Cosmetic Eyelid Surgery in Beverly Hills – Dr. Guy Massry
31Jan/190

7 Tips For The Best Lower Lid Retraction Repair Results

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Lower eyelids that become pulled down after cosmetic lower blepharoplasty is called lower eyelid retraction. More specifically, it is referred to as post-blepharoplasty lower eyelid retraction. This is a devastating complication emotionally, psychologically, and functionally (as it can lead to true eye problems). When one looks in the mirror and no longer sees themselves, it’s overwhelming. It often leads to various degrees of post-traumatic stress disorder (PTSD).

Post-blepharoplasty lower eyelid retraction should be taken very seriously and should only be repaired by an expert in corrective eyelid surgery, like Dr. Guy Massry in Beverly Hills. After performing corrective surgery for this problem for over 20 years, Dr. Massry is a true specialist at repairing this problem. Below Dr. Massry outlines 7 tips for the best lower lid retraction repair results.

How to Get the Best Lower Lid Retraction Repair Results

#1 - The best way to avoid lower lid retraction is to prevent it.

The initial examination dictates what should and should not be done in primary lower blepharoplasty. When patients are screened properly, the appropriate procedure can be selected to prevent this problem.

Dr. Massry's Tip: Only see a proven eyelid specialist with experience in lower lid blepharoplasty.

#2 - The chances of lower lid retraction significantly increase when the incision is done through the skin. 

Lower lid retraction almost exclusively occurs when surgery is done through the skin of the lower eyelid. This is known as transcutaneous surgery or open approach surgery. This is not a bad procedure – but it is the wrong procedure in many patients.

Dr. Massry's Tip: See an experienced eyelid specialist who knows how to identify who should not have this transcutaneous surgery.

#3 - Lower lid retraction is more common in patients with prominent eyes.

Lower eyelid retraction is especially prevalent in patients who have prominent eyes and a weak orbicularis muscle (the eyelid closing muscle) who have transcutaneous surgery.

Dr. Massry's Tip: Do not have transcutaneous surgery when these issues exist.

#4 - Lower lid retraction repair requires a graft.

Corrective surgery often requires lengthening the lower eyelid internally with a graft. There are many options from this graft – but tissue from your own body is best and leads to less inflammation.

Dr. Massry's Tip:  Only see a proven eyelid specialist with experience in grafts to repair lower lid retraction. 

#5 - Have realistic expectations for your results.

Your eyes will never be like they did prior to the problem developed, but they can be MUCH better if surgery is done correctly.

Dr. Massry's Tip: Make sure you have a very honest conversation with your surgeon about what sort of results are realistic for you. 

#6 - Eyelid retraction repair is an incredibly complex procedure.

This is complicated and artistic surgery to correct, so be very careful with your choice of who does it.

Dr. Massry's Tip: Only see a proven eyelid specialist with experience with this problem. Ask to see before and after pictures of patients similar to you, as well as find out how many of these procedures the surgeon does every year. 

#7 - Great surgery will make you feel like yourself again.

If surgery is done properly you will look and feel a lot better!!!

Dr. Massry's Tip: Choose a specialist in post-blepharoplasty eyelid retraction so you get the best results possible. 

Finding the Best Lower Lid Retraction Repair Results Surgeon

Dr. Massry has dedicated much of his career to correcting post blepharoplasty lower eyelid retraction. As such, he has published numerous articles and textbook chapters on the subject, as well as has been invited to lecture around the world to teach other physicians his cutting-edge surgical techniques. He is happy to see you if you suffer from this eyelid deficit and want to learn how to get the best lower lid retraction repair results.

Before & After Fixing Lower Lid Retraction After Blepharoplasty

Below you will find a few representative examples of lower lid retraction repair.

Example 1 -  This woman had previous transcutaneous lower blepharoplasty with subsequent lower eyelid retraction (left). After surgical repair with Dr. Massry she was much improved (right).

Lower lid retraction repair

Example 2 - This man had multiple previous attempted repairs for his lower eyelid retraction (left) after a primary transcutaneous surgery. This is his result after Dr. Massry’s repair (right).

Male lower lid retraction repair

Example 3 - This woman travelled from Asia to see Dr. Massry. She was devastated by her post blepharoplasty lower eyelid retraction (left). She was so happy after Dr. Massry’s repair (right).

lower lid retraction repair - dr guy massry - beverly hills

Example 4 - This is a final example of the same. On left is a patient with post blepharoplasty lower eyelid retraction after transcutaneous blepharoplasty. On right after Dr. Massry’s repair

lower lid retraction surgery - revision eyelid - dr guy massry

View more patients in our Lower Lid Retraction Repair photo gallery. 

Contact Dr. Massry Today!

If you experienced post-blepharoplasty lower lid retraction, please contact our office today at 310-657-4302 to schedule a consultation with Dr. Massry.

