Cosmetic Eyelid Surgery in Beverly Hills – Dr. Guy Massry
12Feb/150

Upper Eyelid Hollows or Sunken Eyelids after Blepharoplasty Surgery – Eyelid Fillers Can Be The Answer

Posted by Chris Sullivan

Hello, I am Guy Massry, MD – an oculoplastic (ophthalmic plastic surgery specialist) in Beverly Hills, California. Over the years I have had extensive experience in performing secondary surgery (revision surgery or “redo” surgery) on patients unhappy with their initial blepharoplasty (cosmetic eyelid surgery). This has been a very taxing experience as I have seen so many unhappy and emotionally damaged patients who are in the depths of what is a form or variant of post-traumatic stress disorder (PTSD). The inciting event was surgery which “altered” the patient’s natural appearance. This does not mean there is anything wrong with the patient. It means the outcome of surgery negatively affected the patient’s confidence, well-being, and most importantly, their perception of themselves. The most common statement I hear from such patients is “when I look in the mirror I see someone else.” It is essential for all of us to understand this statement. Everyone would be bothered by “losing” a part of themselves – especially their appearance or how others see them. As I practice in Beverly Hills, a city where eyelid surgery is so commonplace, I tend to see a high volume of these issues.

With experience I have realized that while surgery can help in many of these cases, in some situations surgery is limited, and there are other, “better” options for certain patients. One such situation is upper eyelid hollows after poor outcome upper eyelid blepharoplasty. Hollows are depressions form over-excision of skin, muscle or fat. It leaves patients with a deep upper lid and often times skin on bone which is a very aged, or what we call “skeletonized” look. The primary goal of surgery is to recreate youth – this situation does the opposite. It surgically ages people.

I have developed some simple in-office techniques to address the issue of a hollowed or sunken upper lid after upper blepharoplasty surgery. The technique involves the placement of a specific filler to fill and expand the depleted tissue planes so that youth can be re-created. Physician injectors tend to take fillers lightly as they are not a “surgical procedure.” However, complications from fillers also occur and it is critical that you seek an eyelid filler expert when you get treatment, especially with revisions of poor outcome surgery. It is very important the physician injector know the biochemical makeup of the various fillers (all are different and all act differently) so that appropriate selection of filler material for each individual patient is performed.

Please don’t give up if you suffer from hollow upper lids after blepharoplasty surgery. I am happy to see you in consultation and discuss the various options of treatment. Do not get stuck on a permanent solution surgically. If surgery is not indicated or cannot meet your expectations – more surgery can, and often will, make things worse. Please contact my office, Guy G. Massry, MD, at 310-863-3488 or through my website if you would like information or a consultation upper eyelid hollows or sunken upper eyelids after blepharoplasty.

Below is an example of how the situation can be remedied with filler.

 

Blepharoplasty  remedied with filler - before & after.

Blepharoplasty remedied with filler.

 

A: Initial patient presentation to me after poor outcome upper blepharoplasty surgery
B: Immediately after filling left upper lid with filler in the office
C: Immediately after filling right upper lid with filler in the office
D: A month after filling procedure. A very natural result

 

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

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