Cosmetic Eyelid Surgery in Beverly Hills – Dr. Guy Massry
7Jan/130

New Beverly Hills Office

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Dr. Guy Massry – Ophthalmic Plastic Surgery – Beverly Hills, California – is proud to introduce the opening of his new office.  Dr. Massry’s new office address is:

150 North Robertson Blvd

Beverly Hills, California 90211

Ph (310) 657-4302

FAX (310) 6574322

Cosmetic-Eyelid-Surgery-Dr-Guy-Massry-150-North-Robertson-Blvd-Beverly-Hills-CA-90211-1 Cosmetic-Eyelid-Surgery-Dr-Guy-Massry-150-North-Robertson-Blvd-Beverly-Hills-CA-90211-2 Cosmetic-Eyelid-Surgery-Dr-Guy-Massry-150-North-Robertson-Blvd-Beverly-Hills-CA-90211-3 Cosmetic-Eyelid-Surgery-Dr-Guy-Massry-150-North-Robertson-Blvd-Beverly-Hills-CA-90211-4 Cosmetic-Eyelid-Surgery-Dr-Guy-Massry-150-North-Robertson-Blvd-Beverly-Hills-CA-90211-5 Cosmetic-Eyelid-Surgery-Dr-Guy-Massry-150-North-Robertson-Blvd-Beverly-Hills-CA-90211-6

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

 

 

 

25Jul/120

How to Fix Bad Blepharoplasty Surgery

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Blepharoplasty surgery – also referred to as eyelid surgery, eyelid lift surgery, eyelid bag surgery or simply cosmetic eyelid surgery – is one of the most common facial plastic surgical procedures performed today.  Numerous surgeons from varied subspecialties perform eyelid lift surgery.  The problem is that blepharoplasty surgery is a very specialized cosmetic surgery which can easily lead to a poor outcome if not performed by the appropriate surgeon.

So who performs eyelid lift surgery?

  1. Oculoplastic or ophthalmic plastic surgeons.  These specialists are first trained in eyes (ophthalmology) and then further trained is eye plastic surgery.
  2. Facial plastic surgeons.  These are ear nose and throat trained surgeons who do further training in facial cosmetic surgery.
  3. General plastic surgeons.  These are surgeons trained only in plastic surgery – but of the entire body (head to toe).
  4. A variety of other surgeons without any specific training in plastic surgery.

Clearly the best trained and most experienced surgeons for your eyelid bag surgery are oculoplastic surgeons http://drmassry.com/#/6-0 , http://drmassry.com/blog/?p=116 .  All other fields do not have the depth of training in surgery of this very complex area of the face.

Cosmetic oculoplastic surgeons specialize in blepharoplasty (eyelid or eyelid bag surgery) http://drmassry.com/blog/?p=754http://drmassry.com/blog/?p=603, http://drmassry.com/blog/?p=546 , http://drmassry.com/blog/?p=531 .  They also specialize in fixing surgery that has turned out poorly.  No other field in cosmetic surgery has this form of training.  If you have had a poor outcome to your eyelid bag surgery – please see only an oculoplastic surgeon to correct the problem.  This is the best way to ensure a good outcome to your redo (revisional ) procedure.

Common problems encountered after poor result eyelid lift surgery are inability to close the eyes, pulled down lower lids, problems with the canthus (outer corner of the eyelids), residual puffiness, and a slew of other issues.

These problems can be corrected in many cases.  However, to do so, only a specialist in the field should be seen.

 

 

 

 

14Jul/120

The Browpexy – A Minimally Invasive Brow lift

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outer brow lift and blepharoplastyToday cosmetic eyelid surgery (blepharoplasty) is one of the commonest facial aesthetic procedures performed in the world.  Often times to perform appropriate eyelid lifts (blepharoplasty) it is necessary to also address the brow.  There are numerous forms of formal brow lifts such as the endoscopic brow lift, which are very powerful, but also expensive and very involved surgical procedures.

