Cosmetic Eyelid Surgery in Beverly Hills – Dr. Guy Massry

Lower Blepharoplasty – Why Fat Preservation is Essential

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Lower Blepharoplasty

Lower blepharoplasty is a time-honored aesthetic procedure aimed at removing lower eyelid bags and addressing lower eyelid hollows and dark circles.  These hollows, or depressions, are generally referred to as “periorbital” or “eyelid hollows” and are typically aesthetically displeasing to patients.

Lower blepharoplasty had traditionally been performed with incisions under the eyelid lashes (transcutaneous surgery).  This route for surgery has unfortunately led to an unpredictable and unacceptably high rate of lower eyelid retraction (pulled down lower lids). Essentially, lower eyelid retraction leads to a change in the shape of the eye, a drooping of the lower lid, a rounded appearance to the lateral canthus (where the outer upper and lower lids meet), and sometimes a “starry-eyed” or “wide-eyed appearance.” Eyelid retraction occurs in up to 20% of all cases that are performed by the transcutaneous method.  Of note, sometimes retraction does not develop until years later. As a result, surgeons may not know that this was a surgical issue. 

To avoid this devastating complication, surgery can now be performed from inside the eyelid (transconjunctival surgery).  This is my preferred route for surgery. This method of lower blepharoplasty greatly reduces the risk of altering the eye shape as it addresses fat prominence and preserves the integrity of critical eyelid structures which maintain eyelid shape and appearance (the orbital septum and orbicularis muscle).

Additional adjuncts which can improve the outcome of lower blepharoplasty and prevent complications are canthal suspension, canthoplasty or canthopexy (eyelid tightening), and fat re-positioning (preserving eyelid fat to fill under eye hollows).  In aesthetic eyelid surgery, the goal is to enhance appearance without disturbing function. Canthal suspension aids preventing retraction by supporting the lower eyelids.  A modified canthoplasty, in which the lower lid is formally reinforced, without its disinsertion or shortening, or a canthopexy, where the orbicularis muscle is used to support the lower lid, can be performed to accomplish this goal. These procedures are less tissue disruptive and traumatic, simpler and quicker, and lead to less postoperative complications, than traditional canthoplasty. They are a necessary step in lower eyelid blepharoplasty surgery and can be mastered with experience.

In fat re-positioning, transposing native eyelid fat in underlying hollows (rather than fat excision) reduces elevations (fat prominence) and fills the depressions (eyelid hollows). This technique smooths these contour irregularities and re-creates the natural contours of the youthful lower lid, while preserving volume. This is why preserving the fat in the eyelid is essential during a lower blepharoplasty procedure.

It is essential that lower blepharoplasty surgery only be performed by an experienced eyelid surgeon who can adequately evaluate the lower eyelid deficits present and plan accordingly to create a natural result.  Below are a few examples of surgical outcomes of Dr. Massry’s patients:


Before and after lower lid blepharoplasty with Dr Massry


Lower lid retraction repair


Lower eyelid blepharoplasty - Dr Guy Massry


You can read Dr. Massry’s full article on “Comprehensive Lower Eyelid Rejuvenation” at

And watch a short video on lower blepharoplasty here:

As with all procedures, the key to surgical success has more to do with the plan we develop preoperatively than with what we do during surgery. This is especially true with lower lid blepharoplasty.  If you have an interest in lower blepharoplasty or have questions about the procedure – please don't hesitate to Contact Dr. Massry.

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The Real Deal with Brow Lifts

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Brow lift surgery has evolved significantly since its early descriptions.  Early procedures involved various incisions above the brow in folds and creases.  These more direct lifts (called direct because of their proximity to the brows) are powerful, but can lead to obvious scars, loss of brow hair, and irregular brow contours.

