  11. Complaints of wrinkles or skin excess post-op - 14 cases (2.2%)
  12. Cicatricial entropion requiring buccal graft - 3 cases (0.5%) - All had fat transposition.
  13. Ectropion (no skin manipulation) - 1 case - related unaddressed laxity
  14. Lower eyelid retraction (all mild) - 6 cases ( 1%); 4 cases (0.6%) had skin/muscle manipulation (ie. pinch); 2 cases (0.3%) had no skin/muscle manipulation – but did have prominent eyes with gradient (vector) worsening (even with fat transposition)
  15. Periorbital fat grafting - 83/640 patients (9.6%). 7 of these (1.4%) developed contour issues (most with older larger (2 mm) harvest cannulas). 4 of these patients were revised and happy. 2 patients tolerated their final outcome. 1 patient unhappy and actually angry.
  16. Infection/severe inflammation - 7 cases (1.4%).
  17. Satisfaction study not done
  18. Satisfaction study of last 86 patients with fat transposition only was done with 4.8/5 average score on 5 point Likert scale: 1: Very unsatisfied, 2: unsatisfied, 3: neutral, 4: satisfied, 5: Very satisfied. The procedure found to be safe and effective

What this has taught me is that 79% of surgery is on woman in their mid 50’s. In general complications are rare and treatable. Fat grafting contour issues occur in 8.4% of cases, which I feel is unacceptably high – but not surprising. This complication rate is most assuredly lower with the newer (smaller port) harvesting cannulas. As expected, patient satisfaction is high.

I certainly learned a lot from this lower blepharoplasty data. I hope it is of help to others.

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How To Get the Best Ptosis Repair Results

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ptosis-repair-dr-guy-massryPtosis surgery is a procedure that lifts an upper eyelid that has dropped. It is surgery on the elevating muscles of the eyelid (Mueller’s muscle or the Levator muscle/aponeurosis). This is very different than blepharoplasty surgery which is the more simplistic removal of variable amounts of skin, muscle and fat from the upper lids (typical cosmetic eyelid surgery).

Dr. Guy Massry is a Beverly Hills oculoplastic surgeon who specializes in ptosis repair surgery. Patients fly in from around the world to have surgery with Dr. Massry because he is internationally recognized for his ability to provide patients suffering from droopy upper eyelids with the best results possible.

With this basic framework in mind, Dr. Massry will tell you how to attain the best results to ptosis surgery:

1. Only have a qualified and experienced ptosis surgeon do your repair. This is always a board certified oculoplastic or ophthalmic plastic surgeon – the only surgeons with specialized ptosis training. Dr. Massry has this training and experience.

2. Have the correct surgery selected - ptosis repair, not a blepharoplasty. Dr. Massry will help you with this. Surgery can be performed from inside the eyelid (no skin cuts/scars) which requires no patient cooperation during surgery. Alternatively, it can also be performed through the skin (more complex and requires patient cooperation during surgery). To do it from inside of the eyelid (which most surgeons prefer as it is easier on patient and surgeon) some findings on examination must be present – Dr. Massry will identify this.

3. Make sure your surgeon has vast experience with ptosis surgery, as Dr. Massry does. Ptosis surgery complications can be troublesome, but you can avoid this by choosing a surgeon with extensive expertise in this area of surgery.

4. Make sure your surgeon has an aesthetic eye. In addition to his surgical techniques, Dr. Massry has an artistic eye to provide his patients with not only functional results, but also with fantastic aesthetic results.

5. Get the most out of your consultation. It is the time for you to ask a lot of questions and get a very thorough understanding of the procedure. You should leave feeling 100% comfortable and confident with your surgeon and the upcoming ptosis repair. Dr. Massry will spend as much time with you as necessary to make sure this is achieved. "The only bad question is the one not asked," Dr. Massry.


Schedule Your Ptosis Repair Consultation Today!

