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.

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 .

12Jul/120

Dr. Guy Massry – Eyelid Lift Surgery in Beverly Hills

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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.

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)

 

14Jun/120

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

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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

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 .