Surgery then evolved to large hidden incisions behind the hairline (through an open or coronal approach).  While less powerful than the more direct lifts, these tend to be more aesthetically pleasing and are longer lasting.  However, this open approach to a brow lift is still an incredibly invasive procedure that can lead to unfavorable and long-lasting negative side-effects such as:

  • mild to moderate hair loss along the incision line
  • prolonged numbness
  • tingling, itching and other strange sensations
  • visible bruising and swelling

Endoscopic brow lifting was then introduced, which in many ways has revolutionized the surgery.   The Endoscopic procedure is a more advanced technology, which requires a strong understanding and familiarization with the equipment used by a qualified plastic surgeon.  In this minimally invasive technique, small post-hairline incisions are made, through which a lighted endoscope (an instrument which can be introduced into the body to give a view of its internal parts) is used to release the brow internally. Then, the brows are lifted and fixated into a new and elevated position. This new brow lift technique rarely produces hair loss, and the other side effects related to the open approach are much less severe and shorter lived. Endoscopic brow lifts are also favorable because they leave no obvious incisions or scars once healed, and the benefits are long-lasting.

Finally, there are various procedures described which lift/support the brows from eyelid incisions.  In my view, these “browpexy” procedures are more adjuncts to formal brow lifts than standalone procedures with cosmetic brow lifts.

With this history of procedures in mind...What do I feel is best for patients?  Here are my rules:

  1. Brow lifts are not only about height, but about shape, arch and contour.  This does not mean height is not important – it is; that’s why the surgery is called a brow lift.  However, I prefer the term “brow-recontour” – as the shape, arch and contour must be evaluated and planned to assure a nice aesthetic result
  2. The brows and upper lids should always be considered together as one aesthetic unit – (learn more about this in an earlier post - The Brow and Upper Eyelid as an Aesthetic Unit.)  The brow and upper lid normally transition smoothly in youth, and must be the aesthetic goal when surgically addressing these structures as we age.
  3. Pay attention to, and emphasize, the outer brow.  It has been shown that the outer brow preferentially drops with age.  This should be the emphasis of brow lifts as not to create and unusual shape to the brow after surgery.
  4. Anyone who has skin overhanging the upper lids beyond the lateral canthus (where the outer upper and lower lid meets) is a candidate for an outer brow lift.  Otherwise, to address this skin, the eyelid incision must be elongated beyond the eyelid crease.  (This can at times lead to an unsightly scar.)
  5. Never over lift the brow.  This surgery is about subtle adjustments to allow appropriate eyelid surgery and a natural look.

Below are a few examples of brow lift surgery in my hands.  I almost exclusively perform the endoscopic lift and always focus on brow shape, arch, contour and how the brow and upper lid transition smoothly together. Watch the before and after of this procedure in action in this video: Endoscopic Brow Lift Video | Before & After Brow Lift.

For more information on endoscopic brow lifts visit


Contact Dr. Massry to Learn More!

If you are interested in learning more information on brow lifting surgery, or would like to schedule a consultation, please feel free to contact Dr. Massry at 310 657-4302 or at

You may also purchase my medical text or video on this topic here:

Video: Aesthetic Eyelid and Periorbital Surgery: Surgical Adjuncts and Pearls for Success

Text: Pearls and Pitfalls in Cosmetic Oculoplastic Surgery


The first 2 examples below show the Before image on the left and After on the right.

The bottom image shows the Before image on top and the After on the bottom.

Browlift browlift-2 browlift-1

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Lower Eyelid Retraction – How To Fix Bad Blepharoplasty Results

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Lower eyelid retraction is a devastating complication of bad blepharoplasty results in which the lower eyelid is pulled down. Lower lid retraction has primarily been reported in patients who underwent a transcutaneous approach to lower eyelid surgery – when the surgery is done through lower lid skin. Alternatively, it is rarely seen in the transconjunctival approach surgery – when surgery is done from inside the lid.

Dr. Guy Massry of Beverly Hills sees and manages patients with lower lid retraction often.  It has become a big part of his practice over the years; therefore he has studied it in depth and published on its surgical and non-surgical correction. Due to its complexity, lower lid retraction is a problem only very experienced surgeons with this specific issue should undertake. Please do not take surgical correction lightly. The best chance at a good result is a good exam and surgery tailored to the specific deficits which have led to the problem.

Lower Eyelid Retraction - How To Fix Bad Blepharoplasty Results

This woman came from a distance to have her lower lid retraction corrected after bad blepharoplasty results. She recently sent Dr. Massry before and after pictures that she took herself at home.  As she traveled from far – as many of Dr. Massry's patients with this problem do – he often gets the photographic results of outcome from the patients themselves.   There is never a perfect outcome when this occurs, as often too much damage was done.  However, much can be improved as you see here.