If you are experiencing droopy upper eyelids and are ready to learn more about your surgical options, please call us to schedule your consultation with Dr. Massry today - 310.657.4302!

More Information On Ptosis Repair:

Ptosis Repair Surgery

Lid Lift or Ptosis Repair?

Ptosis Surgery or Blepharoplasty Surgery?

Ptosis Repair Photo Gallery

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Dr. Massry’s Dos and Don’ts After Eyelid Surgery

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Eyelid-repair-dr-massry-beverly-hillsDr. Massry tells all his patients that having any elective cosmetic surgery procedure is a big decision which requires a commitment of time, energy, and money. It is a decision that should not be taken lightly. This is especially true when it comes to eyelid surgery (blepharoplasty).

Eyelids Are Delicate Structures

The eyelids are delicate facial structures which are more prone to bruising, swelling, and prolonged recovery than other areas of the face. This is because the eyelid tissue is thin and there are many small, yet vital, layers and structures within the eyelids which must be manipulated during all types of eyelid surgery (blepharoplasty, canthoplasty, ptosis repair, eyelid fat grafting, eyelid fat repositioning, etc.). The surgical procedure is a form of trauma (although controlled) and the eyelids do not handle trauma as well as other arrears of the face.

Recovery After Cosmetic Eyelid Plastic Surgery

So what can you, the patient, do or not do to attain the best final result from blepharoplasty or other kinds of eyelid surgery (canthoplasty, ptosis repair, eyelid fat grafting, eyelid fat repositioning, etc.)? These are Dr. Massry’s recommendations for the best results:

Ice the eyelids

First, you want to do all you can to reduce bruising and swelling. This is important so as not to stretch or potentially stain (discolor) the thin eyelid skin. The most important thing you can do to achieve this is to apply ice to the eyelids at frequent intervals for the first two days after the eyelid surgery. Applying ice for 10 minutes every hour while you are awake is an appropriate icing regimen. Dr. Massry recommends using frozen peas as they contour to the eyelids well.

Refrain from strenuous exercise

Dr. Massry asks patients to refrain from strenuous physical activity for the first week after eyelid surgery. Obviously this means absolutely no gym activity. In fact, his basic tenant is no bending, stooping or lifting for this time period. Dr. Massry will let you know when you can resume your exercise routine.


In addition to reduced physical activity, sleeping with two pillows at the head of the bed is also of benefit as it reduces swelling in the surgical area during sleep.

Over the counter treatments

There are a number of over the counter homeopathic medications which may speed up the post-operative recovery (reduce bruising/swelling) after blepharoplasty and other forms of eyelid surgery. At your pre-operative appointment, Dr. Massry and his staff will explain which supplements to take and the healing benefits of these products.

Preventing infection

It is very important to reduce the risk of infection after surgery. The eyelids are such a well vascularized area (good blood supply) that infections are rare. That being said, Dr. Massry feels applying topical ocular (appropriate for eyes) antibiotic ointment (with a Q-tip) three times a day and at bedtime to the stitches is important. Dr. Massry prefers Erythromycin ophthalmic ointment, but others are also useful. Washing your hands before applying ointment to or touching the eyelids is important.

Showering after cosmetic eyelid plastic surgery

Dr. Massry does not feel taking a shower is a "don't," as long as care is taken not to put pressure on the eyelids or get them overly wet. Use similar judgment when washing your face.

Other activities after cosmetic eyelid surgery

Dr. Massry feels it is ok to go out, watch TV, and read as you feel comfortable. You should only drive a car when it feels safe. In this instance, refrain from applying ointment to the eyelids for a few hours before driving as this can blur vision.

Finally, following the post-operative instruction regimen, informing the Dr. Massry of any questions or concerns about surgery or healing, and using common sense in regards to wound care is important.

When patients follow the above recommendations closely, Dr. Massry feels recovery from surgery becomes easier. Remember, having surgery is a big deal, so be diligent about healing so that the outcome will be what you expect.

