Cosmetic Eyelid Surgery in Beverly Hills – Dr. Guy Massry
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

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

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