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

 

13Mar/130

The Origin of Blepharoplasty Surgery – Dr. Guy Massry, MD – Beverly Hills Blepharoplasty Specialist

Posted by admin

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.

12Jul/120

Dr. Guy Massry – Eyelid Lift Surgery in Beverly Hills

Posted by admin

Eyelid surgery is a general term for any surgery on the upper or lower eyelids.  When performed to improve appearance or field of vision, eyelid lifts are referred to specifically as blepharoplasty surgery.  Blepharoplasty surgery is one of the most common facial surgical procedures performed today in the United States and the world in general.   Eyelid lifts involve the removal of variable amounts of skin/muscle and fat from the eyelids.  This allows the lids to be more open, less prominent and more youthful.

Eyelid lifts can be covered by insurance if there is sufficient impairment of field of vision.  This applies only to the upper lids.  Lower eyelid lifts are always cosmetic in nature, and as such, are a fee for service procedure for the patient.

There are numerous types of surgeons who perform eyelid lift surgery.  These surgeons include general plastic surgeons, facial plastic surgeons and oculoplastic surgeons.  General plastic surgeons operate on the body head to toe, facial plastic surgeons on the face only, and oculoplastic surgeons on the eyelids only.  Without a doubt oculoplastic surgeons are the most experienced and well trained eyelid surgeons in the world.  Only an oculoplastic surgeon should perform your eyelid lift surgery.  This will allow the greatest chance for success with surgery.

For examples of eyelid lift surgery open the following link http://drmassry.com/#/1-3 . Here you will find up to date information on blepharoplasty surgery and before and after photos which demonstrate what to expect.

14Jun/120

Eyelid Bag Surgery – A Specialist is the Best Way to Go

Posted by admin

Eyelid bags are one of the most common reasons a person seeks cosmetic surgical improvement.  Eyelid bags make a person look tired and worn out. So, it makes sense that a patient would want this corrected.  The problem is that many cosmetic surgeons perform this surgery.  However, only a few are really trained for the job.

An ophthalmic plastic surgeon (oculoplastic surgeon) is a board certified ophthalmologist (eye doctor) who then continued on in specific training in plastic surgery of the eyelids (oculoplastic surgery).  There are roughly 550 of this kind of specialists in the USA today.  As you can see it is a specialized field with very few members.  The organization which certifies oculoplastic surgeons is the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS). The surgeons accredited by ASOPRS are the best doctors to perform any eyelid surgery – especially cosmetic surgery such as that for eyelid bags.  Why?  Because they are the best trained, most experienced and most knowledgeable about the eyes – the area around which surgery focuses.  Eyes are our most important sense and facial feature – protect them at all costs.

Below is an example of before (left) and after (right) surgery results for eyelid bag surgery.

Eye bag surgery - Dr Guy Massry