Talk To An Eyelid Surgery Expert Today!

If you have been thinking about eyelid surgery, now is the time to schedule your consultation with Dr. Massry! Call us today at 310.657.4302.


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Cosmetic Eyelid Surgery FAQs

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Cosmetic eyelid surgery FAQsBelow are some of the most frequently asked questions about cosmetic eyelid surgery. We hope these help you with your research. However, if you have more specific questions, please do not hesitate to call 310.657.4302 and schedule your consultation with cosmetic eyelid surgery specialist, Dr. Guy Massry!

1. What is an Ophthalmic Plastic Surgeon?

An Ophthalmic Plastic Surgeon is a board certified ophthalmologist with separate specialized (fellowship) training in cosmetic plastic surgery of the forehead/eyebrows, eyelids, midface (cheeks), and reconstructive surgery of the same areas, tear duct and orbits (bones which protect the eyes). This is a highly specialized field within plastic surgery with specific expertise in the eyes and areas around the eyes.

2. Why Should I See An Ophthalmic Plastic Surgeon?

You should see an Ophthalmic Plastic Surgeon (also known as an oculoplastic surgeon) because you should only trust your eyes to the most experienced and best trained specialist within the field of eyelid surgery. If you were to need an evaluation of your heart for medical reasons – you would see a heart specialist (a cardiologist) – not a generalist.. The same should hold true with your cosmetic surgical needs. You should only put yourself in the hands of an expert in the field to make sure you have the safest and most successful results.

3. Why Should I See Dr. Massry For My Eyelid Surgery?

Dr. Massry is a well respected and experienced ophthalmic plastic surgeon. His reputation among both his colleagues and patients is that of honesty, integrity, and compassion. Dr. Massry strives for “natural looking” surgical results and has a track record of consistently achieving this outcome. Dr. Massry performs thorough patient evaluations and is straightforward in his opinion regarding what is best for the patient – whether it be surgery or not having surgery. Dr. Massry feels having surgery is a serious decision which should not be taken lightly. Sometimes it is better to do nothing than to potentially cause a problem. Dr. Massry has a passion for his work, and is only satisfied when the patient is satisfied.

4. What Do I Need To Have Done?

This is the most common question Dr. Massry is presented with. There is no “black and white” or "cookie cutter" answer. There are typically a variety of options available to most patients to attain their desired outcome. The best way to identify what is in the patient's best interest is to have a complete evaluation with Dr. Massry. We can assure you that you will leave the appointment satisfied, and with all the information you need to make the most appropriate decision for yourself.

5. Is Eyelid Surgery Painful?

In general, patients experience very minimal pain from their procedures with Dr. Massry. In the few procedures which are associated with a slight degree of discomfort, Dr. Massry administers appropriate medications intra-operatively and postoperatively to make the experience as comfortable as possible.

6. How Long Does It Take For Me To Recover From Surgery?

This depends on the procedures you are having done. As a general rule, most of the bruising and swelling from surgery are gone within 10 to 14 days after surgery. However, you are typically able to go about your daily activity (with the exception of exercise) within 2-3 days after surgery. There are no dressings or bandages placed after surgery.

7. Are Brow Lifts Lengthy And Involved Surgeries?

Modern brow lift surgery is performed in a minimally invasive manner (endoscopic brow lift). In the hands of an experienced endoscopic surgeon, surgery takes approximately one hour. Some of the benefits of endoscopic brow lift surgery including no hair is shaved, very few small incisions are made behind the hairline, and potential complications are very minimal. This is a significant advancement from the older techniques of surgery which gave the brow lift operation the reputation of being involved and complicated.