This patient has some advice to share with others who may be in the same situation, "To any woman who is scared and wonders if she can ever be herself again... there is hope in the magic hands of Dr. Massry!!! I lived so heartbrokenly over the last 5 years looking like a freak. There are no words to thank Dr. Massry enough for making me look like myself again!"

Contact Dr. Massry today!

If you have experience lower lid retraction or bad blepharoplasty results, Dr. Massry would be honored to see you and help.  This surgery allows one to get past this traumatic event and move on with their life.  That is what stimulates Dr. Massry's great interest in this problem. Contact our office today to schedule a consultation.

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How to Inject Fillers: Much more important than the product selected

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Injectable fillers have become one of the most common facial aesthetic procedures performed in the world. They have become a standard in facial aesthetic practices and can make a profound difference in improving facial appearance.  Most patients feel fillers (Juvederm, Restylane, etc) are a simple procedure, performed quickly with immediate and gratifying results. While this is typically true, fillers can lead to many complications - some of which are very serious. It is important for patients to be aware of these issues and make sure they see the most qualified physicians that know how to inject fillers so that complications can be avoided.

What Are Possible Filler Complications?

In this post, Dr. Guy Massry will review the most serious of complications - vascular occlusions (a blocked facial blood vessel) which can lead to skin necrosis (death) and even blindness. These are very RARE complications which most injector will never see in their careers. This is not meant to scare patients, but rather to inform them of the issue and educate them on how important it is to see a well-trained physician injector.

Here are the important points:

  1. Facial blood vessels interconnect (communicate with each other). This means if one blood vessel is penetrated by a needle or cannula when the filler is injected, the filler can get to another area on the face. When this occurs, a nearby or distant area blood vessel can get blocked by the filler material. This is how vascular events occur.
  2. To prevent this, an intimate "MEDICAL" knowledge of facial vascular anatomy is needed (through continued medical education).
  3. Injections can be given with a sharpe needle or a blunt tipped cannula. There is no scientific evidence, that cannulas are safer (less vascular events) - but most feel this is true. There is a learning curve to using the cannula. In Dr. Massry's opinion, it is worth it. Also, recent scientific publications have shown that cannula delivery of filler is more exact/precise than filler given by a needle delivery.
  4. Injection technique is also critical to prevent such consular issues. Injections should be placed away from vessels, with fine movements, when the needle or cannula is drawn out, and not until there is an assurance that the injection is not in a blood vessels (by drawing back on the plunger of the syringe). Also very small amounts of filler should be given, with very low-pressure injection. ALL THESE STEPS ARE CRITICAL.
  5. Finally, NEVER have filler given (Hyaluronic acid gels such as Restylane, Juvederm, etc.) without a reversal agent (Hyaluronidase) available. THIS IS CRITICAL. Make sure your injector has this product for all injections or DO NOT DO IT.

Remember, always be safe and fillers can be an amazing facial aesthetic treatment!

Filler Before & After

under eye filler - before and after - dr guy massry

Above is an example of a male patient before and after Restylane filler injections under the eyes to correct hollows and dark circles.

Contact Dr. Massry To Learn More

If you are interested in learning more about facial fillers, please contact our office to schedule a consultation with Dr. Massry. He is highly experienced in filler injections and provides his patients with safe and beautiful results! Call us at 310.657.4302!

Read More of Dr. Massry's Blogs

Male Blepharoplasty - Age Appropriate Results Are Key

In recent years, there has been an increase in males who are interested in plastic surgery to rejuvenate their facial appearance. In a recent report published by the American Society of Plastic Surgeons, over 214,000 males in the US underwent a plastic surgery procedure. The report also showed that eyelid surgery is currently the second most popular plastic surgery procedure among male. If you are a male patient seeking surgical eyelid rejuvenation, it is important to find an oculoplastic surgeon, like Dr. Massry, who will provide age-appropriate blepharoplasty results. Read the full blog here.