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10Jan/190

Male Blepharoplasty – Age Appropriate Results Are Key

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As the years go on, more and more men are interested in the idea of plastic surgery to rejuvenate their appearance. In fact, according to a recent report by the American Society of Plastic Surgeons, over 214,000 males in the United States chose to have plastic surgery. The report also highlighted that eyelid surgery is the second most common plastic surgery procedure among men. Dr. Massry explains how to get age appropriate male blepharoplasty results.

Choosing the Best Male Blepharoplasty Surgeon

While blepharoplasty is a very common procedure, it is one that should not be taken lightly. The area around the eyes is very delicate and the structures are very complex. This is why it is of utmost importance to seek out an oculoplastic surgeon to perform your blepharoplasty. An oculoplsatic surgeon, like Dr. Guy Massry, only performs procedures around the eyes and orbit.

Furthermore, when it comes to the male eyes, you want to make sure your surgeon has extensive experience with male patients. There are many intricacies when rejuvenating male eyes, compared to female eyes, that require the knowledge and expertise of an oculoplastic surgeon.

Achieving Age Appropriate Blepharoplasty Results for Men

Dr. Massry’s top priority is to always provide his male blepharoplasty patients with natural, age-appropriate results. During a consultation with a male patient, Dr. Massry evaluates the eyes and listens to the expectations of the patient. To ensure the surgery results are age appropriate and natural looking, Dr. Massry customizes the surgery to the exact needs of the patients. This customization is how he ensures the results are age appropriate.

Before & After Male Blepharoplasty

Below is an example of a patient with a lot of aging around the eyelids. After a customized blepharoplasty that included upper and lower blepharoplasty with Dr. Massry, the patient looks refreshed and age appropriate.

Male blepharoplasty - Dr Guy Massry

The after pictures were taken 3 months post-surgery.

Contact Dr. Massry Today!

If you are interested in refreshing the appearance of your eyes with a male blepharoplasty, contact Dr. Massry’s office today.

Read More of Dr. Massry’s Blogs

Lower Blepharoplasty: Why Cut From The Inside Of The Lower Lid

Blepharoplasty 101: Meeting Patient Expectations

The Direct Excision of Eyelid Festoons

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3Jan/190

Eyelid or Orbital Trauma – Repairing the Medial Canthus

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Trauma to the face can, unfortunately, end in injury to the eyelids or the orbit – the bone around the eye socket. The range of injury to the eyelids and orbit ranges greatly depending on the traumatic event. But in most cases, after the trauma, patients will experiences symptoms such as blurry or double vision, black and blue bruises around the eye, swelling of the cheek and forehead, facial numbness, and more. One of the specific injuries this blog will discuss is malposition of the medial canthus.

How is an eyelid or orbital trauma treated?

If you have sustained an injury to the eyelid or orbit, you should see an oculoplastic surgeon immediately to be evaluated. As an orbital expert, Dr. Guy Massry has helped repair many traumas over his career.

There are many ways in which someone can experience eyelid or orbital trauma, including car accident, assault, sports injury, and work accidents, to name a few. Because each cause of trauma and injury is unique, the treatment plan will also be unique. Once Dr. Massry evaluates a patient’s injury, he is then able to determine the best course of treatment. In most cases, a trauma patient will require more than one surgery to get the best results possible.

Medial Canthal Malposition After Trauma

The medial canthus is the corner of the eye where the upper and lower lids meet. It is structurally very complicated as it is the connection point of the upper and lower lid and the nasal bridge.

When the medial canthal is injured or disturbed there are few options to correct and they can be complicated.

Medial Canthal Repair

Relocation of the medial canthus involves moving the soft tissue (skin and muscle), eliminating any webs, which often occur after trauma, and creating a new connection of the medial canthus to the bone of the inner eye. Doing this properly and creating natural looking results is a big challenge.

Dr. Massry has worked on various procedures for this kind of complex repair.

Medial Canthal Repair – Case Study

medial canthus correction

This young man came to Dr. Massry after he was assaulted with severe facial trauma including fractures and lacerations. After evaluation, Dr. Massry determined he would need to perform numerous surgeries to get him to looking and feeling his best.

In the most recent surgery, Dr. Massry realigned his medial canthus - or inner corner where the eyelids meet. The medial canthus needed to be translocated (moved) down. The patient also requested that his web be reduced for symmetry to the opposite side (see the arrow pointing to the web in the picture above).

While the changes are subtle, these results mean the world to him!!! After experiencing violence and trauma, psychological improvements are very important!

Contact Dr. Massry Today!

If you or someone you know has suffered a traumatic injury to the eyelid or orbit, please contact our office today – 310.657.4302. As the most trusted oculoplastic surgeon for the most complex cases, you can rest assured you are in the best hands with Dr. Massry.