8. Is Cosmetic Eyelid Surgery Risky?

All surgery has inherent potential risks and complications. Cosmetic eyelid surgery has advanced to the point that it is a relatively straightforward and very safe surgery when performed by an appropriately trained person. In Dr. Massry’s hands surgery is typically quick, painless, uneventful, and successful. Dr. Massry’s patients are generally very pleased and, along with physicians in the community, are the primary source of referrals to his practice.

9. I’m Scared Of Looking Different After Cosmetic Eyelid Surgery. Can This Happen?

The best way to avoid the unnatural or operated look to the eyes is to see a specialist like Dr. Massry. There is no better way to ensure the best possible surgical outcome than to see a specialist within the field. In your consultation with Dr. Massry, he will explain to you why unnatural results occur and how he avoids them.

10. Am I Going To Have Visible Scars After Eyelid Surgery?

Anytime an incision is made it heals by forming a scar. For this reason it is especially important to see a specialist in eyelid surgery when having surgery in this delicate area. Dr. Massry artistically places the fine incisions necessary for surgery in locations which are typically not visible after healing from surgery takes place. Brow lift and mid-face surgical incisions are small and hidden (behind the hairline and inside the mouth respectively) where they can never be seen. Upper eyelid incisions are very fine and within the natural upper eyelid crease; while lower eyelid incisions are typically inside the eyelid. For these reasons scars are well-hidden and rarely even noticed. Dr. Massry prides himself on his ability to make the results of his surgery “natural appearing” and without evidence of ever having been done.

11. Can I Get Hollow Under My Eyes After Surgery?

To avoid the “hollow look” of lower eyelid surgery, Dr. Massry can perform surgery in such a way as to preserve your natural lower eyelid fat (puffiness) and place it in areas which are deficient in fat. This surgical procedure is called lower lid fat repositioning. Dr. Massry can tell you if you are a good candidate for it in your consultation with him.

Schedule Your Consultation With Dr. Massry Today!

We hope that the answers to these cosmetic eyelid surgery FAQs provided you with the information you were looking for. If you have been thinking about undergoing cosmetic eyelid surgery, now is the time to schedule your consultation with Dr. Massry! He can evaluate you in person, or over Skype if you live out of town, and recommend the best treatment plan for you. Call us today to schedule your consultation - 310.657.4302!

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Top 10 Questions Patients Ask Before Eyelid Surgery

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Eyelid rejuvenation surgery consultation with Dr Massry

Dr. Massry consults with several new patients every day in the office about eyelid rejuvenation procedures. Below is a list of the top 10 questions he hears from patients during their consultations.

1. Am I a good candidate for cosmetic surgery?

Dr. Massry will evaluate every patient on an individualized basis to determine if they are a good candidate for cosmetic surgery. Every patient has a unique anatomy and their own personal reasons for seeking out plastic surgery. During your consultation Dr. Massry will examine you and ask you what your goals are for your eyelid surgery. By the end of your consultation Dr. Massry will be able to tell you if you are a good candidate for surgery.

In general, you must have the following to be a good candidate for surgery:

  • You are motivated to have surgery
  • You can set aside the time for healing
  • You have no significant health issues
  • You have realistic expectations

If you have been thinking about undergoing an eyelid plastic surgery procedure, schedule your consultation with Dr. Massry today to learn more!

2. At what age can I consider eyelid rejuvenation surgery?

This all depends on the procedure performed. But Dr. Massry likes to think more in terms of need for surgery and less in terms of a specific age. Everyone is unique and sees the signs of aging at different ages. So to say every 50 year old woman needs eyelid surgery, would be very incorrect. Most cosmetic eyelid procedures are not typically done until the patient is in their mid-thirties. However, patients may start with Botox and fillers in their 20s. Again, Dr. Massry will evaluate your need for eyelid rejuvenation during a consultation to determine if you are ready for surgery.

3. Can surgery be covered by insurance?

Every case and every insurance provider is unique. In some cases, eyelid surgery may be covered in those instances when the upper lids are heavy enough to reduce vision. In addition, some lid surgeries are reconstructive in nature and will be covered. Dr. Massry can provide you more information on this during your consultation so you can make an informed decision.

