Cosmetic Eyelid Surgery in Beverly Hills – Dr. Guy Massry
12Feb/150

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

Posted by Chris Sullivan

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

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

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

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

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

 

Blepharoplasty  remedied with filler - before & after.

Blepharoplasty remedied with filler.

 

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

 

25Jan/150

New Textbook Published

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CPS_v42_i1_COVER.inddLower Lid and Midface: Multispecialty Approach

Following the success of the first volume published by Dr Massry and Dr Azizzadeh, the Editors present a second Multispecialty volume. This text is dedicated to Midface and Lower face rejuvenation techniques. An expert team of Editors spanning the practices of Plastic Surgery, Oculoplastic Surgery, Facial Plastic Surgery, and Dermatology discuss anatomy, techniques, procedure planning, complications, and outcomes in each specialty field.

16Jan/150

Lecturing at 8th Annual Oculoplastic Symposium in Atlanta

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8th-Annual-Atlanta-Oculoplastic-SymposiumDr. Massry is presenting 4 lectures at the 8th Annual Oculoplastic Symposium in Atlanta in January 2015. The titles of his lectures include:

• 10 Truths About Lower Blepharoplasty: A 17 Year Experience
• New Insights Into Lower Lid Retraction
• Volume Preservation Upper Blepharoplasty
• A Personal Perspective on Eyelid Fillers

24Jan/130

Avoiding Blepharoplasty Complications

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

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

7Jan/130

New Beverly Hills Office

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Dr. Guy Massry – Ophthalmic Plastic Surgery – Beverly Hills, California – is proud to introduce the opening of his new office.  Dr. Massry’s new office address is:

150 North Robertson Blvd

Beverly Hills, California 90211

Ph (310) 657-4302

FAX (310) 6574322

Cosmetic-Eyelid-Surgery-Dr-Guy-Massry-150-North-Robertson-Blvd-Beverly-Hills-CA-90211-1 Cosmetic-Eyelid-Surgery-Dr-Guy-Massry-150-North-Robertson-Blvd-Beverly-Hills-CA-90211-2 Cosmetic-Eyelid-Surgery-Dr-Guy-Massry-150-North-Robertson-Blvd-Beverly-Hills-CA-90211-3 Cosmetic-Eyelid-Surgery-Dr-Guy-Massry-150-North-Robertson-Blvd-Beverly-Hills-CA-90211-4 Cosmetic-Eyelid-Surgery-Dr-Guy-Massry-150-North-Robertson-Blvd-Beverly-Hills-CA-90211-5 Cosmetic-Eyelid-Surgery-Dr-Guy-Massry-150-North-Robertson-Blvd-Beverly-Hills-CA-90211-6

15Jul/120

Bell’s palsy – Why can’t I close my eyes?

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Bell’s palsy is a form of facial paralysis which can lead to the loss of the ability to close your eyes.  The Upper eyelid has muscles which open the eyes (levator muscle and Muller’s muscle) and a muscle which closes the eyes (orbicularis oculi muscle).  When the elevator muscles become weak or mal-functions what results is a droopy lid referred to as ptosis.  The orbicularis muscle is supplied by the 7th Cranial nerve also called the facial nerve.  In Bell’s palsy and other forms of facial paralysis this nerve is damaged and leads to weakness of eyelid closure.  As the closing of the lids is reduced, the patient experiences dry eyes, red eyes, eye irritation, possible infections and potentially loss of vision.  For this reason it is critical to see an eyelid specialist who performs eyelid reconstructive surgery – or an oculoplastic surgeon.

The eyes are one of our most important organs as they control vision our most important sensory function.  In addition the appearance of the eyes and eyelids is vital to how we present ourselves to society and for our self-esteem.  We must do all we can to attain the best visual function and appearance after suffering from Bell’s palsy or other forms of facial paralysis.

For more information on the subject of Bell’s Palsy, inability to close the eyes and how to correct these issues please open the following links: http://drmassry.com/blog/?tag=eyelid-paralysis, http://drmassry.com/blog/?p=488 , http://drmassry.com/blog/?p=521

 

 

9Apr/120

Fixing Eyelids in Bell ’s Palsy

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When Bell’s palsy occurs the eyelids become weakened or paralyzed – this is called eyelid paresis or paralysis.  This is a difficult condition for the patient as the eye does not close which leads to discomfort, disfigurement and loss of function.

Dr. Guy Massry ( Beverly Hills Ophthalmic Plastic Surgery) http://drmassry.com is an expert in eyelid paralysis surgery.  Dr. Massry performs surgery in minimally invasive ways so as to preserve function and appearance, as is evidenced by his most recent novel surgical description http://www.widepr.com/press_release/36561/novel_approach_to_correcting_lower_lid_droop_minimally_invasive_orbicularis_sparing_mios.html

Please refer to the following links for more information on eyelid paralysis surgery by Dr. Massry http://drmassry.com/blog/?p=488 , http://drmassry.com/blog/?p=527 .

Only doctors with much experience with eyelids and with eyelid paralysis should perform surgery in these circumstances.  Dr. Massry is a nationally recognized eyelid surgery specialist.  He has written two textbooks in the field: view links to these books -  http://www.springer.com/medicine/ophthalmology/book/978-1-4614-0066-0 and  http://www.springer.com/medicine/ophthalmology/book/978-0-387-25389-3 .  Dr. Massry takes great care in not only correcting the eyelid problem, but also doing surgery in a very aesthetic way.

27Feb/120

Midface Lift and Canthoplasty Surgery for Retracted (pulled down) Lower Eyelids

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One of the major complications of lower blepharoplasty surgery (cosmetic lower lid surgery) is lower lid retraction (pulled down lids).  Lower eyelid retraction leads to the white showing under the iris (colored part of the eyes).  This called scleral show (sclera is white part of eyes).  When this occurs the eyes become red, irritated, and dry.  The dry eyes can lead to reflexive tearing.  Repairing this condition (lower eyelid retraction) requires a specialist in eyelid surgery who is well trained in procedures such as canthoplasty surgery (open link) http://drmassry.com/#/1-1, canthopexy surgery, and midface lift surgery (open link) http://drmassry.com/#/1-0 .

Below is an example of a woman who had lower lid retraction (pulled down lower lids) from surgery by another surgeon. On the right are her photos after repair (canthoplasty surgery, midface lift surgery) by Dr. Massry.