Fun Facts About Eyelid Fillers

Everyone knows what fillers are used for, but Dr. Massry shares some fun facts about the history of fillers and how they actually work. Fun Fact #1 - Did you know in the early days of fillers, they were made from the comb (red appendage) on the top of the head of turkeys and chickens?! Don't worry, this is no longer where filler comes from! Read the full blog to learn more fun facts about fillers.

5 Do NOT Rules of Lower Blepharoplasty

Lower lid blepharoplasty refers specifically to rejuvenating the area under the eyes. As people age, they may develop under eye bags, dark circles, or under eye hollows. The goal of a lower lid blepharoplasty is to reduce the appearance of eyelid bags, while simultaneously filling in any hollows or dark circles. When performed by an expert oculoplastic surgeon, like Dr. Massry, rather than simply removing all of the eyelid fat, the excess fat is instead transposed to reduce fatty pockets and fill in the hollows. This approach results in smooth, youthful under eye contours. Find out Dr. Massry's 5 Do NOT Rules of Lower Blepharoplasty.

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5 DO NOT Rules of Lower Lid Blepharoplasty

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When we read blogs and articles we always read about the things TO DO. We hardly ever read about what NOT TO DO. So today, Dr. Guy Massry wants to share his 5 DO NOT Rules of lower lid blepharoplasty. These 5 do not rules are just as important as any "to do" rules in ensuring a patient gets the best lower blepharoplasty results possible.

What is lower lid blepharoplasty?

When we talk about lower lid blepharoplasty we are talking specifically about the area under the eyes. With age people may develop under eye bags, under eye hollows, or dark circles. With a lower lid blepharoplasty, the goal is to reduce the appearance of eyelid bags, while also filling in any hollows or dark circles. When performed by an experienced oculoplastic surgeon, like Dr. Massry, rather than removing precious eyelid fat, the excess fat is instead transposed to reduce fatty pockets and fill in the hollows. This approach results in smooth, youthful under eye contours.

Dr. Massry's 5 DO NOT Rules of Lower Lid Blepharoplasty

Below are the 5 DO NOT rules that Dr. Massry always follows when he performs lower lid blepharoplasty.

  1. Do not change eye shape
  2. Do not change the angle of the outer corner of the lids (canthus)
  3. Do not cause a droopy (retracted) lower lid
  4. Do not hollow the lower lid
  5. Do not shorten the eye opening

If a surgeon follows these 5 DO NOT rules, the results of a lower lid blepharoplasty will be phenomenal. Following these rules ensures that the results will look natural, which is the most important goal.

Before & After Lower Lid Blepharoplasty

Below are some examples of patients who have had lower lid blepharoplasty with Dr. Massry. You can see in both the male and female patients that the results look very natural. The under eye area is smooth and youthful.

Patient 1

Before and after lower lid blepharoplasty with Dr Massry

Patient 2

Male lower lid blepharoplasty with Dr. Massry

Patient 3

Under eye bag surgery with Dr. Massry

How do you find the best lower lid blepharoplasty surgeon?

There are a lot of plastic and cosmetic surgeons out there today offering lower lid blepharoplasty procedures. While this is a very common and "routine" procedure, it still requires a great deal of expertise to get a beautiful result. The best surgeon to perform a lower lid blepharoplasty is a board-certified Ophthalmic Plastic & Reconstructive surgeon because they are sub-specialized in plastic surgery of the eyes. As an ophthalmic plastic & reconstructive surgeon, Dr. Massry only performs procedures around the eyes and has dedicated his career to perfecting these procedures. With Dr. Massry you can rest assured that your results will be natural looking.

Contact Dr. Massry Today!

We hope you enjoyed learning about the 5 DO NOT Rules of lower lid blepharoplasty. If you are interested in learning more about a lower lid blepharoplasty, please call our office today - 310.657.4302! Dr. Massry would love to meet you and help you decide if lower lid blepharoplasty is right for you.

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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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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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Fun Facts About Eyelid Fillers

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Eyelid filler injections are becoming more and more common among men and women. Today, Dr. Guy Massry thought he would share 3 fun facts about eyelid filler with everyone!

Eyelid Filler Fun Fact #1

Did you know early fillers were made from the comb (red appendage) on the top of the head of turkeys and chickens?! Don't worry, this is no longer where filler comes from!