4. Is surgery painful?

Most patients tell us they are surprised with how minimal the pain is following surgery. It is unusual to have more than mild to moderate discomfort after surgery. If Dr. Massry feels there may be some pain after surgery, a pain medication will be prescribed.

5. How long is a typical recovery period?

In the majority of cases visible bruising and swelling after eyelid surgery will last 2-4 weeks. Normal physical activity can resume after 2 weeks. In some surgeries, like an upper blepharoplasty, people may return to work within a few days but will still have bruising and swelling. In most eyelid surgeries, taking a week off from work is reasonable. Dr. Massry will be able to elaborate on this during your consultation.

6. Is eyelid surgery performed in a hospital or surgery center?

Almost all cosmetic eyelid surgery is performed in an outpatient surgery center. There are many benefits to having your surgery at an outpatients surgery facility vs a hospital, including it is more cost efficient. On instances when overnight stay is necessary (ie. age or health issues) a hospital surgery is recommended.

7. What is the difference between cosmetic and reconstructive eyelid surgery?

A cosmetic eyelid procedure is done for appearance only, while a reconstructive eyelid or orbital surgery has a component of medical necessity. Insurance companies will pay, at least in part, for reconstructive surgeries. However, when performing reconstructive surgeries, Dr. Massry takes an aesthetic approach so that his patients look their best, in addition to restoring function.

8. Can I finance my surgery?

Yes, there are financing programs and Dr. Massry’s staff can discuss this with you during your consultation.

9. Does surgery leave unsightly scars?

When performed by an expert oculoplastic surgeon, you should not have visible scars. In most procedures, incisions are in hidden areas (creases, skin folds, etc.) so they are not noticeable. On rare occasion a scar may still develop. In these instances, oral and/or injectable medications, and sometimes minor surgical revisions may be needed.

10. How long will my results last?

Surgery improves appearance and restores a more youthful look. However, it does not stop the aging process. Depending on the procedure, the results of surgery will typically last 10 – 20 years.

Talk to Dr. Massry Today!

We hope reading the answers to these 10 most common questions asked during consultations are helpful to you. However, to get answers that are more specific to you and your concerns, please set up a consultation with Dr. Massry - 310.657.4302!

Meet Dr Guy Massry

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Custom Blepharoplasty – You Owe It To Yourself

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Blepharoplasty (cosmetic eyelid surgery) is one of the most common aesthetic surgical interventions performed by plastic surgeons today.   The best blepharoplasty results are attained when specialized plastic surgeons known as oculoplastic surgeons or oculofacial plastic surgeons perform the procedure. For eyelid rejuvenation surgery to provide the best outcome, all aspects of the eyelids and adjacent (nearby) areas must be considered. This includes assessing forehead and eyebrows to see if an eyebrow lift is needed, as well as looking at the cheeks or midface to see if fat repositioning, a midface lift, or fat grafting will be beneficial as well.

Below is a typical example of a before and after result with Dr. Massry’s custom approach to cosmetic eyelid surgery. This woman had an endoscopic outer brow lift, upper blepharoplasty and lower blepharoplasty with fat repositioning. She has an excellent and natural appearing outcome!

Blepharoplasty and brow lift - Guy Massry

Why Choose Dr. Massry for your Eyelid Rejuvenation?

Dr. Guy Massry is a specialist and expert in oculoplastic procedures with almost 20 years of experience. He has performed thousands of eyebrow, eyelid, and middle face procedures with a great track record of success. Dr. Massry has also published extensively within the field, including 5 textbooks and hundreds of peer-reviewed articles.

If you are interested in a customized cosmetic eyelid consultation with Dr. Massry, please call our office today - 310.657.4302!



Watch Dr. Massry discuss his approach to cosmetic eyelid surgery on YouTube!




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