Cosmetic Eyelid Surgery in Beverly Hills – Dr. Guy Massry
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

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.

24Feb/130

Blepharoplasty Surgery (Eyelid Lift) Before and After Photographs

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Blepharoplasty Surgery (Eyelid Lift) Before and After Photographs

30Jan/130

Dr Guy Massry – DrMassry.com – Beverly Hills Cosmetic Eye Surgeon – Launches Mobile Content

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iphone5_drmassryBeverly Hills, CA – Dr Guy Massry is pleased to announce the launch of mobile.drmassry.com. The new website provides content found at drmassry.com in a format optimized for mobile and tablet devices. Iphone, ipad, and android users are automatically directed to the mobile version of the site. Users will notice the mobile version loads quickly and delivers site information efficiently preserving the user’s bandwidth.

Additionally Dr. Massry’s blog has been optimized for mobile devices and contains a growing information base on oculoplastic and ophthalmic plastic surgery.

The mobile site can be accessed directly at mobile.drmassry.com. Dr. Massry practices cosmetic eyelid surgery in Beverly Hills, California.  He is very dedicated to clinical research and teaching, and is a sought after speaker at scientific meetings, publishes in his area of expertise often, and is a fellowship preceptor for training facial plastic surgeons.  He has expertise in both primary (first time) and revisional (redo) brow lift surgery, blepharoplasty surgery , mid face lift surgery, facial and eyelid fat grafting and the use of Botox and fillers (Restylane, Juvederm, Belotero, etc.).  Dr. Massry can be reached at his office at (310) 657-4302 or through his web site at http://www.drmassry.com

 

 

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 .

16Jan/130

New and Innovative Eyelid Surgical Procedure

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MassryBeverly Hills, CA, January 15, 2013 - Dr. Guy Massry, MD (Beverly Hills cosmetic eyelid surgery) has developed a new and innovative surgical procedure to improve and smooth the transition of the brow to the upper lid (reduce depressions) after upper blepharoplasty surgery. The procedure is similar to repositioning fat in lower lid blepharoplasty (a now well accepted surgery). Dr. Massry has described and presented the procedure at last year’s fall meeting of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS www.asoprs.org) in Chicago, Illinois. The presentation was very well accepted. Dr. Massry has now written the manuscript on the procedure which has been accepted for publication after peer review in an upcoming issue of Ophthalmic Plastic and Reconstructive Surgery (OPRS). The manuscript is titled “Effacing the Orbitoglabellar Groove with Transposed Upper Eyelid Fat.”

This is the second in a series of publications by Dr. Massry on preserving and repositioning upper eyelid fat during blepharoplasty surgery. The first manuscript was published in 2011 and is cited below
Massry GG. Nasal fat preservation in upper blepharoplasty. Ophth Plast Recosntr Surg 2011;27(5):352-355.

The importance of this innovation is that it allows cosmetic upper blepharoplasty without leading to eyelid depressions (hollows). This is a big step forward in upper blepharoplasty surgery.

Dr. Massry practices cosmetic eyelid surgery in Beverly Hills, California. He is very dedicated to clinical research and teaching, and is a sought after speaker at scientific meetings, publishes in his area of expertise often, and is a fellowship preceptor for training facial plastic surgeons. He has expertise in both primary (first time) and revisional (redo) brow lift surgery, blepharoplasty surger , mid face lift surgery, facial and eyelid fat grafting and the use of Botox and fillers (Restylane, Juvederm, Belotero, etc.). Dr. Massry can be reached at his office at (310) 657-4302 or through his web site at http://www.drmassry,com

18Jun/120

Closed Canthoplasty – A New Surgical Option

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Canthoplasty is a specific eyelid surgical procedure aimed at tightening or suspending the lower eyelid.  It is both a reconstructive surgery (for eyelid malposition – i.e. lid turns out – ectropion, or lid turns in – entropion), and a cosmetic surgery (to support the lower eyelid during blepharoplasty).

Traditional canthoplasty has been reconstructive in nature and has involved releasing the lower lid from its attachments to bone, shortening it, and the re-securing it to bone.  This is an excellent operation for patients with eyelid problems (as mentioned above); however, it can be a frustrating procedure for patients seeking cosmetic eyelid surgery (blepharoplasty).  This is because such disruption of the lateral canthus (where the outer part upper and lower eyelids meet) can lead to symptoms such as pain, tenderness, tightness, mal-alignment of the two canthi from one eye to the other, webbing of the canthus and a change in the shape of the canthus (canthal angle becomes rounder or too narrow).

An option in cosmetic patients to avoid these potential problems is what we call a closed canthoplasty.  This is a canthoplasty without cutting the canthus.  This is performed by making a small incision in the outer upper lid crease (where a line or crease already exists) and accessing the lower lid for suspension through this point.  This procedure suspends the lid without altering the canthus externally.  While this may not be ideal for reconstructive cases – it is especially beneficial for cosmetic eyelid surgery (blepharoplasty).

Closed canthoplasty is an advanced surgical technique.  It should only be performed by an eyelid specialist or a surgeon who has advanced training in eyelid surgery.  Please do your research on this and consider the option before proceeding with traditional open canthoplasty during cosmetic eyelid surgery (lower eyelid blepharoplasty)

 

9Apr/120

Eyelid Paralysis/Paresis

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Eyelid paralysis or paresis leads to loss of function (strength and tone) of the eyelid muscle which closes the eye – the orbicularis oculi muscle.  This can cause to disfigurement, reduced vision and depression. Eyelid paralysis can be caused by a number of problems such as Bells Palsy, trauma, surgery or tumors.  It is critical to make the appropriate diagnosis and develop the best treatment plan to address the weakened (paretic eyelids)

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

26Feb/120

Eyelid Filler Injections with the Microcannula

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Eyelid bags and depressions can be treated non-surgically with filler.  Around the eyelids Dr. Massry (Beverly Hills Ophthalmic Plastic Surgery) prefers to use Restylane as his filler of choice. Traditionally, eyelid filler (Restylane) has been injected around the eyes with needles.  While the results have been good, there is often significant bruising and swelling associated with the treatment.

Recently, blunt-tipped microcannulas have been developed for injection of filler to any area of the face.  While these have taken hold, few injectors have been comfortable with injections around the eyes.  Dr. Guy Massry, an experienced eyelid filler injector has transitioned almost all his eyelid filler injections to the use of the microcannula.  Dr. Massry prefers this method, as it is safer (no chance of injecting into a blood vessel), more comfortable (not painful), easier to perform, and yields minimal to no bruising and swelling.

Below is an example of a woman who had Restylane eyelid filler injected to the hollows under the lower lids to improve appearance.  On the right are her immediate post-injection photos.  Note that there is slight redness (gone in 30 minutes) and no bruising and swelling