For those patients who are concerned with costs, recovery from surgery and invasiveness of the procedure, there is an alternative.  This other form of brow surgery is called a browpexy.  A browpexy is a procedure which minimally elevates or stabilizes the brow so that it will not be lowered even further when eyelid surgery is performed.  In many cases when the brow is low (or borderline low) and eyelid lift is performed the brow will be pulled even lower.  This has negative consequences on appearance and function after surgery.

What Is A Browpexy?

A browpexy is a suture suspension of the brow to the underlying bone.  It can be performed from within the eyelid (internal browpexy) or from a small incision above the brow.  The later procedure is called the external browpexy (developed by Dr. Guy Massry – Ophthalmic Plastic Surgeon -  Beverly Hills, California). Below are a few of Dr. Massry's published articles on the procedure:

Now a browpexy is not for everyone.  Appropriate patient selection is critical to attain the best results.  However, in the right patient and with the right doctor performing the procedure, high patient satisfaction and excellent results are obtained.  Below are examples of patients who underwent the external variant of the browpexy as described by Dr. Massry.  When viewing these photos (before surgery - left/after surgery - right) only pay attention to the correction of brow asymmetry - which was the purpose in each case.

Before and After Browpexy

Contact Dr. Massry Today!

For more information on this novel and non-invasive form of brow lifting, please schedule a consult with Dr. Massry by calling us at 310.657.4302.

Meet Dr Guy Massry

6Mar/120

Eyelid Fillers Explained

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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).

27Feb/120

Midface Lift and Canthoplasty Surgery for Retracted (pulled down) Lower Eyelids

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One of the major complications of lower blepharoplasty surgery (cosmetic lower lid surgery) is lower lid retraction (pulled down lids).  Lower eyelid retraction leads to the white showing under the iris (colored part of the eyes).  This called scleral show (sclera is white part of eyes).  When this occurs the eyes become red, irritated, and dry.  The dry eyes can lead to reflexive tearing.  Repairing this condition (lower eyelid retraction) requires a specialist in eyelid surgery who is well trained in procedures such as canthoplasty surgery (open link) http://drmassry.com/#/1-1, canthopexy surgery, and midface lift surgery (open link) http://drmassry.com/#/1-0 .

Below is an example of a woman who had lower lid retraction (pulled down lower lids) from surgery by another surgeon. On the right are her photos after repair (canthoplasty surgery, midface lift surgery) by Dr. Massry.

 

31May/110

Canthoplasty Surgery Part 3 – The Surgical Procedure

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In my first two blogs on canthoplasty surgery I discussed canthal anatomy http://drmassry.com/blog/?p=190 and why canthoplasty surgery is important http://drmassry.com/blog/?p=194

Please refer to these links for review.

Today I will describe with surgical photos and accompanying illustrations the traditional canthoplasty surgery or “lateral tarsal strip procedure.”

In the series below the top photos show the opening of the canthus (canhotomy), the middle photos the surgical cutting of the lid from the oribt bone (cantholysis), and the bottom photos how the lid is dynamically free after its release from bone.  This is how canthoplasty surgery begins

In the next series the photos demonstrate how a tarsal tongue (what we use to re-anchor lid to bone) is formed.  Top: tarsus (skeleton of lower lid) is released, middle and bottom: surrounding skin is cut away from tarsus.  This is how canthoplasty surgery progresses

In the next series on canthoplasty surgery the tarsus is prepared for suturing to bone.  Top: residual skin istrimmed from the tarsus, middle: tarsus is shortened, bottom: suture placed through tarsus in preparation for anchoring to bone.  The canthoplasty surgery is almost complete

In the final series below the canthoplasty surgery is completed. Top: suture placed through lining of the bone (periosteum), middle: lid tightened, bottom: skin closed.

As you can se there are many critical steps in canthoplasty surgery.  All the steps are important in order to get a good result.  For examples of before and after pictures of patients having canthoplasty surgery open the following link from my website http://drmassry.com/#/1-1

If you are interested in information on canthoplasty surgery you can contact Dr. Guy Massry (Beverly Hills Ophthalmic Plastic Surgery) at his office (310) 453-8474 or through his website http://drmassry.com

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 .