Fun Facts About Eyelid Fillers - 1

Today there are several different type of eyelid fillers. The most commonly used eyelid fillers are Hyaluronic Acid gel fillers, such as Restylane.

Eyelid Filler Fun Fact #2

Did you know eyelid fillers work by tissue expansion. The easiest way to understand how fillers work is to think of a sponge - when the sponge gets wet it expands. Just like a sponge, fillers draw in fluid and then expand.

Fun Facts About Eyelid Fillers - 2

Eyelid Filler Fun Fact #3

Fillers can be administered either with a needle or a blunt cannula. Dr. Massry only uses a blunt cannula for his eyelid filler injections because not only do patients experience less bruising, but it is significantly safer than using a needle for the injections. When Dr. Massry uses the blunt cannula for underey filler injections, he enters through the cheek to inject the lower lid as this causes less  trauma and bruising to the delicate lower lid skin.

Eyelid Filler Safety

No eyelid filler blog is complete without reminding patients to take precautions when you are considering eyelid fuller. As always, Dr. Guy Massry in Beverly Hills urges patients to find an injector who has a lot of experience with fillers around the eyes to ensure they have safe and effective results. Furthermore, Dr. Massry recommends only using gel fillers like Restylane (Hyaluronic Acid Gels) as they are reversible, which adds another layer of safety to the treatment.

Watch Under Eye Filler Treatment

Below is a video of Dr. Massry performing a filler treatment under eye hollows.

Contact Dr. Massry for your Eyelid Filler Appointment

Eyelid filling is an art – make sure you see an artist like Dr. Massry! If you are interested in booking your eyelid filler treatment, please contact our office at 310.657.4302.

We hope you enjoyed reading these fun facts about eyelid fillers. Here are some more blogs you may find interesting:

Botox vs Filler - True or False?

How To Rejuvenate Your Eyes Without Surgery

Blepharoplasty & Botox - A Powerful Combination


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How To: Perform Lower Lid Blepharoplasty With Fat Transpositioning

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Lower lid blepharoplasty is an intricate procedure which can be fraught with complications. The first, second and third rules that Dr. Guy Massry lives by for this procedure are, “Do it well!” It takes years to master this!

Dr. Massry loves performing this surgery on his patients and has dedicated much of his career to its study.  One variant in lower lid blepharoplasty is transposing the puffy fat to the adjacent hollow “dark circles" below. Traditionally, fat was also considered a bad thing and was simply removed. Now that we know fat is so precious when we transpose it under the eye, it creates a smooth, youthful appearance.

Before and After Lower Lid Blepharoplasty With Fat Transpositioning

Lower eyelid blepharoplasty - Dr Guy Massry

This patient had fantastic results after her lower lid blepharoplasty with fat transposition with Dr. Massry.

Illustration of How to Perform Lower Lid Blepharoplasty with Fat Transpositioning

Lower lid with fat transposition - Dr Guy Massry

This illustration is the cover to Dr. Massry's new video series on surgery available through Quality Medical Publishers. It does a nice job of showing how the procedure is performed.

Contact Dr. Guy Massry Today!


If you are considering lower lid blepharoplasty, please call our office today - 310.657.4302. Dr. Massry specializes in lower lid surgery and provides his patients with the most natural looking results!

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Dana’s Revision Eyelid Surgery – Dr. Massry Changed My Life

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Lower eyelid retraction and canthal web - Dr Massry

"Dr. Guy Massry changed my life! I know it sounds dramatic but there is no other statement that would begin to describe what Dr. Massry did for me.  If you are reading this review you may be going through the same type of nightmare I experienced, at the hands of another doctor who absolutely botched your surgery or you may be researching doctors for your first surgery.  Either way, I am here to tell you, there is no one better and no one I would trust more than Dr. Massry in Beverly Hills.

I am a former model and was with the biggest agency in the world. I wanted to find a doctor who would not make me look different, just rested and refreshed. I searched for over a year.  The doctor I decided to go with, from NYC, was supposed to be "the Best in the Business." He was the most expensive doctor I interviewed. I thought logic would dictate, "you can't charge those kinds of prices and have great hype surrounding you if you are not the BEST"!!  I could not have been more wrong.  I had a HORRIBLE outcome!!!!  HORRIBLE!!!!  And here is the worst thing......this "great NYC doctor" blamed my old filler for his botched result.  His response to my panic was to tell me to go to a dermatologist and get filler to fix the problem.

