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

 

14May/130

When Are Eyes in Danger of Complications from Blepharoplasty Surgery

Posted by admin

guy-g-massry-md-oculoplastic-surgeon-beverly-hills-californiaBlepharoplasty or eyelid surgery is one of the most commonly performed cosmetic and functional facial surgical procedures in the United States today.  It is performed by all aesthetic facial specialties – but is best when in the hands of a cosmetic eyelid surgical specialist – or an oculoplastic surgeon.

The reason surgery is best performed by eyelid surgery specialists is to avoid complications to the eyes.  These complications include the true ocular problems such as the inability to close the eyes, dry eyes, reduced vision, chronically irritated or infected eyes, or constant pain in the eyes.  Complications can also affect appearance and include a “wide-eyed” look, a “cat-eyed” look, upper and lower lids that are hollow, a rounded eye (i.e. lost normal shape), lower lids that are pulled down, or an abnormal outer corner to the eyes.

These complications can be avoided by an appropriate preoperative evaluation and by having surgery performed by a “true” eyelid specialist.  Dr. Guy Massry (Beverly Hills ophthalmic Plastic surgery) is an oculoplastic surgeon with vast expertise in cosmetic blepharoplasty surgery.  Dr. Massry can be reached through his website or at his office at (310) 657-4302.  Dr. Massry would be happy to see you for your eyelid surgery needs.

 

 

 

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.

24Jan/130

Avoiding Blepharoplasty Complications

Posted by admin

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 .

16Sep/120

Educate Yourself Before Having Cosmetic Eyelid Surgery (Blepharoplasty )

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Blepharoplasty surgery is a unique form of specialized facial cosmetic surgery which addressed the aged eyelids.  This includes both the extra (hanging) skin of the upper eyelids, and the puffy and prominent bags of the lower eyelids.

The surgery to correct these issues is called blepharoplasty surgery.  Blepharoplasty surgery can be performed while awake, under local anesthesia injections only, sedated or asleep (under general anesthesia).  Blepharoplasty surgery is so specialized that there is a group of cosmetic physicians who only specialize in this area.  This specialty is called ophthalmic plastic surgery.  The organization which trains oculoplastic surgeons is called the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS). Please open this ink to find out more about ASOPRS http://asoprs.org.

Dr. Guy Massry, Beverly Hills blepharoplasty specialist is an ASOPRS member who performs hundreds of both upper and lower blepharoplasty surgeries every year.   He has particular expertise in revising surgery after poor outcomes http://www.realself.com/find/California/Los-Angeles/Oculoplastic-Surgeon/Guy-Massry ,http://www.vitals.com/doctors/Dr_Guy_Massry#reviews , http://www.ratemds.com/doctor-ratings/170637/Dr-Guy-Massry-Beverly+Hills-CA.html .  Dr. Massry’s only goal to provide an honest appraisal of what can be achieved with your blepharoplasty surgery so that you can have a realistic expectation of outcome

Please open this link to see before and after surgery examples of Dr. Massry’s work (click on before and after gallery) http://drmassry.com/#/1-3

If you have any questions regarding Dr. Massry’s work, or desire a blepharoplasty surgery consultation; Dr. Massry  can be reached at his Beverly Hills office at 310 453-8474

 

 

 

6Mar/120

Eyelid Fillers Explained

Posted by admin

Lower eyelid filler is an important option for cosmetic lower lid rejuvenation in patients who do not desire lower blepharoplasty, or those who are not candidates for lower blepharoplasty.  There are a variety of lower lid fillers which can be used to improve lower lid bags and hollows.  The safest of these is Restylane.  Restylane is a hyaluronic acid (a normal part of our bodies) filler which is injected to the lower lid hollows to smooth the lid.  It can be injected with a needle, or with a microcannula (a blunt tipper cannula).

Dr. Massry prefers the microcannula technique for eyelid filling with Restylane as it is generally painless, complication free and leads to minimal bruising and swelling

Dr. Massry performs many eyelid filling procedures weekly.  He is a well-respected national lecturer and has authored two textbooks on cosmetic eyelid surgery.  The following link is to his latest text http://www.springer.com/medicine/ophthalmology/book/978-1-4614-0066-0 .

Bellow is an example of an immediate postoperative result of lower eyelid filling with Restylane filler with the microcannula.  As you can see there is a significant improvement in lower lid bags and hollows (see photos on right for after treatment).