Cosmetic Eyelid Surgery in Beverly Hills – Dr. Guy Massry
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

 

 

24Mar/120

Ophthalmic Plastic Surgery: Correcting Eyelid Paralysis/Paresis in a Minimally Invasive Way

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Eyelid Paralysis (paresis) can result from Bell’s palsy or a variety of other causes of facial nerve injury (facial/eyelid paralysis/paresis).  This typically results in an eye that cannot close, ocular irritation, dry eye, a red eye and tearing.  In addition the lower lid tends to droop (retract).  This adds to eye symptoms and is cosmetically a problem.

The difficulty in correcting the lower lid retraction (droop) is that most procedures require surgical manipulation (cutting) of the lower lid muscle which closes the eye (orbicularis oculi muscle) and the outer corner of the upper and lower lids – the lateral canthus.  These steps can weaken the lids further, cause scarring, and alter appearance in a negative way.

Dr. Massry has devised a better solution for eyelid paralysis patients whether from Bell’s palsy or any other cause of facial or eyelid paralysis (paresis).  Dr. Massry has called this procedure the Minimally Invasive Orbicularis Sparing (MIOS) technique of lower lid elevation (recession) for eyelid paralysis/paresis.

In this procedure the lower lid is elevated (recessed) by releasing the lower lid depressing muscle (to allow unopposed elevation) from the inside of the lid (transconjunctivally).  The lower lid is then tightened (suspended) from an outer upper lid incision typically used in standard cosmetic lid surgery (blepharoplasty).  In this way the lid tightening, or canthoplasty, and lid elevating, or lid recession, procedures are both performed with hidden incisions, no scarring, and most importantly no trauma to the lid closing muscle: the orbicularis muscle.

Below is an example of a young man who had this procedure on the right eye.  On the left are his before pictures.  You can see the lower lid droops and the eye is wider in opening.  On the right are the 6 month postoperative results.  Along with the picture are the patient’s own comments regarding his experience with surgery

Two years ago I had a doctor accidentally sever my 5 and 7 facial nerve during a jaw surgery... He told me it would come back but it never did. So for 2 years I had to battle with the depression of living with the right side of my face completely paralyzed. I was unable to blink or smile or protect my eye at all. It took me two very hard lessons of going to general surgeons to learn you can't think of not seeing a specialist when it comes to your health and safety... So I consulted the offices of Dr. Guy Massry, a specialist in eyelid paralysis surgery. Immediately I was blown away with the high standards of professionalism there, it was like night and day. They are very prompt, cordial, informed, and dedicated to their patients... Dr. Massry didn't just perform a surgery on my eye... He performed a miracle! I am SOO much happier now that he fixed my eye. You would barely even notice a difference between the two! It has made me much more comfortable to be in public and it's like he has given me my life back again! Plus he was always just a phone call away if I needed anything at all which if you know IS NOT the case with a lot of other medical practices. Overall, I'm glad I found out about Dr. Massry and I would fully recommend him to anyone else who suffered with facial palsy/paralysis like I did.

PhillipAmaro

 

 

 

1Jun/110

Blepharoplasty – Blepharoplasty in Men

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Blepharoplasty (cosmetic eyelid surgery) is becoming more and more common in men.  Male blepharoplasty is different from the same surgery in women in that surgery is more conservative as not to feminize their appearance.  Over-aggressive male blepharoplasty is a common problem as many surgeons do not modify their technique when switching genders.  This has led to many unhappy patients who desire revision of their initial procedure.  The best way to avoid this is to see a well-trained blepharoplasty surgeon who has significant experience with surgery in men.

Below are two examples of before (left) and after (right) photos of male patients of mine who had upper and lower blepharoplasty.  The top patient was in his early 60’s and the bottom patient in his mid-70’s.  Note the natural and youthful improvement in appearance in both men after surgery. For more examples please open the link to my website http://drmassry.com/#/1-3

 

9May/110

New Surgical Technique to Improve Outcomes of Upper Blepharoplasty Surgery

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Dr Guy Massry, MD (Ophthalmic Plastic Surgery) of Beverly Hills, California has introduced a new surgical technique to improve outcomes in upper eyelid blepharoplasty surgery.

The novel technique demonstrates how to preserve eyelid fat during upper blepharoplasty surgery to prevent postoperative hollowing of the eyelids.  This is an important addition to our evolving understanding of maintaining eyelid fat during surgery to prevent a sunken appearance after surgery.  This concept has gained wide acceptance with lower lid surgery, but until now has not been elaborated well in upper lid surgery.

Traditional upper blepharoplasty is a subtractive form of surgery that involves the excision of variable amounts of skin, muscle, and fat from the eyelid. The goal of surgery is to improve field of vision and/or appearance. While surgical debulking of the eyelid may improve appearance early on, the removal of tissue inherent to this process (especially fat excision) can contribute to a hollowed appearance with an associated deep and sunken appearance of the upper eyelid. This skeletonized look may be eliminated or reduced by preserving and repositioning a prominent nasal (inner) fat pad, if present, to the central upper eyelid.

The article is featured in the peer reviewed journal Ophthalmic Plastic & Reconstructive Surgery - the primary periodical of the society.

Link:

http://journals.lww.com/op-rs/Abstract/publishahead/Nasal_Fat_Preservation_in_Upper_Eyelid.99710.aspx - the full article can be viewed by opening the article PDF under article tools

This recent innovation, which Dr. Massry has also presented at scientific medical meetings, is born out of a continuing effort by Dr Massry to improve the field of Ophthalmic Plastic & Reconstructive Surgery. Dr. Massry is also active making comprehensive information available to anyone considering ophthalmic plastic surgery through his website and social network pages. Please visit www.drmassry.com .