I was devastated and felt so alone.  I looked so much worse than before the surgery.  I didn't look like me, anymore.  My lower lids were sagging and drooping. Under my eyes was so hollow and sunken.  I could not close my eyes at night and had to use a mask to hold them shut.  Even then I would wake up with painfully dry eyes.  I went through bottle after bottle of eye drops to fight the dryness.  I would see my reflection and my heart would sink.  I looked hollow and tired and my eyes looked deformed.  They were not "my eyes".  The emotional and psychological damage was as bad, if not worse, than the physical change.  I was incredibly self-conscious and would try not to make eye contact with people.  I would always try to smile, hoping my cheeks would push my lower lids up.  So, I would walk around smiling for no reason!!  I just kept my head down and hoped that people wouldn't look at me and see my droopy eyes.  That doctor in NYC and the horrible outcome stole my self-confidence.  It changed my personality.  My depression and hopelessness were constant. Always with me like a dark cloud.  It was the last thing I thought about at night and the first thing in the morning.  I felt so lost.  I had no idea what to do or who to talk to.  I was stuck in my fear of even considering another doctor because of my horrible experience in NYC.  Even after the NYC doctor saw the horrible outcome and told me to go get fillers, I never heard another word from him or his office. No follow up.  Nothing.  No concern.  Nothing!!! I felt so abandoned by him.  How would I trust another Dr?

I finally reached such a sad and desperate place, I called a friend of mine in LA and told him the story.  My friend in LA is literally the trainer to the stars!!  Superstars!!  He knows everyone!!  An hour after we talked he called me back with one name.  Dr. Guy Massry.  He said Dr. Massry is THE DOCTOR!!!  He has a stellar reputation and takes on the most difficult cases.  Cases other doctors won't even attempt. You can trust this doctor.  I called Dr. Massry and from the very first conversation, he put me at ease.  He understood my depression, lack of trust and not "seeing ME" when I looked in the mirror.  He understood my fear of another surgery and an even worse outcome.  After all, I trusted the NYC doctor and look what happened.  Dr Massry was so kind and gentle and explained that this type of revision is what he does.  He has performed hundreds of these procedures and he would not put me through the physical or emotional experience if he didn't feel he could help me.  He was a ray of light in what had become a dark and depressed world.  We talked many times over the course few months.  I had many questions, all of which were answered with patience and understanding and reassurance when I needed it.

Dr. Massry performed my surgery and I can't begin to describe the transformation.  Dr. Massry's skill, talent and the elegance of his work are just beyond anything I could have imagined.  Dr. Massry and Dr. Patel were there for me at all hours, checking on me, in contact with me regularly and if there was anything I needed it was taken care of immediately!!!  I never felt alone.  I pulled a stitch and Dr. Massry came in on a Sunday morning to repair the damage.  Who does that????  DR MASSRY!!!!!!!

I have many friends who are close to my age and considering surgery but I am the first to "go under the knife".  I only wish someone had gone before me and passed this knowledge along, so I could have avoided this horror.  I am telling all of my friends, and anyone who is considering surgery, GO TO DR. MASSRY!!!!!  DO NOT let anyone touch your eyes who is not an ocular plastic surgeon!  And even then, I am telling everyone, JUST GO TO DR. MASSRY!!!!  He even works with other surgeons who do lower face and noses and he will do your eyes!!!

I have learned that a botched surgery, changing the shape of your eyes can be devastating and change your looks, dramatically!  You don't look like "you," anymore.  Operating on your eyes is a specialty and, as I have learned, its not just about taking out extra skin.  It's about repositioning fat and muscle and its complex.  Please learn from my mistake.  You don't want to go through what I have gone through.  I don't know what I would have done without Dr. Massry.  I literally thank God for getting me to Dr. Massry, every time I see my reflection.  Dr. Massry changed my life.  He gave me back my confidence. He gave me back a sense of peace.  He gave me back, ME.  Thank you!  Thank you!  Thank you!!"

-Dana, New York

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